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Swedish Hospital Survey on Patient Safety Culture— Psychometric properties and health care staff’s perception

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Open Journal of Nursing 2013年第8期3卷 41-50页

作者： Anna Nordin bodil wilde-larsson Gun Nordstrom Kersti Theander Faculty of Health Science and TechnologyKarlstad UniversityKarlstadSweden Faculty of Public Health Hedmark University CollegeElverumNorway Primary Care Research Department County Council of VarmlandKarlstadSweden

This study examined the psychometric properties of the Swedish and the original version of the Hospital Survey on Patient Safety Culture within a Swedish hospital setting and described health care staff’s perceptions of patient safety culture. A web-survey was used to obtain data from registered nurses, enrolled nurses and physicians (N = 1023). Psychometric properties were tested using Confirmatory Factor Analysis and internal consistency using Cronbach’s alpha coefficient. Root mean square error of approximation and other fit indices indicated psychoFmetric properties for both versions to be acceptable. Internal consistency for the dimensions varied between 0.60 and 0.87. Staff scored the dimension “Teamwork Within Units” highest and the dimension “Hospital Management Support” the lowest. The safety was graded as very good or excellent by 58.9% of the respondents and one third had reported more than one event in the past 12 months. The questionnaire is considered to be useful for measuring patient safety culture in Swedish hospital settings. Managers have a great responsibility to work with improving patient safety culture.

关键词： HSOPSC Patient Safety Culture Psychometrics Questionnaire

Patient Safety Culture Change over Time-Health Care Staffs’Perceptions

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Open Journal of Nursing 2020年第3期10卷 320-339页

作者： Anna Nordin Gun Nordstrom bodil wilde-larsson Anders Hallberg Kersti Theander Faculty of Health Science and TechnologyDepartment of Health ScienceKarlstad UniversityKarlstadSweden Faculty of Social and Health Sciences Department of Health and Nursing SciencesInland Norway University of Applied SciencesElverumNorway Department of Endocrinology and Diabetes County Council of VarmlandKarlstadSweden Head of Centre for Clinical Research County Council of VarmlandKarlstadSweden

Rationale and Aim: Patient safety is of great interest in health care organisations, worldwide. In Sweden, a national patient safety initiative was launched in 2011. The aim of this study was to examine and compare patient safety culture change over time from health care staffs’ perspective. A further aim was to examine factors that have had an effect on patient safety culture. Methods: Patient safety culture was assessed in 2009, 2011 and 2013 using the Swedish version of the Hospital Survey of Patient Safety Culture. Respondents in this study were registered nurses (n = 2149), enrolled nurses (n = 959), physicians (n = 355) and managers (n = 159) working in three health care divisions in a Swedish county council. Results: Patient safety culture decreased significantly over time for all but two dimensions. The dimension “Information to Patients/Relatives” was the only dimension to increase significantly over time. Health care staffs’ profession and health care division belonging had significant main effects on 14 and 8 dimensions, respectively. Managers and enrolled nurses scored patient safety culture significantly higher than registered nurses and physicians. Health care staff working in a mixed medical-surgical health care division scored significantly higher than those working in medical or surgical divisions did. Conclusions: Despite efforts for patient safety work in the county council, health care staffs’ perceptions of patient safety culture decreased over time. To improve hospital patient safety culture, managers and staff groups must meet and communicate with each other in order to create a common view of patient safety.

关键词： Patient Safety Culture Hospital Three-Time Cross-Sectional Healthcare Organisations

Nursing in a Globalized World: Nursing Students with International Study Experience Report Higher Competence at Graduation

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Open Journal of Nursing 2014年第12期4卷 848-858页

作者： Jan Nilsson Marianne Carlsson Eva Johansson Ann-Charlotte Egmar Jan Florin Janeth Leksell Christina Lindholm Gun Nordstrom Kersti Theander bodil wilde-larsson Margret Lepp Ann Gardulf Department of Health Sciences Faculty of HealthScienceand TechnologyKarlstad UniversityKarlstadSweden The Japanese Red Cross Institute for Humanitarian Studies TokyoJapan Department of Public Health and Caring Sciences Uppsala UniversityUppsalaSweden Gavle University GavleSweden Department of Neurobiology Care Sciences and SocietyDivision of NursingKarolinska InstitutetHuddingeSweden The Red Cross University College StockholmSweden Department of Learning InformaticsManagement and EthicsMedical Management CentreKarolinska InstitutetStockholmSweden School of Health and Social Studies Dalarna UniversityFalunSweden Sophiahemmet University StockholmSweden 1 Department of Nursing Hedmark University CollegeHedmarkNorway 1 Primary Care Research Unit County Council of VarmlandSweden 1 Institute of Health and Care Science University of GothenburgGothenburgSweden 1 Ostfold University College HaldenNorway 1 Unit for Clinical Nursing Research Immunotherapy and ImmunologyDivision of Clinical ImmunologyDepartment of Laboratory MedicineKarolinska Institutet at Karolinska University HospitalStockholmSweden

Due to globalization, there is a need for nurses with skills and competence in providing safe, competent and culturally appropriate care. The aim of the study was to investigate whether International Study Experiences (ISE) in other countries during basic nursing education had an impact on newly graduated nurses as regards to self-reported competence. Moreover, a second aim was to explore what background factors that facilitated or constituted a hindrance for nursing students to choose to conduct part of their basic nursing education abroad. At 11 Universities/University Colleges (henceforth called Higher Education Institutions [HEIs]) in Sweden, 565 nursing students responded to the Nurse Professional Competence (NPC) Scale. Students with ISE rated their competence significantly higher on three NPC competence areas—“Legislation in nursing and safety planning”, “Leadership and development of nursing” and “Education and supervision of staff/students”. Background factors that significantly seemed to enhance ISE were living alone, not having children or other commitments in relation to family, international focus at the HEI and previous international experience. Lack of financial means was reported to prevent students from choosing ISE. The study implies that several background factors are of importance whether students choose ISE or not. ISE during basic nursing education might result in better self-reported competence in leading and developing nursing care, including education of future nurses, and in providing safe care.

关键词： Internationalization International Study Experience Nursing Education Self-Reported Competence

Pancreatic function,quality of life and costs at long-term follow-up after acute pancreatitis

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World Journal of Gastroenterology 2010年第39期16卷 4944-4951页

作者： bodil Andersson Marie-Louise Pendse Roland Andersson Department of Surgery Clinical Siences LundLund University Lund University Hospital

AIM:To evaluate long-term endocrine and exocrine pancreatic function,quality of life and health care costs after mild acute pancreatitis and severe acute pancreatitis(SAP).METHODS:Patients prospectively included in 2001-2005 were followed-up after 42(36-53)*** function was evaluated with laboratory tests,the oral glucose tolerance test(OGTT),fecal elastase-1 and a *** Form(SF)-36,was ***:Fourteen patients with a history of SAP and 26 with mild acute pancreatitis were *** glucose after OGTT was higher after SAP(9.2 mmol/L vs 7.0 mmol/L,P=0.044).Diabetes mellitus or impaired glucose tolerance in fasting plasma glucose and/or 120 min plasma glucose were more common in SAP patients(11/14 vs 11/25,P=0.037).Sick leave,time until the patients could take up recreational activities and time until they had recovered were all longer after SAP(P <0.001).No significant differences in SF-36 were seen between the groups,or when comparing with age and gender matched reference *** hospital costs,including primary care,follow-up and treatment of complications,were higher after SAP(median€16572 vs €5000,P<0.001).CONCLUSION:Endocrine pancreatic function was affected,especially after severe *** requires greater resource use with long recovery,but most patients regained a good quality of life.

关键词： Acute pancreatitis Endocrine function Exocrine function Quality of life Cost

Motility index measured by magnetic resonance enterography is associated with sex and mural thickness

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World Journal of Gastroenterology 2020年第36期26卷 5484-5497页

作者： Sven Mansson Olle Ekberg bodil Ohlsson Medical Radiation Physics Department of Translational MedicineLund UniversitySkåne University Hospital MalmöMalmö20502Sweden Department of Translational Medicine Diagnostic RadiologyLund UniversitySkåne University HospitalMalmö20502Sweden Department of Internal Medicine Skåne University HospitalLund UniversityMalmöS-20502Sweden

BACKGROUND Recently,a technique has been developed to use magnetic resonance enterography(MRE)for the evaluation of small bowel *** hypothesis was that assessment of the motility index(MI)should reflect differences in motility between clinical *** To aim of the present observational,cross-sectional study was to evaluate the use of the MI in daily clinical *** All consecutive patients aged 18-70 years who were referred for MRE at the Department of Radiology during a 2-year period were asked to *** volunteers were included as *** was prepared and conducted in accordance with clinical *** the day of examination,all the participants had to complete the visual analog scale for irritable bowel syndrome(IBS)and IBS-symptom severity *** of MI were calculated from dynamic MR *** was used to evaluate differences in MI between groups,classified as healthy,Crohn’s disease,ulcerative colitis,IBS,other assorted disorders and *** and linear regression were applied to the MI *** medical records were scrutinized for medical *** In all,224 examinations were included(inclusion prevalence 76.3%),with 22 controls and 202 *** was a significant difference in the MI of the jejunum(P=0.021)and terminal ileum(P=0.007)between the different *** MI was inversely associated with the mural thickness of the terminal ileum in men(P<0.001)and women(P=0.063)after adjustments,and tended to be lower in men than in women(P=0.056).Subjectively observed reduction of motility on MRI was accomplished by reduced MI of terminal ileum in men(P<0.001)and women(P=0.030).In women,diarrhea was inversely associated with the MI of the jejunum(P=0.029),and constipation was positively associated with the MI of the terminal ileum(P=0.039).CONCLUSION Although MIs differ across diseases,a lower MI of the terminal ileum is mainly associated with male sex and an increased mural thickness.S

关键词： Dysmotility Gastrointestinal symptoms Magnetic resonance enterography Motility index Mural thickness Small bowel

Aspiring for competence in a multifaceted everyday life:A qualitative study of adult students’experiences of a blended learning master programme in Norway

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International Journal of Nursing Sciences 2021年第1期8卷 71-78,I0005页

作者： bodil Gjestvang Sevald Høye Berit Arnesveen Bronken Inland Norway University of Applied Sciences Faculty of Health and Social SciencesElverumNorway

Aim:To gain knowledge of how adult students experienced the first year of a blended learning master programme to better understand their learning ***:A qualitative,exploratory,descriptive study based on data from two focus group interviews with students attending a blended learning Master *** content analysis based on Graneheim and Lundman’s procedures was ***:Our analyses revealed one main theme:aspiring for competence in a multifaceted everyday life and four main categories:acquiring professional competence,struggling to manage diverse forms of communication,demanding task juggling and confused student ***:The participants experienced that the programme enabled them to acquire professional competence relevant to *** the challenges,the programme is recommended for prospective students who live in both urban and rural areas,who are working and also responsible for children and other family tasks.

关键词： Adult students Blended learning Nurses Nursing education Online education Sociocultural learning

Risk factors and outcomes for patients with pancreatic cancer undergoing surgical exploration without resection due to metastatic disease:A national cohort study

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Hepatobiliary & Pancreatic Diseases International 2022年第3期21卷 279-284页

作者： Emil Sahlstrom Paulina Bereza-Carlson Johan Nilsson Bobby Tingstedt bodil Andersson Department of Clinical Sciences Lund SurgeryLund UniversitySweden Department of Surgery Central Hospital KristianstadSweden Department of Translational Medicine Cardiothoracic surgery and bioinformaticsLund UniversitySweden Department of Thoracic and vascular surgery Skane University hospitalLundSweden Department of Surgery Skane University HospitalLundSweden

Background:Unresectable disease is sometimes diagnosed during surgery in patients with pancreatic ductal adenocarcinoma(PDAC).This study aimed to identify preoperative risk factors for metastatic disease diagnosed at surgical exploration and to investigate and compare survival in resected and nonresected ***:Patients were identified from the Swedish National Pancreatic and Periampullary Cancer Registry *** of metastatic disease were evaluated with a multivariable logistic regression model,and survival was evaluated with Kaplan-Meier estimates and log-rank ***:In total,1938 patients with PDAC were scheduled for *** unresectable situation was diagnosed intraoperatively in 399 patients(20.6%),including 234(12.1%)with metastasized *** risk factors for metastasis were involuntary weight loss(OR=1.72;95%CI:1.27-2.33)and elevated carbohydrate antigen 19-9(CA19-9)(35-599 U/m L,OR=1.79,95%CI:1.11-2.89;≥600 U/m L,OR=3.24,95%CI:2.04-5.17).Overall survival was lower among patients with metastasized disease than that among patients with a resectable tumor(P<0.001).Conclusions:Involuntary weight loss and an elevation of CA19-9 are preoperative risk factors for diagnosing metastasized disease during surgical exploration.

关键词： Pancreatic cancer Surgery Metastasized Exploration

Structure of the myenteric plexus in normal and diseased human ileum analyzed by X-ray virtual histology slices

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World Journal of Gastroenterology 2022年第29期28卷 3994-4006页

作者： Bela Veress Niccolo Peruzzi Marina Eckermann Jasper Frohn Tim Salditt Martin Bech bodil Ohlsson Department of Pathology Skåne Universiity HospitalMalmo 20502Sweden Medical Radiation Physics Department of Clinical SciencesLund UniversityLund 22100Sweden Institute for X-Ray Physics University of GottingenGottingen 37077Germany Cluster of Excellence“Multiscale Bioimaging:from Molecular Machines to Networks of Excitable Cells”(MBExC) University of GöttingenGöttingen 37077Germany ESRF The European SynchrotronGrenoble 38043France Department of Internal Medicine Skåne University HospitalLund UniversityMalmöS-20502Sweden

BACKGROUND The enteric nervous system(ENS)is situated along the entire gastrointestinal tract and is divided into myenteric and submucosal plexuses in the small and large *** ENS consists of neurons,glial cells,and nerves assembled into ganglia,surrounded by telocytes,interstitial cells of Cajal,and connective *** to the complex spatial organization of several interconnections with nerve fascicles,the ENS is difficult to examine in conventional histological sections of 3-5μ*** To examine human ileum full-thickness biopsies using X-ray phase-contrast nanotomography without prior staining to visualize the *** Six patients were diagnosed with gastrointestinal dysmotility and neuropathy based on routine clinical and histopathological *** controls,fullthickness biopsies were collected from healthy resection ileal regions after hemicolectomy for right colon *** the paraffin blocks,4-μm thick sections were prepared and stained with hematoxylin and eosin for localization of the myenteric ganglia under a light microscope.A 1-mm punch biopsy(up to 1 cm in length)centered on the myenteric plexus was taken and placed into a Kapton®tube for mounting in the subsequent investigation.X-ray phase-contrast tomography was performed using two custom-designed laboratory setups with micrometer resolution for overview ***,selected regions of interest were scanned at a synchrotron-based end-station,and high-resolution slices were *** total,more than 6000 virtual slices were analyzed from nine *** In the overview scans,the general architecture and quality of the samples were studied,and the myenteric plexus was ***-resolution scans revealed details,including the ganglia,interganglional nerve fascicles,and surrounding *** ganglia were irregular in shape and contained neurons and glial ***-shaped cells with very thin cellular projections could be observed on the surface of t

关键词： Enteric nervous system Immunohistochemistry Neuropathy Synchrotron Virtual histology Xray phase-contrast nanotomography

Hypoxia in the pulmonary vein increases pulmonary vascular resistance independently of oxygen in the pulmonary artery

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Animal Models and Experimental Medicine 2024年第2期7卷 156-165页

作者： Sigridur Olga Magnusdottir Carsten Simonsen Dan Stieper Karbing bodil Steen Rasmussen Benedict Kjaergaard Biomedical Research Laboratory Aalborg University HospitalAalborgDenmark Department of Clinical Medicine Aalborg UniversityAalborgDenmark Department of Cardiothoracic Surgery Aalborg University HospitalAalborgDenmark Department of Health Science and Technology Aalborg UniversityAalborgDenmark Department of Anesthesia and Intensive Care Aalborg University HospitalAalborgDenmark

Introduction:Hypoxic pulmonary vasoconstriction(HPV)can be a challenging clinical *** is not fully elucidated where in the circulation the regulation of resistance takes *** is often referred to as if it is in the arteries,but we hypothesized that it is in the venous side of the pulmonary ***:In an open thorax model,pigs were treated with a veno-venous extra corporeal membrane oxygenator to either oxygenate or deoxygenate blood passing through the pulmonary *** the same time the lungs were ventilated with extreme variations of inspired air from 5%to 100%oxygen,making it possible to make combinations of high and low oxygen content through the pulmonary circulation.A flow probe was inserted around the main pulmonary artery and catheters in the pulmonary artery and in the left atrium were used for pressure monitoring and blood *** different combinations of oxygenation,pulmonary vascular resistance(PVR)was ***:With unchanged level of oxygen in the pulmonary artery and reduced inspired oxygen fraction lowering oxygen tension from 29 to 6.7 kPa in the pulmonary vein,PVR was *** more extreme hypoxia PVR suddenly *** with low oxygenation in the pulmonary artery did not systematic influence PVR if there was enough oxygen in the inspired air and in the pulmonary ***:The impact of hypoxia occurs from the alveolar level and forward with the blood *** experiments indicated that the regulation of PVR is mediated from the venous side.

关键词： animal models cardiopulmonary support Hypoxic pulmonary vasoconstriction pulmonary circulation