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  • 1.
    Alrajhi, Asrar
    et al.
    Sophiahemmet University.
    Sormunen, Taina
    Sophiahemmet University.
    Alsubhi, Hani
    Sophiahemmet University.
    Factors affecting bedside handover between nurses in critical care area2018In: IOSR Journal of Nursing and Health Science, ISSN 2320-1940, Vol. 7, no 4, p. 53-64Article in journal (Refereed)
    Abstract [en]

    Handover is an important process in nursing care especially in critical care area because it involves transferring patient data. Improving handover between nurses can lead to improved patient safety. Nurses must be qualified to provide quality care, and they need to have the nursing knowledge and skills to avoid errors and increase the well-being of patients. Nurses must view patients as the centre of care because care is the core of nursing practice. The purpose of this study was to identify factors affecting bedside handover/handoff between nurses in the critical care area from a patient safety perspective. A literature review was used as a method in this study. This method helped to identify the problem and locate articles necessary to achieve the study’s aim. The authors achieved the aim by reviewing, analysing, and examining the results from 16 primary academic studies. The articles found via searches in the PubMed database. The results showed that factors affecting bedside handover in critical care area, specifically from four aspects: nurses, patient, environment, hospital standards perspectives. In addition, the authors identified the factors affected by nurses, which related to nursing behaviour, communication skills, nurse experience, and documentation during bedside handover. Nurses need to be skilled in effective communication and work in collaboration with a high level of interaction, with successful decision-making, appropriate staff, and responsible leadership. In addition, if critical care nurses develop and update their delivery of care, that leads to achieving patient safety. The authors consider the communication and nursing experience as main points to focus on during bedside handover. Additionally, handwriting considered the main problem in the documentation, which could be resolved by typing via electronic documentation. This literature review showed that nurses need to improve bedside handover in critical care area by minimizing those factors (our finding) that to increased levels of patient safety. Nurses need to always consider the patient during nursing care practice as a centre of care.

  • 2.
    Alshaikh, Zahra
    et al.
    Sophiahemmet University.
    Alkhodari, Mohammed
    Sophiahemmet University.
    Sormunen, Taina
    Sophiahemmet University.
    Hillerås, Pernilla
    Sophiahemmet University.
    Nurses' knowledge about palliative care in an intensive care unit in Saudi Arabia2015In: Middle East Journal of Nursing, ISSN 1834-8742, Vol. 9, no 1, p. 7-13Article in journal (Refereed)
    Abstract [en]

    Background: Most patients die in hospital settings either in intensive care unit (ICU), emergency department (ED) or other departments. In Saudi Arabia, approximately 23,000 persons are diagnosed with cancer every year. According to the World Health Organization (WHO), palliative care is a holistic activity that involves physical, psychosocial and spiritual human needs to enhance quality of life for patients and their families. Palliative care is an essential aspect to be applied for patients with chronic diseases to improve their quality of life. Earlier studies have shown that physicians, nurses and nurse assistants who work in long-term care settings lack the knowledge to enforce palliative care principles due to lack of education. According to the WHO, health care professionals should be educated and trained to apply palliative care.Aim: The aim of this study was to explore nurses' knowledge about palliative care in an intensive care unit in Saudi Arabia. Method: Eight individual qualitative semi-structured interviews were conducted. Interviews were audiotaped and transcribed verbatim. Manifest content analysis was used to analyze the data. Results: The palliative care concept was not familiar for most ICU nurses but it was applied in their daily work. Most nurses provided physical care at the end of life to keep the body intact. Some nurses highlighted that dying patients did not feel pain to be treated and did not have emotions to be supported.Conclusions: Nurses had insufficient knowledge of palliative care and how to apply it in ICU setting. The provision of additional education in palliative care is recommended in order to improve the knowledge of palliative care among nurses.

  • 3. Listermar, Karin Henley
    et al.
    Sormunen, Taina
    Sophiahemmet University.
    Rådestad, Ingela
    Sophiahemmet University.
    Perinatal palliative care after a stillbirth: Midwives' experiences of using Cubitus baby2020In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 33, no 2, p. 161-164, article id S1871-5192(19)30081-2Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Usually, parents remain at the hospital for two or three days after a stillbirth in Sweden, and the routine until recently has been to place the baby in a refrigerator during the night. A device, the Cubitus Baby, a specially designed cot with cooling blocks, was implemented in all 47 delivery wards during 2013 and 2014.

    AIM: To investigate the midwives' experiences of using the device when supporting parents after the stillbirth.

    METHOD: Questionnaires were completed by midwives, and a single open-ended question was analysed using content analysis.

    FINDINGS: 154 midwives responded. Four categories were identified, with two subgroups in each category: Feelings of dignity (Satisfactory feelings in working with grief; Design and function), Caring cooling (The cooling function; A cold baby), Time for farewell (Time together; Time to make your own choice) and Satisfying feelings for the parents (The parents and Cubitus Baby; The possibility for bonding).

    CONCLUSIONS: The midwives found that this practice provided a more dignified and worthwhile form of care. There is no need to separate the stillborn baby from the parents during their stay at the hospital. In modern perinatal palliative care, it is not justifiable to place a stillborn baby in a refrigerator.

  • 4.
    Lundell Rudberg, Susanne
    et al.
    Sophiahemmet University.
    Lachmann, Hanna
    Sormunen, Taina
    Sophiahemmet University.
    Scheja, Max
    Westerbotn, Margareta
    Sophiahemmet University.
    The impact of learning styles on attitudes to interprofessional learning among nursing students: A longitudinal mixed methods study2023In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 22, article id 68Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: A functional interprofessional teamwork improves collaborative patient-centred care. Participation in interprofessional education promotes cooperation after graduation. Individuals tend to use different approaches to learning depending on their individual preferences. The purpose of this study was to explore nursing students' experiences of professional development with a focus on the relationship between attitudes to interprofessional learning and learning styles.

    METHODS: A longitudinal parallel mixed-methods design. The study was carried out at a Swedish three-year nursing program from August 2015 to January 2020. On enrolment, thirty-four students self-assessed their attitudes to interprofessional learning according to the Readiness for Interprofessional Learning Scale, and their learning style according to Kolbs' Learning Style Inventory. In the final semester the students participated in an interview focusing on their experiences and perceptions of teamwork and they self-assessed their attitudes to interprofessional learning again.

    RESULTS: Our findings indicated that 64.7% had a predominantly concrete learning style and 35.3% had a predominantly reflective learning style. No significant relationship with internal consistency reliability was identified among the participants between attitudes to interprofessional learning and learning styles. The content analysis resulted in four main categories: Amazing when it's functional; Deepened insight of care; Increased quality of care; Understanding own profession which were summarized in the theme: Well-functioning teams improve patients' outcome and working environment.

    CONCLUSION: The students' attitudes to interprofessional learning were positive and it was considered as an opportunity to participate in interprofessional cooperation during internship. Transformative learning is a useful strategy in fostering interprofessional relationships due to the interdependence of various professions in interprofessional teams. When students are guided to use reflection to develop new perspectives and meaning structures, they acquire emotional and rational skills beneficial for interprofessional cooperation.

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  • 5.
    Lundell Rudberg, Susanne
    et al.
    Sophiahemmet University.
    Sormunen, Taina
    Sophiahemmet University.
    Scheja, Max
    Lachmann, Hanna
    Westerbotn, Margareta
    Sophiahemmet University.
    Nursing students experienced academic emotions during education: A longitudinal desciptive study from a nursing baccalaureate program in SwedenManuscript (preprint) (Other academic)
  • 6.
    Lundell Rudberg, Susanne
    et al.
    Sophiahemmet University.
    Sormunen, Taina
    Sophiahemmet University.
    Westerbotn, Margareta
    Sophiahemmet University.
    Scheja, Max
    Lachmann, Hanna
    Undergraduate students' experiences of development into professional nursing2023Conference paper (Other academic)
  • 7.
    Lundell Rudberg, Susanne
    et al.
    Sophiahemmet University.
    Westerbotn, Margareta
    Sophiahemmet University.
    Sormunen, Taina
    Sophiahemmet University.
    Scheja, Max
    Lachmann, Hanna
    Undergraduate nursing students' experiences of becoming a professional nurse: A longitudinal study2022In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 21, no 1, article id 219Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: During education it is essential for nursing students to develop professionalism in nursing. Nurses are placed in situations based on trust, and it is crucial that their patients have confidence in them to provide professional and safe care. A key period in nursing students' development of a professionalism occurs during training when students gain knowledge and skills that separate nurses as professional healthcare workers from laypeople. The purpose of this study was to investigate nursing students' experiences of professional competence development during education.

    METHODS: A longitudinal study was carried out using qualitative content analysis with a manifest inductive approach. Thirty-four students enrolled in a Swedish three-year nursing program, from August 2015 to January 2017 were interviewed on four occasions.

    RESULTS: The results revealed that students' professional role developed gradually. The students' started their education with dreams and a naive understanding of the profession, but their understanding of the complexity of the nursing profession gradually evolved. Students became theoretically equipped at the university and developed clinical skills through practice. Students' focus went from mastering medical technology to a more holistic approach. Before graduating, students felt ready but not fully trained.

    CONCLUSIONS: Our findings indicate a discrepancy between the content of the theoretical education and the clinical settings since students identified a lack of evidence-based practice. A solid theoretical education before entering clinical training offered students possibilities for reflecting on evidence-based practice and the clinical settings. The realization that there is always potential for professional improvement can be interpreted as an emerging awareness, and development of professionalism. It is clear that students could benefit from increased collaborative work between clinical supervisors and faculty staff at the university.

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  • 8.
    Rådestad, Ingela
    et al.
    Sophiahemmet University.
    Henley, K
    Sormunen, Taina
    Sophiahemmet University.
    Perinatal palliative care after a stillbirth: Midwives experiences of using Cubitus baby2017Conference paper (Other academic)
  • 9.
    Rådestad, Ingela
    et al.
    Sophiahemmet University.
    Sormunen, Taina
    Sophiahemmet University.
    Rudenhed, Lisa
    Sophiahemmet University.
    Pettersson, Karin
    Sleeping patterns of Swedish women experiencing a stillbirth between 2000-2014: an observational study2016In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, no 1, p. 193-Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: External (to the fetus) stressors may act together with maternal factors as well as fetal and placental factors to increase the risk of stillbirth. Data published in 2011 indicate non-left side sleeping positions, particularly the supine one, is such a stressor; we do not know, however, if this new knowledge has influenced the choice of sleeping position among pregnant women.

    METHODS: Using a web-based questionnaire made available at the home page of the Swedish national infant foundation we collected information on sleeping positions among women who gave birth to a stillborn baby between 2000 and 2014.

    RESULTS: The questionnaire was completed by 583 women. About one third of the women reporting their sleeping position stated that they lay down on their the left side when going to bed, and another third reported lying down as often on the left as on the right side. Figures for typically going to bed on the left side the 4 weeks preceding the stillbirth was as follows: 72 (30 %) of 242 between 2011 and 2014 and 86 (27 %) of 313 between 2000 and 2010. Among the 240 women who remembered their position when waking up on the day the stillbirth was diagnosed, 63 (26 %) reported a supine position.

    CONCLUSION: Our data indicate that one third of the women went to bed on the left side the month before the stillbirth. The data are consistent with the notion that efforts in Sweden to advise women to lie on their left side when going to bed may decrease the rate of stillbirth.

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  • 10.
    Sormunen, Taina
    Sophiahemmet University.
    Communication, coping and social networking regarding infertility2021Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Infertility is a worldwide problem and is experienced as psychologically stressful. Communication about infertility varies depending on clinical aspects, personal relationships, and culture. The aim of this thesis was to explore and describe communication, coping and social networking among infertile women from a lifeworld perspective.

    Study I explored infertility-related communication and coping strategies among women affected by primary or secondary fertility problems. Structured self-administered questionnaires, administered between January and May 2012, yielded 199 responses. The questionnaire consisted of Likert scale items which were analysed with descriptive statistics and by using the Chi-square test for independence. Twice as many women with secondary infertility acknowledged that they never talked about the causes or results of tests and examinations with other persons, compared to women with primary infertility.

    In Study II the aim was to gain insight into which infertility-related issues are discussed on Swedish infertility blogs. A total of 4,508 postings from 25 infertility blogs were retrieved, from May to September 2017. An interactive quantitative-qualitative content analysis was performed using the automated text analysis tool, Gavagai Explorer, developed for analysis of large sets of textual data. A sentiment analysis was performed as the tool provides sentiment scores of the data indicating whether the bloggers were writing positively or negatively about a topic. All blogs were written by women and the analysis crystallized into the following topics: Emotions, Relations, Time and waiting, Body, Care and treatment, Food and diet and Exercise. The Body topic stood out by having more negative than positive sentiment.

    Study III explored infertile individuals’ experiences regarding the use and role of online social media, experiences from participating in online social media and experiences of infertility. A web-based questionnaire, linked to the bulletin boards of six closed online social media groups, during the fall of 2017, yielded 132 responses. A majority of the participants were female, and the questionnaire was answered mostly through Facebook. Of the participants, 60 percent participated in online social media focussed on infertility once a day or more, and 50 percent devoted from one to three hours weekly to these forums, with 40 percent making no postings.

    Study IV was a qualitative study based on seven telephone interviews describing women’s experiences of using social media focusing on infertility. The interviews were conducted between June 2020 and November 2020 and were analysed with thematic analysis. Two themes were devolved: Invaluable venue and Opportunity of choice. Different forums were used depending where in the treatment process the women were. Further, decisions about the choices of groups were also based on the targeted age groups and geographical locations of the participants.

  • 11.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Aanesen, Arthur
    Fossum, Bjöörn
    Sophiahemmet University.
    Karlgren, Klas
    Westerbotn, Margareta
    Sophiahemmet University.
    Infertility-related communication and coping strategies among women affected by primary or secondary infertility2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e335-e344Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Infertility is a worldwide problem and is experienced as psychologically stressful. Communication about infertility varies depending on clinical aspects, personal relationships and culture. The aim of this study was to explore infertility-related communication and coping strategies among women affected by, primary or secondary fertility problems.

    METHODS: A quantitative cross-sectional study design was used. One hundred ninety-nine women affected by primary and secondary infertility were recruited from one fertility clinic in Stockholm. A structured self-administered questionnaire was used to collect data. The answers were compared across the two groups using the chi-squared test for independence.

    RESULTS: The majority of the women discussed infertility related subjects with intimate friends and/or relatives and did not discuss the results of examinations and tests with people outside of the family. There were significant differences between the two groups. Twice as many women with secondary infertility acknowledged that they never talk about the causes or results of the tests and examinations with other people, compared with women with primary infertility. Approximately 25 percent of the women with primary infertility used distraction techniques, such as turning to work, as a coping strategy compared to women with secondary infertility (10%). Some women did not discuss the inability to conceive and reasons why they were childless with their spouses. Twelve percent of the women reported that they left the room when the subjects of children were being discussed. Approximately 30 percent of the participants did not ask friends or relatives for advice and a few were not able to discuss how tests and treatments affected them emotionally.

    CONCLUSION: The present study indicates that a majority of infertile women discuss about infertility-related subjects with their spouses. However they are less likely to discuss the reason for infertility and results of tests and examinations with people outside the family.

    RELEVANCE TO THE CLINICAL PRACTICE: The result of the current study can be useful regarding interventions for women affected by primary or by secondary infertility. The healthcare staff must be alert and attentive in order to pay attention to these possible challenges. Identification of women at risk of developing emotional problems due to communication difficulties regarding infertility-related issues merits close attention. This article is protected by copyright. All rights reserved.

  • 12.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Karlgren, K
    Fossum, Bjöörn
    Sophiahemmet University.
    Aanesen, A
    Westerbotn, Margareta
    Sophiahemmet University.
    Social media in the infertile community: What do the bloggers blog about?2019Conference paper (Other academic)
  • 13.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Karlgren, Klas
    Aanesen, Arthur
    Fossum, Bjöörn
    Sophiahemmet University.
    Westerbotn, Margareta
    Sophiahemmet University.
    The role of social media for persons affected by infertility2020Conference paper (Other academic)
  • 14.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Karlgren, Klas
    Aanesen, Arthur
    Fossum, Bjöörn
    Sophiahemmet University.
    Westerbotn, Margareta
    Sophiahemmet University.
    The role of social media for persons affected by infertility2020In: BMC Women's Health, E-ISSN 1472-6874, Vol. 20, no 1, article id 112Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Infertility remains a common universal disorder and a whole range of assisted reproductive technologies has been established. Society may fail to recognize the grief caused by infertility, which may lead to those struggling with it hiding their feelings. Previous research points out that infertile persons experience shortcomings in fertility care regarding continuity of care and social support. Social media may provide social and psychological support for infertile persons. Finding others who are going through similar experiences can help in the realization that the person is not alone and that her/his feelings are reasonable. The aim was to explore the roles of social media for persons affected by infertility.

    METHODS: A cross-sectional, computer-assisted, self-administered online questionnaire, containing both open and closed questions, was used to collect data. The questionnaire was linked to the bulletin board of six closed infertility social forums. Both quantitative and qualitative analysis methods were used. A total of 132 participants completed the questionnaire containing questions about their use of social media dealing with infertility.

    RESULTS: Most of the questionnaires were answered by females (97.7%) through Facebook (87%). Over 60% of the respondents had taken part in discussions about infertility in social media, between one and three years and 39% participated more than once a day. Half of the participants devoted one to three hours weekly to the forums and wrote 1-5 postings per week. The forums offered participants information, solidarity, and the opportunity to receive and give support. However, an adverse aspect that was described concerned advice that were not evidence-based. Infertility was experienced as being alienated from social life and being fragmented as a person.

    CONCLUSION: Participating in infertility forums offers persons information about fertility treatments and social support in the process of coping with infertility.

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  • 15.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Karlgren, Klas
    Fossum, Bjöörn
    Sophiahemmet University.
    Aanesen, Arthur
    Westerbotn, Margareta
    Sophiahemmet University.
    Focus on infertility - Women's experiences of using social media: A qualitative studyManuscript (preprint) (Other academic)
  • 16.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Westerbotn, Margareta
    Sophiahemmet University.
    Aanesen, A
    Karlgren, K
    Infertility related communication and coping strategies among women affected by fertility problems in Sweden2016Conference paper (Other academic)
  • 17.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Westerbotn, Margareta
    Sophiahemmet University.
    Aanesen, Arthur
    Fossum, Bjöörn
    Sophiahemmet University.
    Karlgren, Klas
    Social media in the infertile community: Using a text analysis tool to identify the topics of discussion on the multitude of infertility blogsManuscript (preprint) (Other academic)
  • 18.
    Sormunen, Taina
    et al.
    Sophiahemmet University.
    Westerbotn, Margareta
    Sophiahemmet University.
    Aanesen, Arthur
    Fossum, Bjöörn
    Sophiahemmet University.
    Karlgren, Klas
    Social media in the infertile community: Using a text analysis tool to identify the topics of discussion on the multitude of infertility blogs2021In: Women's health., ISSN 1745-5057, E-ISSN 1745-5065, Vol. 17, article id 17455065211063280Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Infertility affects one in six couples. New digital resources exist which enable the study of lived experience of persons with infertility. Blogging represents a forum for sharing narratives and experiences. To provide high quality care for persons with a history of infertility, it is crucial to ascertain what they value as significant in their situation. Blogs with a focus on infertility may provide this information.

    OBJECTIVES: The aim of this study was to gain insight into which infertility-related issues are discussed on Swedish infertility blogs.

    METHODS: In total, 70 infertility blogs were identified on the Internet and 25 met the inclusion criteria. A quantitative-qualitative content analysis was performed with the support of the Gavagai Explorer text analysis software.

    RESULTS: A total of 4508 postings were retrieved from the blogs, all of which were written by women. The outcome of the analysis resulted into the following topics: Emotions (16.8%), Relations (12.5%), Time and waiting (7.1%), Body (6.6%), Care and treatment (4.2%), Food and diet (1.4%) and Exercise (0.5%). For most topics, there was a balance between positive and negative statements, but the body topic stood out by having more negative than positive sentiment.

    CONCLUSION: By considering the topics expressed in blogs, health care personnel are provided with an opportunity to better understand the situation of individuals affected by infertility.

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  • 19. Vasconcellos-Silva, Paulo Roberto
    et al.
    Sormunen, Taina
    Sophiahemmet University.
    Gransjön Craftman, Åsa
    Sophiahemmet University.
    Evolution of accesses to information on breast cancer and screeing on the Brazilian National Cancer Institute website: An exploratory study2018In: Ciência & Saúde Coletiva, ISSN 1413-8123, E-ISSN 1678-4561, Vol. 23, no 4, p. 1303-1312Article in journal (Refereed)
    Abstract [en]

    Delays in diagnosis due to low Breast Cancer awareness are widespread in Brazil maybe owing to ineffective strategies to raise attention on early diagnosis. As a proxy of collective interest in BC screanning (BCS) we studied the monthly accesses to BC and BCS webpages in INCA’s website along 48 months. A log analyzer built a time serie (2006-2009) of BC and BCS monthly means, which oscilations were studied by analysis of variance (ANOVA). We found significant increasing accesses to BC and transient "attention peaks". Enlargement in BC/BCS differences along all period were caused by increasing accesses to BC and decreasing/minor/stable oscillations to SBC pages. These results are consistent with previous reports on increasing interest to BC contrasting with indifference on BCS. In the context of an exploratory study, we discussed some aspects: weakness of a "prevention culture"; lack of confidence in health system and screening programs; "celebrity effect" in the context of media framing; collective perception of risks heightened by perception of social vulnerability. Findings suggest that culture-tailored communication strategies would be necessary to inform Brazilian people about BCS. Future research is needed to study social perceptions and constructions on BC topics.

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