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Lindström, VeronicaORCID iD iconorcid.org/0000-0003-1386-3203
Publications (10 of 13) Show all publications
Nilsson, T., Masiello, I., Broberger, E. & Lindström, V. (2023). Digital feedback during clinical education in the emergency medical services: A qualitative study. BMC Medical Education, 23, Article ID 156.
Open this publication in new window or tab >>Digital feedback during clinical education in the emergency medical services: A qualitative study
2023 (English)In: BMC Medical Education, E-ISSN 1472-6920, Vol. 23, article id 156Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Clinical education is essential for students' progress towards becoming registered nurses (RN) in Sweden. Assessment of caring skills in the Emergency Medical Services (EMS) is complex due to the ever-changing scenarios and the fact that multiple supervisors are involved in the student's education. Currently, assessments of student's skills are summative and occur twice during the six weeks of clinical education. A digitalized assessment tool (DAT) with an adaptation for formative assessment is a new approach to assessment of nursing skills in the EMS. Since new technologies and changes in procedures are likely to affect both students and supervisors, our aim in this study is to describe students' and clinical supervisors' experience of formative assessments using DAT in the EMS.

METHOD: This study is qualitative, using semi-structured group interviews (N = 2) with students and semi-structured individual telephone interviews (N = 13) with supervisors. The data was analysed according to Graneheim and Landman's method for content analysis. This analysis generated 221 codes organized into 10 categories within which three themes were identified. The students in this study were nursing students in their last semester and all supervisors were experienced RNs.

RESULTS: The results showed that students and supervisors had mainly positive views of the DAT and the formative assessment stating that the information they provided while using the DAT offered opportunities for reflection. The DAT supported the students' learning by visualizing strengths and areas of improvement, as well as displaying progress using a Likert scale. The application improved communication, but additional features linking the assessment tool with the university were requested. The application contributed to transparency in the assessments and was seen as preferable to the traditional 'pen and paper' method.

CONCLUSION: A digital system was described in a positive manner, and the assessment using the DAT facilitated reflection and formative assessment. The use of a Likert scale was considered positive in order to demonstrate progression which with advantage could be demonstrated visually.

Keywords
Clinical Education, Digital Assessment, Emergency Medical Services, Formative Assessment, Reflection
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4775 (URN)10.1186/s12909-023-04138-y (DOI)36918851 (PubMedID)
Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2024-01-09Bibliographically approved
Lindström, V. & Falk, A.-C. (2023). Emergency care nurses' self-reported clinical competence before and after postgraduate education: A cross-sectional study. International Emergency Nursing, 70, 101320, Article ID 101320.
Open this publication in new window or tab >>Emergency care nurses' self-reported clinical competence before and after postgraduate education: A cross-sectional study
2023 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 70, p. 101320-, article id 101320Article in journal (Refereed) Published
Abstract [en]

Changing prerequisites in healthcare leads to the increased complexity of nursing. Since there are no regulations on re-validation of competencies for emergency nurses in Sweden there is sparse knowledge on how nurses develop competencies after registration as nurses (RN).

AIM: To describe self-reported professional competence after postgraduate education among RNs in emergency care settings.

METHOD: A cross-sectional design and STROBE guidelines were used. The short version of the Nurse Professional Competence Scale was used for data collection and the data were collected before and after postgraduate education, descriptive and comparative statistic was used for analysis.

RESULTS: 62 (71%) students participated in the first data collection and an independent group of 31 (48%) students participated in the second data collection. The results showed generally good competencies before entering education and significantly improved competencies after education were found in areas of working independently and reviewing literature for evidence-based nursing Conclusion: The competencies were assessed as very good after education. Evaluating nurses' competencies supports educators in developing education to ensure the need for knowledge in emergency care. To ensure required competencies among emergency care nurses there is a need to regulate additional training and re-validation of emergency nurses' competencies.

Keywords
Advanced level education, Continuous professional development, Nurse professional competence scale, Nursing, Outcome
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4997 (URN)10.1016/j.ienj.2023.101320 (DOI)37515996 (PubMedID)
Available from: 2023-09-06 Created: 2023-09-06 Last updated: 2023-11-21Bibliographically approved
Venesoja, A., Tella, S., Castrén, M. & Lindström, V. (2023). Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: A qualitative study. BMJ Open, 13(4), e067754, Article ID e067754.
Open this publication in new window or tab >>Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: A qualitative study
2023 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 13, no 4, p. e067754-, article id e067754Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: This study aimed to describe emergency medical services (EMS) managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues in the EMS.

DESIGN: The study used a descriptive qualitative approach. Five focus groups and two individuals were interviewed using a semi-structured guide with open-ended questions. The data were analysed using reflexive thematic analysis. Consolidated criteria for Reporting Qualitative research was used to guide the reporting of this study.

SETTING: EMS organisations from Finland's five healthcare districts.

PARTICIPANTS: EMS medical directors (n=5) and EMS managers (n=14). Purposive sampling was used.

RESULTS: Two main themes, 'Patient safety considered an organisational responsibility' and 'EMS patients' opportunities and obstacles to speaking up', were generated from the data. Under the main theme, 'Patient safety considered an organisational responsibility', were three subthemes: patient safety considered part of the quality in EMS, system-level models for handling and observing patient safety in EMS, and management's ability to find a balance when using patients' feedback for patient safety development. Under the other main theme were four subthemes: 'social and feedback skills of EMS personnel and management', 'managements' assumptions of patients' reasons for not speaking up', 'EMS organisations' different but unsystematic ways of collecting feedback' and 'management's openness to develop patient participation'.

CONCLUSIONS: The nature of the EMS organisations and EMS assignments could affect a patient's participation in developing patient safety in EMS. However, EMS managers and medical directors are receptive to collaborating with patients concerning patient safety issues if they have sufficient resources and a coherent way to collect patient safety concerns. The management is open to collaborating with patients, but there is a need to develop a systematic method with enough resources to facilitate the management's collaborating with patients.

Keywords
Accident & emergency medicine, Health & safety, Qualitative research
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4901 (URN)10.1136/bmjopen-2022-067754 (DOI)37037618 (PubMedID)
Available from: 2023-05-17 Created: 2023-05-17 Last updated: 2023-08-28Bibliographically approved
Venesoja, A., Lindström, V., Castrén, M. & Tella, S. (2023). Prehospital nursing students' experiences of patient safety culture in emergency medical services: A qualitative study. Journal of Clinical Nursing, 32(5-6), 847-858
Open this publication in new window or tab >>Prehospital nursing students' experiences of patient safety culture in emergency medical services: A qualitative study
2023 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 32, no 5-6, p. 847-858Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe prehospital nursing students' experiences of patient safety culture in emergency medical services during their internship.

BACKGROUND: Patient safety culture in the emergency medical services is a complex phenomenon including more than organisational policies and practices and professionals' technical skills.

DESIGN: The descriptive qualitative approach used the Sharing Learning from Practice to improve Patient Safety Learning Event Recording Tool, which includes both open-ended and structured questions.

METHODS: Purposeful sampling was used, and data were collected from graduating prehospital nursing students (n = 17) from three Finnish Universities of Applied Sciences. Open-ended questions were reviewed using thematic analysis, and frequencies and percentages were derived from structured questions. COREQ guidelines were used to guide this study.

RESULTS: Four themes were identified during the thematic analysis: environmental and other unexpected factors in emergency medical services, working practices and professionalism in emergency medical services, teamwork in emergency medical services and feelings related to patient safety events in emergency medical services. Patient safety events described by students were seldom reported in the healthcare system or patient files. According to the students, such events were most likely related to communication, checking/verification and/or teamwork.

CONCLUSIONS: This study shows that prehospital nursing students can produce important information about patient safety events and the reasons that contributed to those events. Therefore, emergency medical services organisations and managers should use students' observations to develop a patient safety culture in emergency medical services.

RELEVANCE TO CLINICAL PRACTICE: Understanding how prehospital nursing students have experienced patient safety culture during their internships on ambulances can support educational institutions, together with emergency medical services organisations and managers, to improve policies for students to express patient safety concerns as well as patient safety successes.

Keywords
Ambulance service, Emergency medical services, Patient safety, Prehospital nursing student, Safety culture, Safety management
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4523 (URN)10.1111/jocn.16396 (DOI)35672936 (PubMedID)
Available from: 2022-06-22 Created: 2022-06-22 Last updated: 2023-03-22Bibliographically approved
Singh, L., Kanstrup, M., Gamble, B., Geranmayeh, A., Göransson, K. E., Rudman, A., . . . Moulds, M. L. (2022). A first remotely-delivered guided brief intervention to reduce intrusive memories of psychological trauma for healthcare staff working during the ongoing COVID-19 pandemic: Study protocol for a randomised controlled trial. Contemporary Clinical Trials Communications, 26, Article ID 100884.
Open this publication in new window or tab >>A first remotely-delivered guided brief intervention to reduce intrusive memories of psychological trauma for healthcare staff working during the ongoing COVID-19 pandemic: Study protocol for a randomised controlled trial
Show others...
2022 (English)In: Contemporary Clinical Trials Communications, E-ISSN 2451-8654, Vol. 26, article id 100884Article in journal (Refereed) Published
Abstract [en]

Addressing the mental health needs of healthcare staff exposed to psychologically traumatic events at work during the COVID-19 pandemic is a pressing global priority. We need to swiftly develop interventions to target the psychological consequences (e.g., persistent intrusive memories of trauma). Interventions for healthcare staff must be brief, flexible, fitted around the reality and demands of working life under the pandemic, and repeatable during ongoing/further trauma exposure. Intervention delivery during the pandemic should be remote to mitigate risk of infection; e.g., here using a blend of digitalized self-administered materials (e.g., video instructions) and guided (remote) support from a researcher. This parallel groups, two-arm, randomised controlled trial (RCT) with healthcare staff working during the COVID-19 pandemic is the first evaluation of whether a digitalized form of a brief cognitive task intervention, which is remotely-delivered (guided), reduces intrusive memories. Healthcare staff who experience intrusive memories of work-related traumatic event(s) during the COVID-19 pandemic (≥2 in the week before inclusion) will be randomly allocated (1:1) to receive either the cognitive task intervention or an active (attention placebo) control, and followed up at 1-week, 1-month, 3-months, and 6-months post-intervention. The primary outcome will be the number of intrusive memories reported during Week 5; secondary and other outcomes include the number of intrusive memories reported during Week 1, and other intrusive symptoms. Findings will inform further development and dissemination of a brief cognitive task intervention to target intrusive memories.

Keywords
COVID-19, Digital intervention, Healthcare staff, Intrusive memories, Psychological trauma, Randomised controlled trial
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4345 (URN)10.1016/j.conctc.2022.100884 (DOI)35036626 (PubMedID)
Available from: 2022-03-09 Created: 2022-03-09 Last updated: 2022-09-30Bibliographically approved
Heldring, S., Lindström, V., Jirwe, M. & Wihlborg, J. (2022). Ambulance clinicians simulating mass casualty incident with virtual reality. In: : . Paper presented at 8th International Nurse Education Conference, Sitges, Spanien, 19-22 oktober 2022.
Open this publication in new window or tab >>Ambulance clinicians simulating mass casualty incident with virtual reality
2022 (English)Conference paper, Poster (with or without abstract) (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4710 (URN)
Conference
8th International Nurse Education Conference, Sitges, Spanien, 19-22 oktober 2022
Available from: 2023-01-18 Created: 2023-01-18 Last updated: 2023-01-18Bibliographically approved
Conte, H., Wihlborg, J. & Lindström, V. (2022). Developing new possibilities for interprofessional learning: Students' experience of learning together in the ambulance service. BMC Medical Education, 22(1), Article ID 192.
Open this publication in new window or tab >>Developing new possibilities for interprofessional learning: Students' experience of learning together in the ambulance service
2022 (English)In: BMC Medical Education, E-ISSN 1472-6920, Vol. 22, no 1, article id 192Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: It is known that setting and context matters, and contextual factors influence interprofessional education (IPE). Activities developed in a new setting should therefore be evaluated to determine students' experiences and learning. IPE in the ambulance service may present a new setting for interprofessional learning (IPL).

AIM: The aim of this study was to explore undergraduate students' experiences of collaboration and learning together during their clinical rotation in the ambulance service.

STUDY DESIGN AND METHOD: A mixed convergent parallel design was used to describe nursing and medical students' experiences of collaboration and learning together during their clinical rotation in the ambulance service during autumn 2019. Two group interviews with nursing students (n = 20; response rate 80%) were conducted and the medical students (n = 40; response rate 72.5%) answered a self-assessment questionnaire regarding their IPE. The group discussions were analysed using an inductive thematic analysis and descriptive statistics were used to describe the medical students' self-assessed experiences and competencies in interprofessional collaboration.

RESULTS: In the context of the ambulance service, some of the challenges included, the team vary daily, a context that can be unpredictable, and the team being required to make decisions in various situations with limited support. The context presented good opportunities to learn together, since they faced a broad variety of situations and had opportunities to follow patients through the chain of care.

CONCLUSION: The students' experiences show that the ambulance service offers possibilities for IPL. The ambulance service enhanced the students' learning in an unfamiliar environment, encouraging them to develop collaborative learning strategies and situational leadership regardless of established hierarchical structures and stereotypes that are sometimes present in other parts of the health care service.

ETHICAL APPROVAL: By the Swedish Ethical Review Authority. No: 2019-03595.

Keywords
Emergency medical services, Interprofessional learning, Mixed method
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4380 (URN)10.1186/s12909-022-03251-8 (DOI)35307011 (PubMedID)
Available from: 2022-04-04 Created: 2022-04-04 Last updated: 2022-04-04Bibliographically approved
Olsson, H., Olsson, S., Sturesson, L. & Lindström, V. (2022). Do we need a pandemic to improve hygiene routines in the ambulance service?: A cross-sectional study. International Emergency Nursing, 62, Article ID 101171.
Open this publication in new window or tab >>Do we need a pandemic to improve hygiene routines in the ambulance service?: A cross-sectional study
2022 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 62, article id 101171Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: We know that ambulance staff may have sparse knowledge on how to comply with care approaches that ensure appropriate hygiene in the ambulance, but we do not know if and how the COVID-19 pandemic has affected ambulance staff's perceived compliance with hygiene routines.

AIM: To investigate ambulance staff's self-reported hand hygiene (HH) perceptions and compliance; and to explore if and how the COVID-19 pandemic has affected ambulance staff's perceived compliance with hygiene routines.

METHODS: A cross-sectional study design using the WHO-validated Perception Survey for Healthcare Workers regarding hygiene. Thematic analysis and descriptive statistics were used for analysis.

RESULTS: 204 surveys were analysed, 92% of participants stated that their hygiene routine compliance had improved during the COVID-19 pandemic, and some participants also described that their colleagues' practice had improved. These improvements were reportedly driven by the need to acquire new knowledge to deal with the pandemic and sometimes with fear.

CONCLUSIONS: Experience acquired during the pandemic needs to be sustainable if we are to increase HH and hygiene routine compliance in ambulance services. Interventions aimed at changing ambulance staff's perceived behaviour are warranted, and stakeholders should try and identify the personal motivations that lead these staff to seek self-betterment regarding HH and hygiene routine compliance. Otherwise, the risk of patients suffering from healthcare-associated infection may not decrease as wished.

Keywords
Ambulance service, Covid-19, Emergency medical service, Hygiene routines, Questionnaire
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4473 (URN)10.1016/j.ienj.2022.101171 (DOI)35487042 (PubMedID)
Available from: 2022-05-12 Created: 2022-05-12 Last updated: 2022-06-01Bibliographically approved
Ericsson, C. R., Lindström, V., Rudman, A. & Nordquist, H. (2022). Paramedics' perceptions of job demands and resources in Finnish emergency medical services: A qualitative study. BMC Health Services Research, 22(1), 1469, Article ID 1469.
Open this publication in new window or tab >>Paramedics' perceptions of job demands and resources in Finnish emergency medical services: A qualitative study
2022 (English)In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 22, no 1, p. 1469-, article id 1469Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Paramedics' fatigue is rising. Stress factors show increased risk for burnout, fatigue, leaving the profession, decreased performance and risk for patient safety. Meanwhile, paramedics' strong community of practice, autonomy and a sense of professional respect are important factors in forming psychological resilience. We aimed to explore Finnish paramedics' perceptions of job demands and resources.

METHODS: Our study design was descriptive, inductive with a constructivist approach. Using reflexive thematic analysis, we analyse open-ended questions, from a web-based survey and essays written by Finnish paramedic masters-degree students. The study followed the SRQR checklist.

RESULTS: We identified paramedics' job demands as stress from a high workload, environmental factors and emotional burden. Performance expectations and a sense of inadequacy were further noted, as well as an organizational culture of hardiness, presenting lack of support and sense of inequality. Paramedics' job resources were pressure management strategies, which were expressed as positive coping mechanisms, agency to affect workload and professional self-actualization, expressed as psychologically safe work community, professional pride and internal drive to professional development.

CONCLUSIONS: Finnish paramedics exhibit resources and demands related to uncertainty and emotional burden as well as cultural hardiness and psychological safety in communities.

PATIENT OR PUBLIC CONTRIBUTION: This study was done based on survey data collected and analysed by the authors. No patient or public contribution was utilized for this study.

Keywords
Emergency medical services, Job demands, Job resources, Paramedics, Qualitative
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4675 (URN)10.1186/s12913-022-08856-9 (DOI)36461045 (PubMedID)
Available from: 2022-12-13 Created: 2022-12-13 Last updated: 2022-12-13Bibliographically approved
Falk, A.-C. & Lindström, V. (2022). Self-reported clinical competence before entering advanced level training in acute and prehospital emergency care among registered nurses in Sweden. International Emergency Nursing, 61, Article ID 101146.
Open this publication in new window or tab >>Self-reported clinical competence before entering advanced level training in acute and prehospital emergency care among registered nurses in Sweden
2022 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 61, article id 101146Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:shh:diva-4356 (URN)10.1016/j.ienj.2022.101146 (DOI)35203011 (PubMedID)
Available from: 2022-03-30 Created: 2022-03-30 Last updated: 2022-03-30Bibliographically approved
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ORCID iD: ORCID iD iconorcid.org/0000-0003-1386-3203

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