26 results on '"Jørgensen, Lone"'
Search Results
2. Barriers and facilitators to cancer rehabilitation for patients with head and neck or lung cancer—a scoping review mapping structural and healthcare professionals' perspectives.
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Navntoft, Sophie, Andreasen, Jane, Petersen, Kirsten Schultz, Rossau, Henriette Knold, and Jørgensen, Lone
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HEALTH services accessibility ,MEDICAL care use ,HEALTH literacy ,MEDICAL information storage & retrieval systems ,INTERPROFESSIONAL relations ,HEAD & neck cancer ,SOCIOECONOMIC status ,CINAHL database ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,LUNG tumors ,ATTITUDES of medical personnel ,LITERATURE reviews ,LABOR demand ,CANCER patient psychology ,ONCOLOGISTS ,INTERPERSONAL relations ,HEALTH education ,ONLINE information services ,DATA analysis software ,CANCER patient rehabilitation ,MEDICAL referrals ,PATIENT participation ,SOCIAL classes ,PSYCHOLOGY information storage & retrieval systems - Abstract
Purpose: Rehabilitation can positively affect quality of life, functional status, and physiological status for patients with head and neck or lung cancer. However, barriers and facilitators regarding access, referral, and participation in rehabilitation have not been outlined in the literature either from a healthcare professional or from a structural perspective. Therefore, the objective of this paper was to identify and map barriers and facilitators from structural and healthcare professionals' perspectives in relation to access, referral, and participation in rehabilitation for patients with head and neck or lung cancer. Materials and methods: Two systematic searches were conducted in five databases mapping peer-reviewed research literature. Results: In total, 17 studies of 3918 potential sources were included. Seven themes were identified. Four themes concerned access: Understanding Patients' Resources; Collaboration Determining Access; Education, Knowledge, and Evidence Impact Access to Rehabilitation; and Resources Affecting Availability to Rehabilitation Services. Two themes concerned referral: Referral Criteria; and Elements Affecting Referral Pathway. One theme concerned participation: Factors Influencing Participation. Conclusion: From structural and healthcare professionals' perspectives, barriers and facilitators impact access, referral and participation in rehabilitation. However, the findings on facilitators were limited; only one theme addressed participation and two findings concerned patients with low socioeconomic status. IMPLICATIONS FOR REHABILITATION: Healthcare professionals should be mindful that a diverse array of barriers and facilitators may impact the rehabilitation pathway for patients with head, neck, and lung cancer. Engagement by healthcare professionals and structural initiatives are needed to ensure comprehensive access to information concerning rehabilitation options. Local guidelines should be developed to prescribe methods for informing and guiding patients towards suitable rehabilitation options. It is important that healthcare professionals take the individual patient's resources into account when navigating aspects of access, referral, and participation in rehabilitation. [ABSTRACT FROM AUTHOR]
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- 2024
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3. The effect of preoperative oral hygiene on postoperative infections after cystectomy and urethroplasty—A quasi‐experimental study
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Bavnhøj, Linnea Samsø, primary, Pedersen, Beritt Bach, additional, Jensen, Henriette, additional, Jørgensen, Lone, additional, Bruun, Niels Henrik, additional, and Sander, Lotte, additional
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- 2024
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4. Barriers and facilitators to cancer rehabilitation for patients with head and neck or lung cancer—a scoping review mapping structural and healthcare professionals’ perspectives
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Navntoft, Sophie, primary, Andreasen, Jane, additional, Petersen, Kirsten Schultz, additional, Rossau, Henriette Knold, additional, and Jørgensen, Lone, additional
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- 2023
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5. Patient-reported outcomes in patients with hematological relapse or progressive disease: a longitudinal observational study
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Sommer, Mia, Nielsen, Lene Kongsgaard, Nielsen, Lars Børty, Brøndum, Rasmus Froberg, Nielsen, Marlene Maria, Rytter, Anne Stoffersen, Vesteghem, Charles, Severinsen, Marianne Tang, El-Galaly, Tarec Christoffer, Bøgsted, Martin, Grønkjær, Mette, and Jørgensen, Lone
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- 2021
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6. Nurses' and Physicians' Ideas on Initiatives for Effective Use of the Early Warning Score: A Participatory Study.
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Mølgaard, Rikke Rishøj, Jørgensen, Lone, Grønkjær, Mette, Madsen, Jacob Østergaard, Christensen, Erika Frischknecht, and Voldbjerg, Siri Lygum
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HOSPITALS ,NURSES' attitudes ,JUDGMENT (Psychology) ,EARLY warning score ,PHYSICIANS' attitudes ,ACTION research ,CONTENT analysis ,ADULT education workshops - Abstract
Ineffective use of the early warning score (EWS) can compromise recognition and response to patients' deteriorating condition. This study explores nurses' and physicians' ideas on initiatives for supporting the effective use of the EWS in a hospital setting. Participatory workshops were conducted, and data were analyzed using content analysis. Ideas generated for integrating new functions into the EWS protocol to facilitate effective use are described. Also recommended was that all users receive training and an update on how to use the EWS score to support acceptance and confidence using the protocol and thereby increase adherence to the EWS. Further research is needed on the efficiency of incorporating nurses' clinical judgment in the EWS protocol within different specialties and the effect on adherence to the tool. [ABSTRACT FROM AUTHOR]
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- 2023
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7. Willingness and preparedness to work during the first wave of the COVID-19 pandemic: A cross-sectional survey among registered nurses in a Danish university hospital
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Kusk, Kathrine Hoffmann, primary, Laugesen, Britt, additional, Jørgensen, Lone, additional, Albrechtsen, Maja Thomsen, additional, Grøkjær, Mette, additional, Cusack, Lynette, additional, Pedersen, Birgith, additional, Lerbæk, Birgitte, additional, Haslund-Thomsen, Helle, additional, Thorup, Charlotte Brun, additional, Jacobsen, Sara, additional, Bundgaard, Karin, additional, Voldbjerg, Siri Lygum, additional, and Nielsen, Marie Germund, additional
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- 2023
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8. Patients experiences of their relationships with relatives and their collaboration with nurses during contact in non-COVID-19 hospital wards – A qualitative study
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Pedersen, Birgith, primary, Lerbæk, Birgitte, additional, Jørgensen, Lone, additional, Haslund-Thomsen, Helle, additional, Thorup, Charlotte Brun, additional, Albrechtsen, Maja Thomsen, additional, Jacobsen, Sara, additional, Nielsen, Marie Germund, additional, Kusk, Kathrine Hoffmann, additional, Laugesen, Britt, additional, Voldbjerg, Siri Lygum, additional, Grønkjær, Mette, additional, and Bundgaard, Karin, additional
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- 2022
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9. sj-docx-1-njn-10.1177_20571585221150225 - Supplemental material for Willingness and preparedness to work during the first wave of the COVID-19 pandemic: A cross-sectional survey among registered nurses in a Danish university hospital
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Kusk, Kathrine Hoffmann, Laugesen, Britt, Jørgensen, Lone, Albrechtsen, Maja Thomsen, Grøkjær, Mette, Cusack, Lynette, Pedersen, Birgith, Lerbæk, Birgitte, Haslund-Thomsen, Helle, Thorup, Charlotte Brun, Jacobsen, Sara, Bundgaard, Karin, Voldbjerg, Siri Lygum, and Nielsen, Marie Germund
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111099 Nursing not elsewhere classified ,111708 Health and Community Services ,111799 Public Health and Health Services not elsewhere classified ,FOS: Health sciences - Abstract
Supplemental material, sj-docx-1-njn-10.1177_20571585221150225 for Willingness and preparedness to work during the first wave of the COVID-19 pandemic: A cross-sectional survey among registered nurses in a Danish university hospital by Kathrine Hoffmann Kusk, Britt Laugesen, Lone Jørgensen, Maja Thomsen Albrechtsen, Mette Grøkjær, Lynette Cusack, Birgith Pedersen, Birgitte Lerbæk, Helle Haslund-Thomsen, Charlotte Brun Thorup, Sara Jacobsen, Karin Bundgaard, Siri Lygum Voldbjerg, and Marie Germund Nielsen in Nordic Journal of Nursing Research
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- 2023
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10. Continuity of care for adult patients with cancer in hospital settings: A scoping review protocol
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Laugesen, Britt, Grønkjær, Mette, Nielsen, Marie Germund, Jørgensen, Lone, Pedersen, Jette Thise, and Voldbjerg, Siri Lygum
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Medicine and Health Sciences - Abstract
Objective: To identify and map evaluated interventions on continuity of care for adult patients with cancer in hospital settings. Introduction: The care pathway for patients with cancer involves multiple healthcare encounters with healthcare professionals in several hospital settings. A care pathway in hospital settings calls for attention on how to attain continuity of care. Continuity of care is associated with a decline in healthcare utilization, improvements in aspects of quality of life and lower need for supportive care. Considering the importance of continuity of care for patients with cancer in hospital settings, there is a need for an overview of interventions on continuity of care for patients with cancer in hospital settings. Inclusion criteria: This scoping review will consider research studies that evaluate interventions examining continuity of care in outpatient and inpatient hospital settings and includes adult patients (≥ 18 years) with cancer. Interventions initiated by hospital before, during and preceding after hospitalization or at outpatient visit will be included. Research studies that evaluate interventions on continuity of care qualitatively or quantitatively and explicitly include continuity of care in the objective or results of the study will be included. Methods: The scoping review will be conducted in accordance with the methodology developed by the JBI and will search the following databases: PubMed, CINAHL, Embase and Cochrane Library. Keywords: Cancer; Continuity of Care; Hospitals; Interventions Introduction The number of people surviving cancer is increasing due to advances in diagnostics and treatment (1–3). As a consequence of growing medical knowledge, the care pathway for patients with cancer is increasingly complex because it involves multiple healthcare encounters in hospital settings (4,5). Patients often receive treatment and care by various healthcare professionals, such as specialist surgeons, radiographers, radiologists and cancer care nurses, who are located in different departments and units within hospital settings (2,3,6). A care pathway in and across several departments involving a variety of contacts with multiple healthcare professionals requires knowledge on how to attain continuity of care for patients with cancer in hospital settings. Continuity of care can be challenging to define, and existing definitions overlap with related concepts and terms (7,8). However, the theoretical framework of Haggerty et al. (5) has previously been found useful to explore continuity of care among patients with cancer (3,6,9,10). Therefore, this scoping review adheres to the definition provided by Haggerty et al. (5), in which continuity of care is understood as the extent to which a series of health services are experienced by the patient as connected, coherent and consistent with the patient’s medical needs and personal circumstances (5). The definition describes continuity of care as a multidimensional construct and outlines that three types of continuity exist in all healthcare settings: informational, management and relational continuity (5). Informational continuity is the use and transmission of information between healthcare professionals and events concerning both medical issues and the patient’s preferences, values and context. Management continuity is how the healthcare system coordinates and relates to consistent, coherent management of the health condition as it concerns the delivery of services in a complementary, timely and appropriate manner. Relational continuity describes the ongoing relationship between patient and healthcare professionals and is characterized by the development of trust and predictability (5,11). A systematic review shows that continuity of care is associated with improved patient satisfaction and a decline in hospitalization and emergency visits (12). Furthermore, interventions addressing continuity of care among adults with chronic diseases can significantly improve different aspects of quality of life, including physical function, general health and social function (13). In patients with cancer, continuity of care has been shown to reduce the need for supportive care (2), whereas lack of continuity of care is associated with medical errors medication continuity error, test follow up errors and work-up errors (14). One of the main challenges in cancer care is the lack of continuity in the services needed by patients throughout their trajectory of care (5,10,15). Provision of continuity of care can be impeded by a number of factors, such as challenges in transfer of information, quality of interpersonal relationships and coordination of care (10). Surveillance, teamwork, communication and documentation are of great importance for patients’ experiences of continuity of care (16). Although the importance of continuity of care in cancer care has been acknowledged in previous literature (3,6,15,17). It has also been recognized as difficult to achieve due to fragmentation in care, discontinuity or gaps in care and treatment, and care being provided by different professionals in different settings (11,18). By nature, cancer care is fragmented and characterized by diverse clinical features, treatment phases and outcomes (3). Therefore, there is a need to address how to support continuity of care in patients with cancer by identifying and mapping interventions to improve continuity of care. Studies show that patients with cancer have multiple needs (2,6). Different strategies and interventions have been tested to improve continuity of care in terms of reducing care needs, improving communication, empowerment and patients’ experiences with care for patients with cancer within hospital settings (19–22). The interventions include telephone consultations and teleconsultations (23,24), use of assessment tools (20,25) and the use of patient navigators and pivot-nurses in provider-centered interventions (21,22). The diverse interventions address different types and dimensions of continuity of care (5). Telephone consultations and teleconsultations primarily focus on improving management continuity, provider-centered interventions focus on improving relational continuity, and assessment tool interventions address informational continuity. Thus, the interventions are heterogeneous and address different types of continuity of care for patients with cancer in hospital settings. Therefore, there is a need to provide an overview of the existing interventions and the type of continuity addressed to inspire the future development of interventions and improve continuity of care for patients with cancer in hospital settings. A preliminary search of PROSPERO, MEDLINE, the Cochrane Database of Systematic Reviews and JBI Evidence Synthesis was conducted in November, 2022, and no current or in-progress scoping reviews or systematic reviews on the topic were identified. Other reviews related to the topic either focus on continuity of care across settings (3,26), exclusively focus on one type of continuity of care (27), or are limited to the effects of one intervention type on continuity of care (15). The Cochrane review of Aubin et al. (28) is the most comprehensive and relevant systematic review. However, the objective of the review is to evaluate the effectiveness of interventions to improve continuity of cancer care in the follow-up period, focusing on the continuity of care after discharging back to primary physician. As such, previous systematic reviews on the continuity of care for patients with cancer have predominantly focused on improving continuity across sectors, mainly between primary care, hospital settings and healthcare providers (3,26). Less research attention has been given to providing an overview of evaluated interventions aimed at improving the continuity of cancer care in and across hospital settings. However, continuity of care within and across hospital settings is essential for patients and can be impeded by numerous factors. Therefore, the objective of this scoping review is to identify, and map evaluated interventions on continuity of care for adult patients with cancer in in- and outpatient hospital settings. Review questions Which interventions on continuity of care have been evaluated in adult patients with cancer in hospital settings? What are the characteristics of the identified interventions (e.g. type of continuity addressed (cf. Haggerty et al. (5), population, hospital setting, length of intervention, healthcare professionals involved)? How have interventions on continuity of care been measured and evaluated? Inclusion criteria Participants This study will consider research studies that include adult patients (≥ 18 years) with any type of cancer. Concept This scoping review will consider research studies that evaluate interventions examining the continuity of care for patients with cancer in hospital settings. Interventions refer to all initiatives, projects, programs, strategies, models, approaches, processes, structures etc.. Research studies that evaluate interventions on continuity of care qualitatively or quantitatively and explicitly include continuity of care in the objective or results of the study will be included. Context This scoping review will consider studies that focus on continuity of care interventions in inpatient and outpatient hospital settings. Interventions initiated by hospital before, during and preceding after hospitalization or at outpatient visit will be included. Research studies that evaluate interventions on continuity of care qualitatively or quantitatively and explicitly include continuity of care in the objective or results of the study will be included. Studies focusing on continuity of care in other health care settings than hospital will be excluded. Types of sources This scoping review will consider primary research studies examining continuity of care in evaluated interventions regardless of study design, which include but are not limited to qualitative, mixed-method, and quantitative study designs. As only evaluated interventions will be eligible, protocols, editorials, viewpoints, letters, and conference proceedings will be excluded. Reference lists of existing reviews that meet the inclusion criteria will be reviewed for eligible studies. Methods The scoping review will be conducted in accordance with the methodology developed by the JBI (29) and reported in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist (30). Search strategy The search strategy will aim to locate published primary research studies. An initial search of PubMed (National Library of Medicine) and CINAHL (EBSCO) was undertaken to identify articles on the topic. The text words contained in the titles and abstracts of relevant articles and the index terms used to describe the articles were used to develop a full search strategy for PubMed (National Library of Medicine) (Appendix I: Search strategy), Cochrane Library (John Wiley and Sons), CINAHL (EBSCO), and Embase (Elsevier). Afterwards, a comprehensive full search strategy tailored to each information source will be developed and performed. Search terms and relevant synonyms related to the population, concept, and context of interest will be used to identify relevant articles using database-specific controlled vocabulary terms (e.g., MeSH in PubMed) combined with text words. The full search strategy will include combinations and variations of keywords relating to the participants, concept, and context of interest. Consequently, the keywords hospital, hospitalization, inpatient, and outpatient will be supplemented by keywords covering these alternative hospital settings. References in the studies selected for inclusion will be reviewed for eligible evidence sources. In addition, a cited reference search of the studies selected for inclusion will be conducted. Studies published in English, Danish, Swedish, or Norwegian will be included. The literature does not indicate a certain time when the literature on continuity of care for patients with cancer emerged; hence, no time limits will be applied to the search. Prior to finalizing the scoping review, the search will be rerun in all databases to identify new eligible studies. Source of evidence selection Following the search, all identified citations will be collated and uploaded into Mendeley - Reference Management Software (Elsevier, USA), and the duplicates will be removed. Afterwards, all citations will be uploaded to the Rayyan software to assist the screening process (31). The screening process will be conducted according to the JBI manual (2conceptconconoo9). To ensure consistency across the review team in the study selection process, the reviewers will perform a pilot test by reviewing the same random sample of 25 titles/abstracts using the eligibility criteria and discussing discrepancies and potential modifications of the eligibility criteria. The title/abstracts will be screened for eligibility by two independent reviewers. Disagreements between reviewers at the title/abstract screening will not be resolved, as any information source considered eligible by at least one of the reviewers will move forward to full-text screening. The full text of selected citations will be assessed in detail against the inclusion criteria by two independent reviewers. Reasons for exclusion of full-text papers that do not meet the inclusion criteria will be recorded and reported in the scoping review. Any disagreements that arise between the reviewers at any stage of the selection process will be resolved through discussion or by a third reviewer. The results of the search will be reported in full in the final scoping review and presented in a PRISMA-ScR flow diagram (30). Data extraction Data will be extracted from papers included in the scoping review by two independent reviewers using a modified version of the JBI data extraction tool (29) (see Appendix II). The extracted data will include specific details about the population, concept, context, methods, and key findings relevant to the review question. The draft data extraction tool will be further modified and revised during the process of extracting data from each included paper. Modifications will be detailed in the full scoping review. Prior to the data extraction phase, the developed extraction form will be pilot tested by two reviewers on at least two included information sources to ensure the consistency and extraction of all relevant data. Any disagreements that arise between the reviewers will be resolved through discussion or with a third reviewer. Authors of the papers will be contacted to request missing or additional data when required. Data analysis and presentation The findings of the included sources will be extracted and descriptively mapped. The total number of interventions identified in diverse hospital settings will be presented as frequency counts. To provide a systematic overview of the existing literature, the following characteristics of each of the included studies will be presented in tables: study design; study setting and context; participant characteristics; intervention characteristics; evaluation method; measurement tools; and overall conclusions. Furthermore, for each intervention, we will identify which types of continuity of care are addressed by the intervention: informational, management, or relational continuity (5). A narrative description of the extracted data will be presented alongside the tables. References 1. Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424. 2. King M, Jones L, Richardson A, Murad S, Irving A, Aslett H, et al. The relationship between patients’ experiences of continuity of cancer care and health outcomes: a mixed methods study. Br J Cancer. 2008;98(3):529–36. 3. Aubin M, Giguère A, Martin M, Verreault R, Fitch MI, Kazanjian A, et al. Interventions to improve continuity of care in the follow-up of patients with cancer. Cochrane Database Syst Rev. 2012;(7):CD007672. 4. De Regge M, De Pourcq K, Meijboom B, Trybou J, Mortier E, Eeckloo K. The role of hospitals in bridging the care continuum: a systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Serv Res. 2017;17(1):550. 5. Haggerty JL, Reid RJ, Freeman GK, Starfield BH, Adair CE, McKendry R. Continuity of care: a multidisciplinary review. BMJ. 2003;327(7425):1219–21. 6. Lafferty J, Rankin F, Duffy C, Kearney P, Doherty E, McMenamin M, et al. Continuity of care for women with breast cancer: a survey of the views and experiences of patients, carers and health care professionals. Eur J Oncol Nurs Off J Eur Oncol Nurs Soc. 2011;15(5):419–27. 7. Holland DE, Harris MR. Discharge planning, transitional care, coordination of care, and continuity of care: Clarifying concepts and terms from the hospital perspective. Home Health Care Serv Q. 2007;26(4):3–19. 8. Uijen AA, Schers HJ, Schellevis FG, Van den bosch WJHM. How unique is continuity of care? A review of continuity and related concepts. Fam Pract. 2012;29(3):264–71. 9. Plate S, Emilsson L, Söderberg M, Brandberg Y, Wärnberg F. High experienced continuity in breast cancer care is associated with high health related quality of life. BMC Health Serv Res. 2018;18(1):1–8. 10. Dumont I, Dumont S, Turgeon J. Continuity of care for advanced cancer patients. J Palliat Care. 2005;21(1):49–56. 11. Reid RJ, Haggerty JL, McKendry R. Defusing the confusion: Concepts and measures of continuity of healthcare. Ottawa; 2002. 12. van Walraven C, Oake N, Jennings A, Forster AJ. The association between continuity of care and outcomes: a systematic and critical review. J Eval Clin Pract. 2010;16(5):947–56. 13. Chen MM, Megwalu UC, Liew J, Sirjani D, Rosenthal EL, Divi V. Regionalization of head and neck cancer surgery may fragment care and impact overall survival. Laryngoscope. 2019;129(6):1413–9. 14. Moore C, Wisnivesky J, Williams S, McGinn T. Medical errors related to discontinuity of care from an inpatient to an outpatient setting. J Gen Intern Med. 2003;18(8):646–51. 15. Gysels M, Richardson A, Higginson IJ. Does the patient-held record improve continuity and related outcomes in cancer care: a systematic review. Heal Expect. 2007;10(1):75–91. 16. Jones A, Johnstone MJ. Managing gaps in the continuity of nursing care to enhance patient safety. Collegian. 2019;26(1):151-7. 17. Dossett LA, Hudson JN, Morris AM, Lee MC, Roetzheim RG, Fetters MD, et al. The primary care provider (PCP)-cancer specialist relationship: A systematic review and mixed-methods meta-synthesis. CA Cancer J Clin. 2017;67(2):156–69. 18. Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. Br Med J. 2000;320(7237):791–4. 19. King M, Jones L, Nazareth I. Concerns and Continuity in the Care of Cancer Patients and their Carers: A multi-method approach to enlightened management. . Report for National Co-ordinating Centre for NHS Service Delivery and Organisation R&D (NCCSDO). 2006. 20. Velikova G, Keding A, Harley C, Cocks K, Booth L, Smith AB, et al. Patients report improvements in continuity of care when quality of life assessments are used routinely in oncology practice: Secondary outcomes of a randomised controlled trial. Eur J Cancer. 2010;46(13):2381–8. 21. Gabitova G, Burke NJ. Improving healthcare empowerment through breast cancer patient navigation: A mixed methods evaluation in a safety-net setting. BMC Health Serv Res. 2014;14(1):1–11. 22. McMullen L. Oncology Nurse Navigators and the Continuum of Cancer Care. Semin Oncol Nurs. 2013;29(2):105–17. 23. Beaver K, Williamson S, Chalmers K. Telephone follow-up after treatment for breast cancer: Views and experiences of patients and specialist breast care nurses. J Clin Nurs. 2010;19:2916–24. 24. Hoek PD, Schers HJ, Bronkhorst EM, Vissers KCP, Hasselaar JGJ. The effect of weekly specialist palliative care teleconsultations in patients with advanced cancer -A randomized clinical trial. BMC Med. 2017;15:119. 25. King M, Jones L, McCarthy O, Rogers M, Richardson A, Williams R, et al. Development and pilot evaluation of a complex intervention to improve experienced continuity of care in patients with cancer. Br J Cancer. 2009;100(2):274–80. 26. Tomasone JR, Brouwers MC, Vukmirovic M, Grunfeld E, O’Brien MA, Urquhart R, et al. Interventions to improve care coordination between primary healthcare and oncology care providers: A systematic review. ESMO Open. 2016;1(5). 27. Gagliardi AR, Dobrow MJ, Wright FC. How can we improve cancer care? A review of interprofessional collaboration models and their use in clinical management. Surg Oncol. 2011;20(3):146–54. 28. Aubin M, Giguère A, Martin M, Verreault R, Fitch MI, Kazanjian A, et al. Interventions to improve continuity of care in the follow-up of patients with cancer. Cochrane database Syst Rev. 2012;(7):CD0076(7):CD007672. 29. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. JBI; 2020. 30. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467–73. 31. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan - a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210.
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- 2023
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11. Establishing and leading a cross‐institutional partnership to integrate fundamentals of care into clinical practice, nursing education and research
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Grønkjær, Mette, primary, Voldbjerg, Siri Lygum, additional, Jørgensen, Lone, additional, Kusk, Kathrine Hoffmann, additional, and Laugesen, Britt, additional
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- 2022
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12. Establishing and leading a cross‐institutional partnership to integrate fundamentals of care into clinical practice, nursing education and research.
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Grønkjær, Mette, Voldbjerg, Siri Lygum, Jørgensen, Lone, Kusk, Kathrine Hoffmann, and Laugesen, Britt
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INSTITUTIONAL cooperation ,NURSING ,STRATEGIC planning ,LEADERSHIP ,LEADERS ,NURSING practice ,NURSING education ,NURSING research ,INTERPROFESSIONAL relations ,NURSES ,CASE studies ,COMMITMENT (Psychology) - Abstract
Aim: The aim was to describe and discuss the process of establishing and leading a cross‐institutional partnership to regain focus on and reconceptualize fundamental nursing care in clinical practice, nursing education and research in one region in Denmark. Design: A discursive paper. The case study method is used as an adapted frame for describing and discussing the establishment and strategic decisions of a cross‐institutional partnership. Data sources This discursive paper draws on the authors' experiences with establishing a cross‐institutional partnership and related literature. Implications for nursing: The paper addresses the challenges surrounding fundamental care. Establishing cross‐institutional partnerships can contribute to a reconceptualization of fundamental care and initiate discussions on what nursing care is and requires. The paper provides an example of how a cross‐institutional partnership can be established and describes and discusses the opportunities and challenges in doing so. Conclusion: A key step in the process of establishing a partnership is to actively involve key stakeholders and stimulate their commitment to investing time and resources in the partnership. This requires commitment, clear strategic direction and leadership. Another key step is engaging and informing executive management leaders, and continuously nurture their interest. Impact The paper aims to inform clinicians, educators, nursing leaders, researchers and policy makers on how to organize a formal partnership structured around a strategic research, development and implementation programme where the focal point of the collaboration is improving nursing care by integrating the conceptual FoC framework. No patient or public contribution: Patients, service users, caregivers or members of the public were not involved in this study as it is a discursive paper based on the authors' experiences and relevant literature. [ABSTRACT FROM AUTHOR]
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- 2023
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13. Nurses’ Clinical Decision-Making in a Changed COVID-19 Work Environment: A Focus Group Study
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Laugesen, Britt, primary, Albrechtsen, Maja Thomsen, additional, Grønkjær, Mette, additional, Kusk, Kathrine Hoffmann, additional, Nielsen, Marie Germund, additional, Jørgensen, Lone, additional, Pedersen, Birgith, additional, Lerbæk, Birgitte, additional, Haslund-Thomsen, Helle, additional, Thorup, Charlotte Brun, additional, Jacobsen, Sara, additional, Bundgaard, Karin, additional, and Voldbjerg, Siri Lygum, additional
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- 2022
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14. Ethical dilemmas in nursing documentation
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Jørgensen, Lone, primary and Kollerup, Mette Geil, additional
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- 2021
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15. Ambivalence in nurses’ use of the early warning score: A focussed ethnography in a hospital setting
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Mølgaard, Rikke R., primary, Jørgensen, Lone, additional, Christensen, Erika F., additional, Grønkjær, Mette, additional, and Voldbjerg, Siri L., additional
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- 2021
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16. Nursing care during COVID-19 at non-COVID-19 hospital units: A qualitative study
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Jørgensen, Lone, primary, Pedersen, Birgith, additional, Lerbæk, Birgitte, additional, Haslund-Thomsen, Helle, additional, Thorup, Charlotte Brun, additional, Albrechtsen, Maja Thomsen, additional, Jacobsen, Sara, additional, Nielsen, Marie Germund, additional, Kusk, Kathrine Hoffmann, additional, Laugesen, Britt, additional, Voldbjerg, Siri Lygum, additional, Grønkjær, Mette, additional, and Bundgaard, Karin, additional
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- 2021
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17. Nursing care during COVID-19 at non-COVID-19 hospital units: A qualitative study.
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Jørgensen, Lone, Pedersen, Birgith, Lerbæk, Birgitte, Haslund-Thomsen, Helle, Thorup, Charlotte Brun, Albrechtsen, Maja Thomsen, Jacobsen, Sara, Nielsen, Marie Germund, Kusk, Kathrine Hoffmann, Laugesen, Britt, Voldbjerg, Siri Lygum, Grønkjær, Mette, and Bundgaard, Karin
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NURSING ,COVID-19 ,NURSES' attitudes ,ACADEMIC medical centers ,RESEARCH methodology ,INTERVIEWING ,PATIENT-centered care ,QUALITATIVE research ,NURSE-patient relationships ,SOCIAL isolation ,NURSES ,HOSPITAL wards ,EMPLOYEES' workload ,CONTENT analysis ,JUDGMENT sampling - Abstract
The maintenance of physical distance, the absence of relatives and the relocation of registered nurses to COVID-19 units presumably affects nursing care at non-COVID-19 units. Using a qualitative design, this study explored registered nurses' experiences of how COVID-19 influenced nursing care in non-COVID-19 units at a Danish university hospital during the first wave of the virus. The study is reported using the COREQ checklist. The analysis offered two findings: (1) the challenge of an increased workload for registered nurses remaining in non-COVID-19 units and (2) the difficulty of navigating the contradictory needs for both closeness to and distance from patients. The study concluded that several factors challenged nursing care in non-COVID-19 units during the COVID-19 pandemic. These may have decreased the amount of contact between patients and registered nurses, which may have contributed to a task-oriented approach to nursing care, leading to missed nursing care. [ABSTRACT FROM AUTHOR]
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- 2022
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18. Ambivalence in nurses' use of the early warning score: A focussed ethnography in a hospital setting.
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Mølgaard, Rikke R., Jørgensen, Lone, Christensen, Erika F., Grønkjær, Mette, and Voldbjerg, Siri L.
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- *
HOSPITALS , *NURSES' attitudes , *ACADEMIC medical centers , *INTERVIEWING , *ETHNOLOGY research , *WORKFLOW , *HOSPITAL nursing staff , *NURSES , *HOSPITAL wards , *DECISION making in clinical medicine , *JUDGMENT sampling - Abstract
Aim: This study describes and explores the influences in registered nurses' use of early warning scores to support clinical decisions in a hospital setting. Design: A focussed ethnography allowed for the investigation of registered nurses' clinical practices in two wards in a Danish University Hospital. The study adhered to the 'Standards for Reporting Qualitative Research'. Methods: Participant observation and ethnographic interviews were conducted from March 2019 to August 2019. Ten registered nurses were observed and interviewed, and four physicians were interviewed. Data were analysed using LeCompte and Schensul's ethnographic analysis. Findings: The findings show the registered nurses' ambivalence towards the early warning score as a decision support system. Early warning score monitoring created a space for registered nurses to identify and initiate optimized care. However, when early warning scores contradicted registered nurses' clinical judgments, the latter were given priority in decisions even though elevated scores were not always accounted for in the situation. Moreover, we found unspoken expectations in the collaboration between physicians and registered nurses, which influenced the registered nurses' workloads and decisions regarding early warning scores. Conclusion: Registered nurses' clinical judgment is essential to clinical decisions on the care and safety of patients if used combined with the early warning score. Interprofessional collaboration between registered nurses and physicians about the early warning score is challenged. Future research may address this challenge to explore how it should be operated as a collaboration tool. Impact: The study adds knowledge to the evidence base of registered nurses' use of early warning score and the advantages and challenges associated with the use of these scoring systems. The study may provide valuable knowledge for the future development of policies or implementation strategies. [ABSTRACT FROM AUTHOR]
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- 2022
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19. Ethical dilemmas in nursing documentation.
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Jørgensen, Lone and Kollerup, Mette Geil
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- *
ACADEMIC medical centers , *CONFIDENTIAL communications , *INTERVIEWING , *DOCUMENTATION , *QUALITATIVE research , *RESEARCH ethics , *NURSES , *CONTENT analysis , *NURSING records ,RESEARCH evaluation - Abstract
Background: Nursing documentation is an essential aspect of ethical nursing care. Lack of awareness of ethical dilemmas in nursing documentation may increase the risk of patient harm. Considering this, ethical dilemmas within nursing documentation need to be explored. Aim: To explore ethical dilemmas in nurses' conversations about nursing documentation. Research design, participants and context: The study used a qualitative design. Participants were registered nurses from a Patient Hotel at a Danish University Hospital. Data were collected in three focus groups with a total of 12 participants. Data analysis consisted of qualitative content analysis inspired by Graneheim and Lundman. Ethical consideration: This study was conducted in accordance with the ethical principles of research and regulations in terms of confidentiality, anonymity and provision of informed consent. Findings: Ethical dilemmas were strongly present in nurses' conversations about nursing documentation. These dilemmas were demonstrated in two themes: (1) a dilemma between respecting patients' autonomy and not causing harm, which was visible in nurses' navigation between written documentation and oral tradition, and (2) a dilemma concerning justice and fair distribution of goods, which was visible in nurses' balancing between documenting deviations and proof of nursing practice. Discussion: Ethical dilemmas in nursing documentation regarding respecting patients' autonomy and not causing harm accentuated discussions on professional responsibility and patient participation in clinical decisions. Dilemmas in justice and fair distribution of goods emphasised discussions on trust in relationships versus trust in electronic health records. Conclusion: Actual tendencies in the healthcare system may increase ethical dilemmas in nursing documentation. Sharing otherwise invisible and individual experiences of ethical dilemmas in nursing documentation among nurses, nurse leaders and decision-makers will enable addressing these in reflections and discussions as well as in considering adjustments of conditions for nursing documentation. [ABSTRACT FROM AUTHOR]
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- 2022
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20. To see or not to see -- or to wait and see: clinical decisions in an oncological emergency telephone consultation.
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Jørgensen, Lone, Ramlow Jacobsen, Heidi, and Pedersen, Birgith
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- *
TUMOR treatment , *MEDICAL consultation , *RESEARCH , *WORK experience (Employment) , *FOCUS groups , *ACADEMIC medical centers , *PROFESSIONS , *ATTITUDE (Psychology) , *WORK , *MEDICAL personnel , *PEER relations , *CANCER patients , *QUALITATIVE research , *PHENOMENOLOGY , *EXPERIENTIAL learning , *EMERGENCY medical services , *INTERPROFESSIONAL relations , *EMPLOYEES' workload , *DESCRIPTIVE statistics , *DECISION making in clinical medicine , *CONTENT analysis , *EMPIRICAL research , *JUDGMENT sampling , *PATIENT-professional relations , *TELEMEDICINE , *CANCER patient medical care - Abstract
Background: Cancer treatment is often given on an outpatient basis. An oncological emergency telephone line has been established to improve access to cancer care and prevent life-threatening side effects. However, healthcare professionals need to make clinical decisions without being able to assess patients face-to-face, which may be problematic. This study explores how healthcare professionals experience clinical decision-making in oncological emergency telephone consultations. Methods: An exploratory qualitative approach applying three focus groups with healthcare professionals from a Danish university hospital were undertaken. Data were analysed using inductive content analysis. Results: An overall theme elucidated how healthcare professionals ended up deciding during each call whether the problem could be solved on the phone or the patient had to come for a face-to-face consultation or to wait and see whether the condition changed. Some decisions were easy to make, while others were moderate or diffi- cult. The decision was influenced by several factors that could be structured into three themes: reliance on one's own knowledge and experience, consideration of different perspectives and the influence of context. Conclusion: This study demonstrated that clinical decisionmaking in oncological emergency telephone consultations includes three types of decisions that are intertwined with intra-personal, inter-professional and contextual factors such as personal knowledge, collaboration and workload. These factors are essential for the timely referral of patients to the right level of service. [ABSTRACT FROM AUTHOR]
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- 2021
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21. Patients experiences of their relationships with relatives and their collaboration with nurses during contact in non-COVID-19 hospital wards – A qualitative study
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Pedersen, Birgith, Lerbæk, Birgitte, Jørgensen, Lone, Haslund-Thomsen, Helle, Thorup, Charlotte Brun, Albrechtsen, Maja Thomsen, Jacobsen, Sara, Nielsen, Marie Germund, Kusk, Kathrine Hoffmann, Laugesen, Britt, Voldbjerg, Siri Lygum, Grønkjær, Mette, and Bundgaard, Karin
- Abstract
COVID-19 restrictions prevented relatives from visiting and accompanying patients to hospital and required that nurses wore personal protective equipment. These changes affected patients’ relationships with relatives and challenged their ability to connect with nurses. Individual, semi-structured interviews with 15 patients were carried out to explore patients’ experiences of their relationships with relatives and their collaboration with nurses during in- and outpatient contacts in non-COVID-19 hospital wards. The analysis of data was guided by phenomenological hermeneutic frame of reference and the study was reported according to the COREQ checklist. The findings illustrated that patients felt lonely and insecure when separated from relatives, caught between relatives and professionals during information exchange, and experienced the absence of relatives as both beneficial and burdening. Visitor restrictions provided patients with time to heal but prevented provision of informal care. Patients had to take responsibility for maintaining contact with relatives independent of their health condition. COVID-19 restrictions created distance with nurses, which potentially led to insufficient physical and psychosocial care.
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- 2024
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22. Collaboration and learning in teams of registered nurses and medical doctors: A qualitative descriptive study
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Jacobsen, Heidi Ramlow, Jørgensen, Lone, and Pedersen, Birgith
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Patients with cancer are expected to call an oncological emergency unit when they are unable to manage symptoms of their disease and side effects from treatment at home. Responding to calls from patients with different problems in a team of registered nurses and medical doctors requires interprofessional collaboration and learning. Therefore, this study aimed to explore conditions for team-based collaboration and learning when responding to calls from patients diagnosed with cancer in a specific setting of an oncological emergency unit. Using a frame of qualitative description three focus groups with 16 healthcare professionals from an oncological emergency unit at a Danish University Hospital were conducted. The verbatim transcribed text was analyzed using content analysis, and reported according to the COREQ guidelines. Two main themes emerged: 1) ‘Availability – a precondition for learning and collaboration’ and 2) ‘Sense of responsibility and distribution of roles’. The study demonstrated that interprofessional collaboration and learning were affected by intra and interprofessional and contextual factors. In addition to an awareness of personal attitudes, the environment and the distribution of responsibility and roles as essential preconditions for accomplishing teamwork need to be explicitly articulated if the team-based learning and collaboration are to succeed.
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- 2024
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23. Feeling worried and powerless: A qualitative interview study of relatives’ experiences of the collaboration with patients and nurses during COVID-19 visiting restrictions in Denmark
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Haslund-Thomsen, Helle, Thorup, Charlotte Brun, Laugesen, Britt, Jørgensen, Lone, Pedersen, Birgith, Voldbjerg, Siri Lygum, Nielsen, Marie Germund, Jacobsen, Sara, Kusk, Kathrine Hoffmann, Albrechtsen, Maja Thomsen, Bundgaard, Karin, Grønkjær, Mette, and Lerbæk, Birgitte
- Abstract
Relatives are an important resource to hospitalised patients and hence to nursing. During the COVID-19 pandemic, visiting restriction policies were implemented in healthcare settings globally, unwillingly excluding relatives from visiting the bedsides of their loved ones. The aim of the present study was to explore how the visiting restrictions influenced relatives’ relationships with patients and collaboration with registered nurses at non-pandemic hospital wards. In total, 13 relatives were interviewed. The study was reported following the COREQ guidelines and checklist. Content analysis led to three themes: 1) being excluded from providing care and support; 2) being excluded from conveying person-centred and situational relevant knowledge to registered nurses; and 3) being excluded from assessing the health status of the hospitalised loved one. Together they describe relatives feeling worried and powerless regarding the health of their hospitalised loved one and the performed nursing care. Findings from studies such as this are pivotal to any future national or global health crisis, where visiting restriction policies are implemented.
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- 2023
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24. Navigating the Complexities of Nursing Documentation When Patients Have Access to the Content: A Qualitative Study.
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Lerbæk B, Kusk KH, Jørgensen L, and Laugesen B
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Aim: To explore how Danish registered nurses (RNs) in hospitals experience documenting nursing care in electronic patient records when the content is accessible to patients., Methods: In a qualitative research design, data were generated in six focus groups conducted in late 2022 and early 2023, comprising 31 RNs employed in inpatient wards at a university hospital in Denmark. Subsequently, qualitative content analysis was applied to the gathered data., Results: The findings include three themes: (1) weighing one's words, (2) building trust or triggering conflicts and (3) risking loss of knowledge. Together, these three themes illustrate the complexities that RNs navigate when patients have access to the content of nursing documentation., Conclusion: Patients' access to nursing documentation requires RNs to navigate a complex interplay of factors, including awareness of language-use, influence on the nurse-patient-relative relationships, and the risk of losing essential knowledge. Therefore, although patients' access to nursing documentation can induce a positive change in terms of strengthening the professional focus on documentation, it can also result in changes in documentation practices in ways that may compromise nursing documentation as a working tool., Implications for the Profession and Patient Care: The findings emphasize an urgent need to explore and discuss how sensitive nursing observations can be shared in a safe and appropriate way when patients have access to the documentation. Furthermore, to prevent misunderstandings and conflicts with patients, it is essential to focus on and prioritize patient involvement in nursing documentation., Impact: RNs navigate complex practices when patients have direct online access to nursing documentation content. It is crucial to clarify which content nursing documentation should entail and how sensitive nursing observations can be shared in a safe and appropriate way., Reporting: The COREQ checklist was used for reporting., (© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.)
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- 2024
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25. TO INFORM OR NOT TO INFORM about venous thromboembolisms - A qualitative study on communication between healthcare professionals and patients with lung cancer.
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Berggreen C, Schrøder JH, Christensen T, Szejniuk WM, Søgaard M, Højen AA, and Jørgensen L
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Background: Venous thromboembolism (VTE) is a leading cause of death among cancer patients. Despite this, studies show that patients with cancer feel inadequately informed about the VTE risk and symptoms, which may impede their ability to recognise symptoms and react promptly. Patients with lung cancer are especially vulnerable due to a high relative risk of developing VTE combined with a high prevalence of low health literacy. This study aimed to explore the VTE information needs of lung cancer patients and how patients and healthcare professionals (HCPs) communicate about VTE., Material and Methods: Data was collected via semi-structured interviews with patients with lung cancer and HCPs. All participants (n = 20) were recruited from an oncological department. The analysis was performed in an inductive manner using a Ricoeur inspired strategy., Findings: Patients had varying information needs regarding VTE, but HCPs did not routinely communicate about VTE, as the topic tended to be lowly prioritised. HCPs communicated about VTE when patients expressed a need or presented symptoms of VTE. HCPs expressed concerns about adding to patient's emotional burden by informing about VTE, while some patients emphasised the importance of being mentally prepared for potential complications., Conclusion: The study demonstrates the challenging balance HCPs must maintain between adequately communicating about VTE and not causing undue psychological distress. However, given patient's often limited awareness of VTE, the responsibility to initiate communication about VTE must fall on the HCPs., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)
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- 2024
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26. Establishing and leading a cross-institutional partnership to integrate fundamentals of care into clinical practice, nursing education and research.
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Grønkjaer M, Voldbjerg SL, Jørgensen L, Kusk KH, and Laugesen B
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- Humans, Leadership, Administrative Personnel, Clinical Competence, Education, Nursing, Nursing Care
- Abstract
Aim: The aim was to describe and discuss the process of establishing and leading a cross-institutional partnership to regain focus on and reconceptualize fundamental nursing care in clinical practice, nursing education and research in one region in Denmark., Design: A discursive paper. The case study method is used as an adapted frame for describing and discussing the establishment and strategic decisions of a cross-institutional partnership., Data Sources: This discursive paper draws on the authors' experiences with establishing a cross-institutional partnership and related literature., Implications for Nursing: The paper addresses the challenges surrounding fundamental care. Establishing cross-institutional partnerships can contribute to a reconceptualization of fundamental care and initiate discussions on what nursing care is and requires. The paper provides an example of how a cross-institutional partnership can be established and describes and discusses the opportunities and challenges in doing so., Conclusion: A key step in the process of establishing a partnership is to actively involve key stakeholders and stimulate their commitment to investing time and resources in the partnership. This requires commitment, clear strategic direction and leadership. Another key step is engaging and informing executive management leaders, and continuously nurture their interest., Impact: The paper aims to inform clinicians, educators, nursing leaders, researchers and policy makers on how to organize a formal partnership structured around a strategic research, development and implementation programme where the focal point of the collaboration is improving nursing care by integrating the conceptual FoC framework., No Patient or Public Contribution: Patients, service users, caregivers or members of the public were not involved in this study as it is a discursive paper based on the authors' experiences and relevant literature., (© 2022 John Wiley & Sons Ltd.)
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- 2023
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