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Sjöberg, Carina
Publications (6 of 6) Show all publications
Sjöberg, C., Carlsson, I.-M., Källstrand Eriksson, J., Svedberg, P. & Nygren, J. M. (2020). Creating a shielding place for children with leukaemia during sedation for intrathecal chemotherapy: A grounded theory study. European Journal of Oncology Nursing, 44, Article ID 101711.
Open this publication in new window or tab >>Creating a shielding place for children with leukaemia during sedation for intrathecal chemotherapy: A grounded theory study
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2020 (English)In: European Journal of Oncology Nursing, ISSN 1462-3889, E-ISSN 1532-2122, Vol. 44, article id 101711Article in journal (Refereed) Published
Abstract [en]

Purpose: Childhood cancer invades the child's daily life and has a strong influence on their living conditions and lifestyle. The treatment is an unpleasant experience and the children often perceive the treatment as worse than the actual disease. The aim of the present study was thus to explore the process of how healthcare professionals improved care for children undergoing sedation for intrathecal chemotherapy.

Method: A constructivist grounded theory approach was applied and qualitative interviews with paediatricians (n = 2), anaesthetists (n = 2), paediatric nurses (n = 3) and nurse anaesthetists (n = 5).

Results: The theory of creating a shielding place emerged and conceptualized the pattern of behavior of healthcare professionals throughout the procedure of sedation for intrathecal chemotherapy for pediatric leukaemia. The theory explains the core category ‘shielding’ and the process of how healthcare professionals developed strategies to resolve their main concern: a striving to reduce discomfort and suffering induced by the procedure and the treatment. These strategies, used throughout the procedure, were; de-dramatizing, de-exposing and minimizing trespassing.

Conclusions: The theory of creating a shielding place offers a greater understanding of how healthcare professionals included the child's perspective in their work and thereby enabled a more sensitive and supportive care that had an impact on both quality of care and patient safety. The results from the study contributes with theoretical knowledge that can be used for developing evidence-based care guidelines for the procedure of sedating a child with leukaemia for intrathecal chemotherapy. © 2019 Published by Elsevier Ltd.

Place, publisher, year, edition, pages
Oxford: Elsevier, 2020
Keywords
Caring, Chemotherapy, Children, Grounded theory, Healthcare professionals, Leukaemia, Person-centered care, Quality of care
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-41286 (URN)10.1016/j.ejon.2019.101711 (DOI)31884346 (PubMedID)2-s2.0-85076826444 (Scopus ID)
Funder
Swedish Childhood Cancer Foundation
Note

Other funding: Region Halland Sweden

Available from: 2019-12-20 Created: 2019-12-20 Last updated: 2020-03-03Bibliographically approved
Sjöberg, C., Svedberg, P., Carlsson, I.-M. & Nygren, J. M. (2019). The Importance of Place During Sedation for Intrathecal Chemotherapy in Pediatric Oncology Care. Paper presented at The 51st Congress of the International Society of Paediatric Oncology (SIOP) Lyon, France, October 23-26, 2019. Pediatric Blood & Cancer, 66(S4), S446-S446
Open this publication in new window or tab >>The Importance of Place During Sedation for Intrathecal Chemotherapy in Pediatric Oncology Care
2019 (English)In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 66, no S4, p. S446-S446Article in journal, Meeting abstract (Other academic) Published
Abstract [en]

Background/Objectives: Children who are treated for childhood cancer are exposed to hospitalization, interaction with unfamiliar people in strange environments, and unpleasant, and sometimes, procedures. Having to wait for procedures is one of the worst situations, experienced by child patients. It is therefore important that hospitals provide environments that are non-stressful and safe for children in conjunction with procedures. Especially important, is the possibility for children who are hospitalized to sustain everyday activities, such as play, irrespective of their age and severity of illness.

Objective: To assess differences in expenditure of time and dose of anesthetic drugs during sedation for intrathecal chemotherapy in two different environments- the children's ward, where the child was hospitalized, and the operation theatre.

Design/Methods: The study is based on retrospective data from repeated treatment sessions recorded in operation planning programs and journals during 2011-2018 (n=164). Children of the ages 1-12 years (n=22) with varying number of treatments were included in the study. Data was analyzed with the Kruskal-Wallis test and post-hoc analyses included the Mann-Whitney Test with Bonferroni correction.

Results: The time from the start of the procedure until the start of sedation was significantly lower at the children's ward, which was also the case if including the waiting time before the start of the procedure. No significant differences could be found regarding the dose of anesthetic drugs used.

Conclusions: Sedation for intrathecal chemotherapy at the children's ward provides care to a higher extent in accordance with the needs of the child, by reducing the time for the procedure and thus the interference with the child’s everyday life at the hospital. © 2019 Wiley Periodicals, Inc.

Place, publisher, year, edition, pages
Hoboken: John Wiley & Sons, 2019
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-40843 (URN)10.1002/pbc.27989 (DOI)000488458005031 ()
Conference
The 51st Congress of the International Society of Paediatric Oncology (SIOP) Lyon, France, October 23-26, 2019
Available from: 2019-11-05 Created: 2019-11-05 Last updated: 2019-12-06Bibliographically approved
Sjöberg, C., Svedberg, P., Nygren, J. M. & Carlsson, I.-M. (2017). Participation in pediatric perioperative care: "what it means for parents". Journal of Clinical Nursing, 26(23-24), 4246-4254
Open this publication in new window or tab >>Participation in pediatric perioperative care: "what it means for parents"
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4246-4254Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To explore what it means for parents to participate in their children's paediatric perioperative care.

Background: Allowing parents to participate in paediatric perioperative care can make a major difference for children in terms of their well-being, a decreased need for painkillers, fewer sleeping disorders and a more positive experience for both parties. The nurse anaesthetist should have a holistic view and develop a shared vision for the child, the parents and for themselves to perform successful paediatric perioperative care.

Design: Descriptive qualitative study.

Methods: The study was conducted in 2014. Data were collected in 20 narrative interviews with 15 mothers and five fathers who had experience of participating in their child's paediatric perioperative day surgery. The analysis was carried out with qualitative content analysis to describe the variations, differences and similarities in the experiences.

Results: The analysis revealed a main category that describes that parental participation in the context of paediatric perioperative care in day surgery meant 'having strength to participate despite an increased vulnerability'. Three generic categories with additional subcategories explained what was essential for the parents to be able to preserve this strength and participate in their child's care despite their increased vulnerability. The generic categories were named, 'gaining information about what will happen', 'being seen as a resource' and 'gaining access to the environment'.

Conclusion: Efforts should be made to improve parents' roles and opportunities to participate in paediatric perioperative care.

Relevance to clinical practice: Nurse anaesthetists have a crucial role in enabling parents' participation and need knowledge to develop strategies and nursing interventions that meet parents' needs. © 2017 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell Publishing Inc., 2017
Keywords
Advanced Nursing, Anxiety, Child, Decision-making, Family-Centred care, Nurse-Patient Relationships, Parent, Preoperative, Qualitative Approaches
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-33585 (URN)10.1111/jocn.13747 (DOI)000416319600038 ()28152208 (PubMedID)2-s2.0-85016469835 (Scopus ID)
Projects
Hälsa och hållbar uppväxt
Note

Funding: Partial funding for the study came from Region Halland in Sweden.

Available from: 2017-03-20 Created: 2017-03-20 Last updated: 2020-02-28Bibliographically approved
Sjöberg, C., Carlsson, I.-M., Svedberg, P., Källstrand Eriksson, J. & Nygren, J. M. (2017). Working for the Child's Best by Creating a Sheltered Place During Chemotherapy for Paediatric Leukaemia. Paper presented at 49th Congress of the International Society of Paediatric Oncology (SIOP), Washington, D.C., USA, October 12-15, 2017. Pediatric Blood & Cancer, 64, S400-S400
Open this publication in new window or tab >>Working for the Child's Best by Creating a Sheltered Place During Chemotherapy for Paediatric Leukaemia
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2017 (English)In: Pediatric Blood & Cancer, ISSN 1545-5009, E-ISSN 1545-5017, Vol. 64, p. S400-S400Article in journal, Meeting abstract (Other academic) Published
Place, publisher, year, edition, pages
Hoboken: John Wiley & Sons, 2017
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-35434 (URN)000408978204031 ()
Conference
49th Congress of the International Society of Paediatric Oncology (SIOP), Washington, D.C., USA, October 12-15, 2017
Available from: 2017-11-20 Created: 2017-11-20 Last updated: 2018-07-19Bibliographically approved
Sjöberg, C., Svedberg, P., Carlsson, I.-M. & Nygren, J. (2016). Participation in pediatric day surgery, what it means for children and parents. Paper presented at 9th European Public Health Conference, Vienna, Austria, 9-12 November, 2016. European Journal of Public Health, 26(Suppl. 1), 407-408
Open this publication in new window or tab >>Participation in pediatric day surgery, what it means for children and parents
2016 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 26, no Suppl. 1, p. 407-408Article in journal, Meeting abstract (Refereed) Published
Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2016
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-32246 (URN)10.1093/eurpub/ckw174.197 (DOI)000398600404262 ()
Conference
9th European Public Health Conference, Vienna, Austria, 9-12 November, 2016
Available from: 2016-10-21 Created: 2016-10-21 Last updated: 2018-07-19Bibliographically approved
Sjöberg, C., Amhliden, H., Nygren, J., Arvidsson, S. & Svedberg, P. (2015). The perspective of children on factors influencing their participation in perioperative care. Journal of Clinical Nursing, 24(19-20), 2945-2953
Open this publication in new window or tab >>The perspective of children on factors influencing their participation in perioperative care
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2015 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 19-20, p. 2945-2953Article in journal (Refereed) Published
Abstract [en]

Aims and objectives

To describe the experiences of participation in perioperative care of 8- to 11-year-old children.

Background

All children have the right to participate in decisions that affect them and have the right to express their views in all matters that concern them. Allowing children to be involved in their perioperative care can make a major difference in terms of their well-being by decreasing fear and anxiety and having more positive experiences. Taking the views of children into account and facilitating their participation could thus increase the quality of care.

Design

Descriptive qualitative design.

Methods

The study was conducted in 2013 and data were collected by narrative interviews with 10 children with experience from perioperative care in Sweden. Qualitative content analysis was chosen to describe the variations, differences and similarities in children's experiences of participation in perioperative care.

Results

The result showed that receiving preparatory information, lack of information regarding postoperative care and wanting to have detailed information are important factors for influencing children's participation. Interaction with healthcare professionals, in terms of being listened to, being a part of the decision-making and feeling trust, is important for children's participation in the decision-making process. Poor adaptation of the care environment to the children's needs, feeling uncomfortable while waiting and needs for distraction are examples of how the environment and the care in the operating theatre influence the children's experiences of participation.

Conclusions

Efforts should be made to improve children's opportunities for participation in the context of perioperative care and further research is needed to establish international standards for information strategies and care environment that promotes children's participation in perioperative care.

Relevance to clinical practice

Nurse anaesthetists need to acquire knowledge and develop strategies for providing preparatory visits and information to children prior to surgery as well as reducing waiting times and creating environments with meaningful and tailored opportunities for distraction in perioperative care. © 2015 John Wiley & Sons Ltd.

Place, publisher, year, edition, pages
Chichester: Wiley-Blackwell, 2015
Keywords
Children, healthcare, nurse anaesthetists, participation, shared decision-making, qualitative content analysis
National Category
Nursing
Identifiers
urn:nbn:se:hh:diva-28764 (URN)10.1111/jocn.12911 (DOI)000362908200026 ()26215896 (PubMedID)2-s2.0-84942192757 (Scopus ID)
Note

Partial funding for the study came from Region Halland in Sweden.

Available from: 2015-06-23 Created: 2015-06-23 Last updated: 2018-07-19Bibliographically approved
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