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Ziegert, Kristina
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Göransson, C., Eriksson, I., Ziegert, K., Wengström, Y., Langius-Eklöf, A., Brovall, M., . . . Blomberg, K. (2018). Testing an app for reporting health concerns-Experiences from older people and home care nurses. International Journal of Older People Nursing, 13(2), Article ID e12181.
Open this publication in new window or tab >>Testing an app for reporting health concerns-Experiences from older people and home care nurses
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2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 2, article id e12181Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To explore the experiences of using an app among older people with home-based health care and their nurses. Background: Few information and communication technology innovations have been developed and tested for older people with chronic conditions living at home with home-based health care support. Innovative ways to support older people's health and self-care are needed. Design: Explorative qualitative design. Methods: For 3 months to report health concerns, older people receiving home-based health care used an interactive app, which included direct access to self-care advice, graphs and a risk assessment model that sends alerts to nurses for rapid management. Interviews with older people (n = 17) and focus group discussions with home care nurses (n = 12) were conducted and analysed using thematic analysis. Results: The findings reveal that a process occurs. Using the app, the older people participated in their care, and the app enabled learning and a new way of communication. The interaction gave a sense of security and increased self-confidence among older people. The home care nurses viewed the alerts as appropriate for the management of health concerns. However, all participants experienced challenges in using new technology and had suggestions for improvement. Conclusions: The use of an app appears to increase the older people's participation in their health care and offers them an opportunity to be an active partner in their care. The app as a new way to interact with home care nurses increased the feeling of security. The older people were motivated to learn to use the app and described potential use for it in the future. Implications for practice: The use of an app should be considered as a useful information and communication technology innovation that can improve communication and accessibility for older people with home-based health care. © 2017 John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Hoboken: Wiley-Blackwell, 2018
Keywords
adult, clinical article, female, home care, human, interview, learning, male, nurse, risk assessment, self care, thematic analysis
National Category
Nursing Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-38706 (URN)10.1111/opn.12181 (DOI)000434118100005 ()2-s2.0-85037995107 (Scopus ID)
Available from: 2019-01-08 Created: 2019-01-08 Last updated: 2019-01-08Bibliographically approved
Larsson, G., Holmén, A. & Ziegert, K. (2017). Early prehospital assessment of non-urgent patients and outcomes at the appropriate level of care: A prospective exploratory study. International Emergency Nursing, 32, 45-49
Open this publication in new window or tab >>Early prehospital assessment of non-urgent patients and outcomes at the appropriate level of care: A prospective exploratory study
2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 32, p. 45-49Article in journal (Refereed) Published
Abstract [en]

Introduction: The Ambulance Organization of Sweden provides qualified medical assessment and treatment by ambulance nurses based on patient needs regarding appropriate levels of care. A new model for patients with non-urgent medical conditions has been introduced. The main objective of this study was to examine early prehospital assessment of non-urgent patients, and its impact on the choice of the appropriate level of care.

Methods: The study design was a 1-year, prospective study, involving an ambulance district in southwestern Sweden with a population of 78,000. Eligible patients were from18 years of age, assessed as priority GREEN by Rapid Emergency Triage and Treatment System (RETTS). Ambulance nurses contacted primary care physicians on decisions on whether a patient should be transported to a primary healthcare unit or an A&E. Data was collected from electronic health records from April 2014 to July 2015. A comparison was made with a retrospective control group without consulting a physician concerning the appropriate level of care.

Results: 394 patients were included, 184 in the intervention group, and 210 in the control group. There were statistically significant differences in favor of the study group (p < 0.001) regarding no transport, or transport and admission to an A&E. The groups did not differ significantly regarding transport to a primary care unit.

Conclusion: This prehospital assessment model indicates a decrease in ambulance transports to an A&E and admissions to a hospital ward. Collaboration between ambulance nurses and primary physicians affects the decision for the appropriate level of care for patients with a non-urgent condition. © 2017 Elsevier Ltd

Place, publisher, year, edition, pages
London: Elsevier, 2017
Keywords
Non-urgent patients, Prehospital assessment, Rapid emergency triage and treatment system, Appropriate level of care, Ambulance nurse, Primary care physicians
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-33912 (URN)10.1016/j.ienj.2017.02.003 (DOI)000402650700009 ()28291697 (PubMedID)2-s2.0-85014769283 (Scopus ID)
Note

Founding source are Department of Prehospital Care and Scientific Council of Region Halland.

Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2017-11-29Bibliographically approved
Lydell, M., Hildingh, C., Söderbom, A. & Ziegert, K. (2017). Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services: a participatory and reflection project. Journal of Multidisciplinary Healthcare, 10, 217-225
Open this publication in new window or tab >>Future challenges for occupational health services can be prevented by proactive collaboration with the companies using the services: a participatory and reflection project
2017 (English)In: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 10, p. 217-225Article in journal (Refereed) Published
Abstract [en]

Background: There is clearly a need for research in the field of occupational health service (OHS) for applying new perspectives. Proactive collaboration is needed between the OHSs and the companies. The customers of the companies using the services should be able to safeguard themselves from the health problems caused by the work environment through proactive collaboration with the OHSs.

Objective: The main purpose of this interdisciplinary study was to explore how the stakeholders reflected to create and agree on core values for future challenges in OHS, as seen from the perspectives of OHS professionals and customer companies.

Methodology: An action research process was conducted. This study was divided into three phases. In phase I, the data were collected from interviews and diaries of interdisciplinary occupational health professionals (n=12). A focus group that sampled the eight managers of the customer companies was also included. In phase II, a questionnaire was developed with 24 questions focusing on examining the future challenges for OHS. The questionnaire was sent to customer companies (n=116). In phase III, a scoping review was undertaken.

Results: Three categories emerged from the analysis: “Balancing complex situations” clarified the complexity regarding senior employees; “Working with a proactive approach” indicated the need for working with a new proactive approach supporting sustainable health; and “Collaborate internally and externally” showed good relationships between the customer and the OHS, which is a mutual responsibility to both the partners.

Conclusion: The results outlined that it is necessary to take action to apply new proactive health promotions, with a focus on workplace health promotion. The results also indicated that interventions for senior employees are of importance. This study was done in collaboration with the stakeholders from the occupational health care service center and the managers from the customer companies. The use of a participatory research design, including close collaboration with the participants, allows the researchers to see the challenges.

 

Place, publisher, year, edition, pages
Macclesfield: Dove Medical Press Ltd. (Dovepress), 2017
Keywords
health-promoting workplace, managers, future challenges
National Category
Work Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
urn:nbn:se:hh:diva-33911 (URN)10.2147/JMDH.S131382 (DOI)000402175300001 ()2-s2.0-85020846105 (Scopus ID)
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2017-11-30Bibliographically approved
Göransson, C., Wengström, Y., Ziegert, K., Langius-Eklöf, A., Eriksson, I., Kihlgren, A. & Blomberg, K. (2017). Perspectives of health and self-care among older persons – To be implemented in an interactive information and communication technology-platform. Journal of Clinical Nursing, 26(23-24), 4745-4755
Open this publication in new window or tab >>Perspectives of health and self-care among older persons – To be implemented in an interactive information and communication technology-platform
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2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4745-4755Article in journal (Refereed) Published
Abstract [en]

Aim and objectives: To acquire knowledge regarding the contents to be implemented in an interactive information and communication technology-platform perceived to be relevant to health and self-care among older persons based on the literature, healthcare professionals and the older persons themselves. Background: The growing ageing population places demands on the healthcare system to promote healthy ageing and to strengthen the older person's self-care ability. This requires innovative approaches to facilitate communication between the older person and healthcare professionals, and to increase the older person's participation in their care. An information and communication technology-platform could be used for this purpose, but the content needs to be relevant to both the older persons and the healthcare professionals. Design: Descriptive qualitative design. Methods: This study was based on three samplings: a scoping review of the literature (n = 20 articles), interviews with healthcare professionals (n = 5) and a secondary analysis of interviews with older persons (n = 8) and nursing assistants (n = 7). The data were analysed using qualitative content analysis. Results: Four areas were identified to be of relevance to older persons' perceived health: frame of mind, having relationships and social activities, physical ability and concerns, and maintaining self-care. Self-care was described in the literature and by the healthcare professionals more than by the older persons. Conclusions: The results show a concordance in the data samplings that give a clear indication of the areas relevant to older persons' health and self-care that can be integrated in an interactive information and communication technology-platform for use in regular daily care assessments. Descriptions of self-care were limited indicating a possible gap in knowledge that requires further research. Relevance to clinical practice: Areas relevant to older persons' health and self-care could be used for regular assessment to support and promote healthy ageing. © 2017 John Wiley & Sons Ltd

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2017
Keywords
healht status, information-communication technology, nursing care, older persons, qualitative content analysis, self-care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35119 (URN)10.1111/jocn.13827 (DOI)28334519 (PubMedID)2-s2.0-85019650723 (Scopus ID)
Note

Funding: The first author received funding from the Faculty of Medicine and Health, School of Health Sciences, Örebro University and School of Health and Welfare, Halmstad University.

Available from: 2017-10-02 Created: 2017-10-02 Last updated: 2017-12-01Bibliographically approved
Forsberg, E., Ziegert, K., Hult, H. & Fors, U. (2016). Assessing progression of clinical reasoning through virtual patients: An exploratory study. Nurse Education in Practice, 16(1), 97-103
Open this publication in new window or tab >>Assessing progression of clinical reasoning through virtual patients: An exploratory study
2016 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 16, no 1, p. 97-103Article in journal (Refereed) Published
Abstract [en]

To avoid test-driven learning, there have been discussions regarding the use of more formative assessments in health care education to promote students' deep learning. Feedback is important in formative assessment, but many students ignore it; therefore, interventions should be introduced which stimulate them to reflect on the new knowledge.

The aim for this study was to explore if Virtual Patient (VP)-based formative assessments, in connection with self-evaluations, had an impact on postgraduate pediatric nursing students' development of clinical reasoning abilities. Students' self-evaluations served as the basis for measuring progress. Data was analysed using deductive content analysis.

The findings showed a clear progression of the clinical reasoning ability of the students. After the first assessment, the students described feelings of uncertainty and that their knowledge gaps were exposed. At the mid-course assessment the awareness of improved clinical reasoning was obvious and the students were more certain of knowing how to solve the VP cases. In the final assessment, self-efficacy was expressed.

VP-based assessments, in connection with self-evaluations, early in the education resulted in a gain of students' own identification of the concept of clinical reasoning, awareness of what to focus on during clinical practice and visualised expected clinical competence. © 2015 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
Kidlington: Churchill Livingstone, 2016
Keywords
Clinical reasoning, Formative assessment, Postgraduate pediatric nurse education, Virtual patients
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-30008 (URN)10.1016/j.nepr.2015.09.006 (DOI)000370769000016 ()26482401 (PubMedID)2-s2.0-84951856464 (Scopus ID)
Available from: 2015-12-11 Created: 2015-12-11 Last updated: 2018-03-22Bibliographically approved
Ziegert, K. (2016). Changes and transitions of responsibility when next of kin becomes the caregivers. In: : . Paper presented at The 2nd International Time Geography Conference, Linköping University, Linköping, Sweden, Sept. 21-23, 2016.
Open this publication in new window or tab >>Changes and transitions of responsibility when next of kin becomes the caregivers
2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

In the ordinary everyday existence of individuals, life usually goes by without them reflecting on its fragility or their relationships. Individuals in a close relationship are united with each other in a mutual dependency and share memories from the past, perceptions of the present and dreams and hopes for the future. When one of them suddenly seriously ill and thereby assumes the role of seriously ill patient while the other takes on the role of close relative, their normal life is changed into an extraordinary situation. Everyday life can be complex when next of kin are preoccupied with taking responsibility of the care, which in turn lead to a changed life situation and restrictions in everyday life. The summary of the current knowledge highlighted the importance of understanding of next of kin´ coping approaches during responsibility for caring at home. 

Aim and method

This study explores the process of changes for next of kin´ in a care home for older relatives from the perspectives of the responsibility for caring. Data were collected using narrative interview with 8 next of kin’ at home. The following questions were asked: Please describe the changed situation you have gone through, when you having the difficult care situation and what did you do to cope with your situation? The individual interviews were nearly all transcribed verbatim, a few were listen to and taking notes during listening. The data set were analyzed by using thematic analysis.

Findings and conclusion

Four themes revealed from narrative interviews with the next of kin´. The four themes were: Sources of responsibility related to family interaction; Consequences of changes for everyday; Importance on maintaining their own conditions; Roles and relationships over time. Based on a synthesis of data the themes and basic transitions that emerged were termed “re-constructing roles and relationships”. This highlights the subtle and dynamic way of changes and reinforces the importance of understanding the transitions from multiple perspectives. The results of the study may encourage people to engage themselves in self-help activities and strengthen them to believe they are to care for each other.

National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-32277 (URN)
Conference
The 2nd International Time Geography Conference, Linköping University, Linköping, Sweden, Sept. 21-23, 2016
Available from: 2016-10-24 Created: 2016-10-24 Last updated: 2018-03-23Bibliographically approved
Larsson, G., Holmén, A. & Ziegert, K. (2016). Early Assessment of Patient´s Medical Condition in Ambulance Care Affects the Level of Care of Non Urgent Patients. In: Walter Sermeus, Paula M. Procter & Patrick Weber (Ed.), Nursing Informatics 2016: eHealth for All: Every Level Collaboration – From Project to Realization. Paper presented at 13th International Congress in Nursing Informatics (NI2016), Geneva, Switzerland, June 25-29, 2016 (pp. 893-894). Amsterdam: IOS Press, 225
Open this publication in new window or tab >>Early Assessment of Patient´s Medical Condition in Ambulance Care Affects the Level of Care of Non Urgent Patients
2016 (English)In: Nursing Informatics 2016: eHealth for All: Every Level Collaboration – From Project to Realization / [ed] Walter Sermeus, Paula M. Procter & Patrick Weber, Amsterdam: IOS Press, 2016, Vol. 225, p. 893-894Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

The Rapid Emergency Triage and Treatment System (RETTS) is used by the Swedish ambulance care organization for assessment of patients medicalcondition. The aim of the present study was to evaluate prehospital assessment in collaboration with the ambulance nurse and primary health care physicians. If the patient's condition was priority GREEN by RETTS then the ambulance nurse decided to contact the primary care physicians for a dialogue and together they decided which level of care was the most appropriate for the patient's condition. 

© 2016 IMIA and IOS Press

Place, publisher, year, edition, pages
Amsterdam: IOS Press, 2016
Series
Studies in health technology and informatics, ISSN 0926-9630 ; 225
Keywords
Triage Classification (RETTS), emergency nursing, prospective cohort study
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-30548 (URN)10.3233/978-1-61499-658-3-893 (DOI)000385238600237 ()27332396 (PubMedID)2-s2.0-84978758929 (Scopus ID)978-1-61499-657-6 (ISBN)978-1-61499-658-3 (ISBN)
Conference
13th International Congress in Nursing Informatics (NI2016), Geneva, Switzerland, June 25-29, 2016
Available from: 2016-03-18 Created: 2016-03-18 Last updated: 2018-03-22Bibliographically approved
Rodgers, W., Hildingh, C., Söderbom, A., Ziegert, K. & Lydell, M. (2016). Organizing Senior Employees Occupational Health Resource Management Service in Innovation and Entrepreneurial Context. In: : . Paper presented at 31st Workshop on Strategic Human Resource Management, IE University, Segovia, Spain, April 25-26, 2016.
Open this publication in new window or tab >>Organizing Senior Employees Occupational Health Resource Management Service in Innovation and Entrepreneurial Context
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2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Changing the determinants of health also requires modifying aspects of the settings that has not been done sufficiently in occupational health service. The European Network for workplace health recommended a holistic approach in workplace health promotion including programs concerning individual’s lifestyle and safety management as well as psychosocial and organizational work factors. To this end, we utilize a decision making model that captures the key components of explain how the aging issues pertaining to healthcare employees employ their perception, information, and judgment on decision choices. We collected 116 questionnaire responses from affiliated to the occupational health care center in Sweden. We found that employees’ perception of health care challenges and staffing had a significant impact on their decision choices regarding whether to request, stimulate and collaborate on activities. Finally, our results indicated that aging options related to healthcare issues to request, stimulate and collaborate on activities influence employees’ decision choices.

Keywords
entrepreneurial context, innovation, occupational health, senior employees
National Category
Work Sciences
Identifiers
urn:nbn:se:hh:diva-31511 (URN)
Conference
31st Workshop on Strategic Human Resource Management, IE University, Segovia, Spain, April 25-26, 2016
Available from: 2016-07-01 Created: 2016-07-01 Last updated: 2018-03-22Bibliographically approved
Ziegert, K. & Pham, L. (2016). Ways of promoting health to patients with diabetes and chronic kidney disease from a nursing perspective in Vietnam: A phenomenographic study. International Journal of Qualitative Studies on Health and Well-being, 11, Article ID 30722.
Open this publication in new window or tab >>Ways of promoting health to patients with diabetes and chronic kidney disease from a nursing perspective in Vietnam: A phenomenographic study
2016 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11, article id 30722Article in journal (Refereed) Published
Abstract [en]

Health promotion plays an important role in the management of diabetes and chronic kidney disease, especially when the prevalence of the disease is rising in Vietnam. Nurses have been identified to be the front figure in health promotion; however, little is written about how nurses in Vietnam work with these issues. Therefore, the aim of this study was to describe nurses’ conceptions about how health is promoted, with special focus on physically activity, for patients with type 2 diabetes (T2DM) and/or end-stage renal disease (ESRD). Individual interviews were done with 25 nurses working at two major hospitals in Hanoi, Vietnam. A phenomenographic approach was used to analyse the interviews. Nurses described how creating positive relationships and supporting patients to take part in their social context promoted health. Health was also promoted by educating patients and relatives about health and disease and by supporting patients to be physically active. The findings indicate that the Vietnamese nursing knowledge about health promotion needs to be gathered, and health promotion needs to be further integrated in the education. Further research is necessary to examine patients’ knowledge and attitudes about health and the efficiency of various health-promoting strategies in the Vietnamese context. © 2016 L. Pham & K. Ziegert

Place, publisher, year, edition, pages
Järfälla: Co-Action Publishing, 2016
Keywords
Diabetes and chronic kidney disease, in-patient care, health promotion, physical activity, nursing, phenomenography
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-30991 (URN)10.3402/qhw.v11.30722 (DOI)000396163700001 ()27172515 (PubMedID)2-s2.0-84982682995 (Scopus ID)
Available from: 2016-05-31 Created: 2016-05-31 Last updated: 2018-03-22Bibliographically approved
Kristén, L., Ivarsson, A., Parker, J. & Ziegert, K. (2015). Challenges for Intervention Research in Health and Lifestyle Research – A Systematic Meta-literature Review. In: : . Paper presented at 20th Annual Congress of the European College of Sport Science (ECSS) 2015, Malmö, Sweden, 24th–27th June, 2015.
Open this publication in new window or tab >>Challenges for Intervention Research in Health and Lifestyle Research – A Systematic Meta-literature Review
2015 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction

Health and well-being are two concepts that are widely discussed within today’s society. A major perspective in health and lifestyle research is to investigate what determinants are associated with health. When it comes to the delivery of health interventions several different approaches have been suggested.

Methods

The meta-synthesis was chosen for synthesis of research studies using a health and lifestyle the review format and analyse meta-questions. The process included the following five phases:

1. Literature search for articles.

2. Selection of relevant articles after repeated reading and appraisal of the articles.

3. Extraction of data from each article and creating a list of findings as key phrases, ideas and concepts for each individual study.

4. Determining how the findings of the selected studies are related and translating findings into one another.

5. Synthesizing the translations to produce a new theoretical interpretation.

Results

The search yielded a total of 561 unique citations and finally 24 citations remained. Of those 11 studies focused on health determinants, while 13 focused on interventions for health promotion. The meta-synthesis led to four recommendations for the design of future intervention studies. (1) scientific disciplines should collaborate in the design, implementation and evaluation of the study. (2) to use theoretical frameworks that focus on health determinants and to apply longitudinal studies with a repeated measures design.(3) involve behavioral interventions. (4) to design face-to-face intervention studies.

Discussion

Determinants was related to a physical active lifestyle, more specifically high quality school programs for physical education. It could be a starting point for a nationwide approach of daily physical activity in whole society. In all intervention studies physical activity behaviors were included as outcome or intervention program. It is therefore speculated that physical activity behavior could be discussed as one mediator between health determinants and health outcomes.

References

Bailey, R. (2006). Physical education and sport in schools: a review of benefits and outcomes. Journal of School Health, 76, 397-401.

Dodge, R., Daly, A., Huyton, J., & Sanders, L. (2012). The challenge of defining wellbeing. International Journal of Wellbeing, 2, 222-235.

Kahn, E. B., Ramsey, L. T., Brownson, R. C., Heath, G. W., Howze, E. H., Powell, K. E., & Corso, P. (2002). The effectiveness of interventions to increase physical activity: A systematic review. American journal of preventive medicine, 22, (4), 73-107.

Paterson, B.L., Thorne, S., Canam, C., Jilings, C., (2001). Meta-Study of Qualitative Health Research: A Practical Guide to Meta-Analysis and Meta-Synthesis. Sage, Thousand Oaks,CA.

Södergren, M. (2013). Lifestyle predictors of healthy ageing in men. Maturitas, 75, 113-117.

Corresponding author email: Lars.Kristen@hh.se

National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:hh:diva-28844 (URN)
Conference
20th Annual Congress of the European College of Sport Science (ECSS) 2015, Malmö, Sweden, 24th–27th June, 2015
Available from: 2015-06-26 Created: 2015-06-26 Last updated: 2018-03-22Bibliographically approved
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