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Häggström, Marie, PhD
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Publications (10 of 26) Show all publications
Ingelsson, P., Sten, L.-M., Bäckström, I. & Häggström, M. (2019). Assessing Quality Management culture in order to develop ICU transitional care. In: Su Mi Dahlgaard-Park (Ed.), 22nd QMOD conference: Quality and Service Sciences ICQSS 2019. Paper presented at 22nd QMOD conference on Quality and Service Sciences ICQSS 2019, 13-15 October : Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution.
Open this publication in new window or tab >>Assessing Quality Management culture in order to develop ICU transitional care
2019 (English)In: 22nd QMOD conference: Quality and Service Sciences ICQSS 2019 / [ed] Su Mi Dahlgaard-Park, 2019Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Purpose - The purpose of this paper is to present and analyse the result from using a questionnaire measuring the presence of a number of QM values, as well as the use of Appreciative Inquiry (AI) and the feeling of pride in a healthcare setting focusing on transitional care.

 

Methodology/approach – Co-workers at two different hospital’s intensive care units answered a previously developed and tested questionnaire. A new factor was developed in order to measure customer focus in the healthcare context. The result was analysed using SPSS with the aim of finding areas to improve the patient transfer process from intensive care to general ward.

 

Findings – The questionnaire can be used to create an understanding of the existing culture in an organization but it needs to be analysed qualitatively. The result from the examined organizations show a common culture in the two units even though they are located in different hospitals and cities. The result further shows some differences between professions but overall, the result points at a relatively high agreement to the QM values in the organization indicating the presence of a quality culture.    

 

Practical implications – Using a QM value survey in the healthcare context could help developing the care from a different point of view then ordinary. It could help to shift focus from individual to group and system.

Keywords
Quality Management, QM values, ICU, patient transfer, transitional care
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37912 (URN)
Conference
22nd QMOD conference on Quality and Service Sciences ICQSS 2019, 13-15 October : Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution
Funder
The Kamprad Family Foundation
Available from: 2019-12-06 Created: 2019-12-06 Last updated: 2019-12-06Bibliographically approved
Hammarström, L., Häggström, M., Devik, S. A. & Hellzén, O. (2019). Controlling emotions - nurses’ lived experiences caring for patients in forensic psychiatry. International Journal of Qualitative Studies on Health and Well-being, 14(1), Article ID 1682911.
Open this publication in new window or tab >>Controlling emotions - nurses’ lived experiences caring for patients in forensic psychiatry
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1682911Article in journal (Refereed) Published
Abstract [en]

Purpose: Nurses working in forensic psychiatry often encounter offenders who have a severe mental illness, which may cause ethical challenges and influence nurses’ daily work. This study was conducted to illuminate the meaning of nurses’ lived experiences of encounters with patients with mental illnesses in forensic inpatient care. Methods: This qualitative study employed narrative interviews with 13 nurses. Interviews were audiotaped and transcribed verbatim and analysed following a phenomenological-hermeneutic approach. Results: Four key themes were revealed: “Being frustrated” (subthemes included “Fighting resignation” and “Being disappointed”), “Protecting oneself” (subthemes included “To shy away,” “Being on your guard,” and “Being disclosed”), “Being open-minded” (subthemes included “Being confirmed,” “Developing trust,” and “Developing compassion”), and “Striving for control” (subthemes included “Sensing mutual vulnerability” and “Regulating oneself”). Further, working in forensic psychiatry challenged nurses’ identity as healthcare professionals because of being in a stressful context. Conclusions: Dealing with aggressive patients with severe mental illnesses threatens nurses’ professional identity. Nurses must attempt to empathize with patients’ experiences and respond accordingly. Utilizing strategies rooted in compassion such as self-reflection, emotional regulation, and distancing themselves when necessary may enable nurses to more effectively respond to patients’ needs. © 2019, © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Keywords
Encounters, forensic nursing, forensic psychiatry, lived experience, nurse-patient relationship, nursing, phenomenological-hermeneutic approach
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-37685 (URN)10.1080/17482631.2019.1682911 (DOI)2-s2.0-85074102728 (Scopus ID)
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-11-15Bibliographically approved
Häggström, M., Sten, L.-M., Bäckström, I. & Ingelsson, P. (2019). How to improve the transfer process from intensive care to general wards - listening to the co-workers. In: Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution. Lund: . Paper presented at I 22nd QMOD conference on Quality and Service Sciences ICQSS 2019. Lund
Open this publication in new window or tab >>How to improve the transfer process from intensive care to general wards - listening to the co-workers
2019 (English)In: Leadership and strategies for Sustainable Quality and Innovation in the 4th Industrial Revolution. Lund, Lund, 2019Conference paper, Published paper (Refereed)
Abstract [en]

Background - Many errors and threats to patient safety are caused by deficiencies in the organization, such as inadequate procedures, inadequate planning and lack of information or communication. A specific danger to patient safety is the various gaps in the continuity of care. An example of the gap is the transfer of patients from the high-tech intensive care environment to the less frequent personnel ward environment, a process called ICU transitional care. ICU-nurses, ward-nurses, physicians, and other healthcare professionals, may provide this care. The effects of a poorly coordinated discharge can lead to readmission to the ICU and avoidable deaths.This study is a part of a research project financed by The Kamprad Family Foundation, with a purpose to gain new knowledge about how efficiency and quality in patient transfers within healthcare care can be improved. The purpose will be achieved through cooperation between the two research subjects Quality Management and Nursing science.Purpose - The purpose of this paper was to gain knowledge about how to improve patient transfers from intensive care to the general ward, by describing the intensive care co-workers generated suggestions.Methodology/approach – Six interdisciplinary focus groups interviews were conducted with co-workers at two hospitals in Sweden. The interviews were taped, verbatim transcribed and analysed with a mixed method. The QM values: ‘customer focus’, ‘leadership commitment’, ‘participation of everybody’, ‘continuous improvement’, ‘process focus’ and ‘base decisions on facts’ were used as an analytic framework.Findings - The co-workers suggested that the process should be defined and structured. The analyses showed a total of 94 suggestions that mainly were focused at following areas; planning, information, and communication, interest in the transfer process, enough resources, standardize and create routines, learning, follow up and evaluate.Practical implications - ICU transitional care is multifaceted and needs a holistic, system thinking solution. The findings indicate that the process could be safer, and more efficient by implementing the co-worker generated suggestions. The suggestions can be used to improve patients’ transfers in many contexts in healthcare, not only ICU transitional care.

Place, publisher, year, edition, pages
Lund: , 2019
Keywords
Continuous improvement, Continuity of Patient Care, ICU, Nursing, Patient transfer, QM, QM values
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-38271 (URN)
Conference
I 22nd QMOD conference on Quality and Service Sciences ICQSS 2019
Projects
Ökad effektivitet och kvalitet i vårdkedjor, Kampradstiftelsen
Available from: 2020-01-24 Created: 2020-01-24 Last updated: 2020-01-27Bibliographically approved
Rising Holmström, M., Junehag, L., Velander, S., Lundberg, S., Ek, B. & Häggström, M. (2019). Nurses’ experiences of prehospital care encounters with children in pain. International Emergency Nursing, 43, 23-28
Open this publication in new window or tab >>Nurses’ experiences of prehospital care encounters with children in pain
Show others...
2019 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 43, p. 23-28Article in journal (Refereed) Published
Abstract [en]

Background: Pain relief in children is a complex issue, partly an ethical dilemma and due to a lack of nursing competence. There are few studies regarding prehospital care encounters with children in pain. Aim: The aim of this study was to describe nurses’ experiences in prehospital care encounters with children in pain and the specific related challenges. Method: This study has a qualitative design. Eighteen Swedish nurses participated in three focus group interviews analysed using qualitative content analysis. Findings: The findings consist of a theme, “A challenge to shift focus and adjust to the child”, and three categories describing prehospital care encounters with children in pain: “Being receptive and focusing on care,” “Developing a trusting relationship,” and “Providing professional nursing care.” Caring for children in pain was stressful for the nurses. The nurses described how they had to shift focus and used different methods to build trust, such as playfulness, making eye contact, attracting curiosity, and using the parents to create trust. The also had to adjust to the child regarding dosages and materials. Conclusion: Nurses has to be practically, mentally, and theoretically prepared to care for children with prehospital pain. It is essential to evaluate the administration of adequate pain relief to children, and more evidence-based knowledge is necessary concerning the different modes of administering pain-relieving drugs to prehospital children. 

Keywords
Analgesic, Care encounters, Children, Emergency care, Nursing, Pain relief, Prehospital
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-34555 (URN)10.1016/j.ienj.2018.07.004 (DOI)000460680600004 ()
Available from: 2018-09-28 Created: 2018-09-28 Last updated: 2019-05-07Bibliographically approved
Sten, L.-M., Ingelsson, P., Bäckström, I. & Häggström, M. (2019). The development of a measurement instrument focusing on team collaboration in the patient transfer process from intensive care to the general ward. In: : . Paper presented at 22nd QMOD-ICQSS Conference, Krakow, 13-15 October, 2019.
Open this publication in new window or tab >>The development of a measurement instrument focusing on team collaboration in the patient transfer process from intensive care to the general ward
2019 (English)Conference paper, Published paper (Refereed)
Abstract [en]

Purpose - The purpose of this paper is to describe the development and testing of a questionnaire aiming to measure team collaboration in the patient transfer process from the ICU to the general ward. The purpose is also to analyze the results to see how the survey can help improve team collaboration within ICU transitional care.

 

Methodology/approach – Twenty statements were developed from theory and intended to measure team collaboration within and between hospital units. These statements were added to an existing questionnaire measuring values from QM theory. The questionnaire was tested in two ICUs in two hospitals located in Sweden, and the results from the statements regarding team collaboration were analyzed with SPSS.

 

Findings – The results indicate that there is an internal consistency reliability between the developed factors and statements measuring team collaboration within and between hospital units. The results from the survey also show that this measurement tool can be a basis for improving team collaboration in the studied context.

Keywords
Measurement, Team collaboration, ICU transitional care, Patient safety, Quality improvement, QM.
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-37701 (URN)
Conference
22nd QMOD-ICQSS Conference, Krakow, 13-15 October, 2019
Funder
The Kamprad Family Foundation
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-12-04Bibliographically approved
Rising Holmström, M., Häggström, M. & Söderberg, S. (2018). Being Facilitators in a Challenging Context-school Personnel's Experiences of Caring for Youth with Diabetes Type 1. Journal of Pediatric Nursing: Nursing Care of Children and Families, 43, e114-e119
Open this publication in new window or tab >>Being Facilitators in a Challenging Context-school Personnel's Experiences of Caring for Youth with Diabetes Type 1
2018 (English)In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 43, p. e114-e119Article in journal (Refereed) Published
Abstract [en]

Purpose: The purpose of the study was to describe school personnel's experiences of caring for youth with diabetes type 1.

Design and Methods: A qualitative design was chosen for this study. Data were collected with individual interviews that were subjected to inductive qualitative content analysis. The sample consisted of 24 school personnel (teachers, principals and school nurses) from Swedish schools. All had experience with youth aged 6 to 18 years old with diabetes type 1.

Results: School personnel experienced caring for youth with diabetes type 1 as “Being facilitators in a challenging context” and described establishing trusting relationships, finding strategies to support self-care, feeling uncertain and incapable in need of education, and dealing with unclear responsibility.

Conclusions: School personnel (teachers, principals and school nurses) are key professionals supporting youth with diabetes type 1 and self-care in school. Lack of education and unclear responsibility created feelings of uncertainty and insecurity for school personnel and a need for mandatory education of school personnel regarding T1DM and self-care, including legislation was identified.

Implications: Mandatory education should be provided for all school personnel regarding diabetes type 1, self-care and current legislation. A liason position in form of a nurse specialist should manage the education. 

Keywords
Diabetes type 1, Principals, Qualitative content analysis, School nurse, Teachers
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-34567 (URN)10.1016/j.pedn.2018.08.007 (DOI)000450921100018 ()30100521 (PubMedID)2-s2.0-85051142341 (Scopus ID)
Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2019-08-06Bibliographically approved
Rising Holmström, M., Häggström, M. & Söderberg, S. (2018). Experiences from Parents to Children with Diabetes Type 1.. JSM Health Education Primary Health Care, 3(2), Article ID 1044.
Open this publication in new window or tab >>Experiences from Parents to Children with Diabetes Type 1.
2018 (English)In: JSM Health Education Primary Health Care, ISSN 2578-3777, Vol. 3, no 2, article id 1044Article in journal (Refereed) Published
Abstract [en]

Introduction: When a child is diagnosed with a long-term illness such as diabetes type 1(DT1) parents often find it stressful to give optimum support to the child and to manage the situation especially when the child is in school. Parents experience that the stress to manage life with Diabetes Type 1, means to constant monitor blood glucose, to assist with insulin injections, food intake and physical activity, in order to optimum disease management. Aim: To explore how parents’ of children with Diabetes Type 1 experienced their role as a parent. Material and method: A qualitative design was used and individual interviews were conducted with a purposive sample of 13 parents (10 mothers and 3 fathers) of children with Diabetes Type 1. The interviews were analyzes using qualitative content analysis. Results and conclusions: The analysis resulted in one theme A life change revealing new needs with four subthemes; Struggling with fear and searching for explanations, Learning to manage and getting control of a lifelong illness, Collaboration with school as an important support and Managing the illness influenced work and family finances. Parents in this study struggled for their children at all times, to be the child’s caregiver and to take care of the child’s life in the best possible way. They asked for flexible and continue diabetes education for themselves and for school staff efficient communication and cooperation between parents/families, healthcare and school.

Keywords
Child, Diabetes type 1, Experiences, Parents, Interviews, Qualitative content analysis
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-35212 (URN)
Available from: 2018-12-14 Created: 2018-12-14 Last updated: 2018-12-14Bibliographically approved
Häggström, M., Bäckström, I., Ingelsson, P. & Carina, E. (2018). How can patient transfers be improved by combining QM, Nursing and Health care sciences?. In: Su Mi Park-Daahlgard (Ed.), Proceedings of the 21th QMOD Conference: Building a Culture for Quality, Innovation and Sustainability. Paper presented at 21st QMOD conference on quality and service science ICQSS, Cardiff University, Wales, UK, 22-24 August, 2018.
Open this publication in new window or tab >>How can patient transfers be improved by combining QM, Nursing and Health care sciences?
2018 (English)In: Proceedings of the 21th QMOD Conference: Building a Culture for Quality, Innovation and Sustainability / [ed] Su Mi Park-Daahlgard, 2018Conference paper, Published paper (Refereed)
Abstract [en]

Purpose - The purpose of this paper is to present the state of the art when it comes to QM and nursing science, focusing on patient transfers from Intensive Care Unit (ICU)  to general wards, using the TQM values:  ‘customer focus’, ‘leadership commitment’, ‘participation of everybody’, ‘continuous improvement’, ‘process focus’ and ‘base decisions on facts’ as an analytical framework.

Methodology/approach Literature from the research fields of QM and nursing sciences was reviewed and analyzed with the TQM values as a framework.

Findings – No articles were found concerning QM within the specific area of patient transfer from ICU to general wards but the results are a summary of QM research and nursing science sorted under the TQM values. A result is that interdisciplinary care can improve a culture of safety and it can decrease mortality rates, staff turnover and increase quality of care and patient satisfaction. This means that there is a need for working with the QM culture in the patient transfer from ICU to general wards.

Practical implications – This review identified a large need for empirical research in the field of health care where CI methods needs to be described, for example what tool or method that was applied and how it was applied and how the implementation were conducted.

Keywords
Health care, Lean, Values, Organizational culture, Quality management, Patient transfers, Intensive Care Unit, Patient safety
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-35291 (URN)
Conference
21st QMOD conference on quality and service science ICQSS, Cardiff University, Wales, UK, 22-24 August, 2018
Funder
The Kamprad Family Foundation
Available from: 2018-12-19 Created: 2018-12-19 Last updated: 2018-12-21Bibliographically approved
Häggström, M. & Rising Holmström, M. (2018). Personcentrerad vård. In: : . Paper presented at Sjuksköterskestämman Region Västernorrland, Härnösand, 17 maj, 2018..
Open this publication in new window or tab >>Personcentrerad vård
2018 (Swedish)Conference paper, Oral presentation with published abstract (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-38053 (URN)
Conference
Sjuksköterskestämman Region Västernorrland, Härnösand, 17 maj, 2018.
Available from: 2019-12-12 Created: 2019-12-12 Last updated: 2020-01-10Bibliographically approved
Häggström, M., Fjellner, C., Öhman, M. & Rising Holmström, M. (2018). Ward visits- one essential step in intensive care follow-up: An interview study with critical care nurses’ and ward nurses’. Intensive & Critical Care Nursing, 49, 21-27
Open this publication in new window or tab >>Ward visits- one essential step in intensive care follow-up: An interview study with critical care nurses’ and ward nurses’
2018 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 49, p. 21-27Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study was to describe critical care nurses’ and ward nurses’ perceptions of the benefits and challenges with a nurse-led follow-up service for intensive care-survivors at general wards. Background: Patients recently transferred from intensive care to the general ward are still vulnerable and require complex care. There are different models of intensive care follow-up services and some include ward visits after transfer from intensive care. Research methodology/design: This study had a qualitative design. Data from 13 semi-structured interviews with Swedish critical care nurses and ward nurses were analysed using qualitative content analysis. Findings: The findings consisted of one theme, namely, “Being a part of an intra-organisational collaboration for improved quality of care”, and four subthemes: “Provides additional care for the vulnerable patients, “Strengthens ward-based critical care”, “Requires coordination and information”, and “Creates an exchange of knowledge”. The nurse-led follow-up service detected signs of deterioration and led to better quality of care. However, shortage of time, lack of interaction, feedback and information about the function of the follow-up service led to problems. Conclusion: The findings indicate that ward visits should be included in the intensive care follow-up service. Furthermore, intra-organisational collaboration seems to be essential for intensive care survivors’ quality of care. 

Keywords
Critical care, Discharge, Follow-up, Patient safety, Qualitative content analysis, Ward nurses
National Category
Nursing
Identifiers
urn:nbn:se:miun:diva-35047 (URN)10.1016/j.iccn.2018.08.011 (DOI)000450923300004 ()30245151 (PubMedID)2-s2.0-85053806594 (Scopus ID)
Available from: 2018-12-04 Created: 2018-12-04 Last updated: 2018-12-11Bibliographically approved
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