29 results on '"Bostrom, Anne-Marie"'
Search Results
2. Effectiveness of integrated person-centered interventions for older people's care : Review of Swedish experiences and experts' perspective
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Kirvalidze, Mariam, Bostrom, Anne-Marie, Liljas, Ann, Doheny, Megan, Hendry, Anne, Mccormack, Brendan, Fratiglioni, Laura, Ali, Sulin, Ebrahimi, Zahra, Elmstahl, Soelve, Eriksdotter, Maria, Glaske, Pascal, Gustafsson, Lena-Karin, Hedberg Rundgren, Åsa, Hvitfeldt, Helena, Lennartsson, Carin, Hammar, Lena Marmstal, Nilsson, Gunnar H., Nilsson, Peter, Öhlen, Joakim, Sandgren, Anna, Söderman, Annika, Swedberg, Karl, Vackerberg, Nicoline, Vetrano, Davide Liborio, Wijk, Helle, Agerholm, Janne, Calderon-Larranaga, Amaia, Kirvalidze, Mariam, Bostrom, Anne-Marie, Liljas, Ann, Doheny, Megan, Hendry, Anne, Mccormack, Brendan, Fratiglioni, Laura, Ali, Sulin, Ebrahimi, Zahra, Elmstahl, Soelve, Eriksdotter, Maria, Glaske, Pascal, Gustafsson, Lena-Karin, Hedberg Rundgren, Åsa, Hvitfeldt, Helena, Lennartsson, Carin, Hammar, Lena Marmstal, Nilsson, Gunnar H., Nilsson, Peter, Öhlen, Joakim, Sandgren, Anna, Söderman, Annika, Swedberg, Karl, Vackerberg, Nicoline, Vetrano, Davide Liborio, Wijk, Helle, Agerholm, Janne, and Calderon-Larranaga, Amaia
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Older adults have multiple medical and social care needs, requiring a shift toward an integrated person-centered model of care. Our objective was to describe and summarize Swedish experiences of integrated person-centered care by reviewing studies published between 2000 and 2023, and to identify the main challenges and scientific gaps through expert discussions. Seventy-three publications were identified by searching MEDLINE and contacting experts. Interventions were categorized using two World Health Organization frameworks: (1) Integrated Care for Older People (ICOPE), and (2) Integrated People-Centered Health Services (IPCHS). The included 73 publications were derived from 31 unique and heterogeneous interventions pertaining mainly to the micro- and meso-levels. Among publications measuring mortality, 15% were effective. Subjective health outcomes showed improvement in 24% of publications, morbidity outcomes in 42%, disability outcomes in 48%, and service utilization outcomes in 58%. Workshop discussions in Stockholm (Sweden), March 2023, were recorded, transcribed, and summarized. Experts emphasized: (1) lack of rigorous evaluation methods, (2) need for participatory designs, (3) scarcity of macro-level interventions, and (4) importance of transitioning from person- to people-centered integrated care. These challenges could explain the unexpected weak beneficial effects of the interventions on health outcomes, whereas service utilization outcomes were more positively impacted. Finally, we derived a list of recommendations, including the need to engage care organizations in interventions from their inception and to leverage researchers' scientific expertise. Although this review provides a comprehensive snapshot of interventions in the context of Sweden, the findings offer transferable perspectives on the real-world challenges encountered in this field. image
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- 2024
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3. Cross-cultural adaption and inter-rater reliability of the Swedish version of the updated clinical frailty scale 2.0
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Olsson, Henrik, Ahlund, Kristina, Alfredsson, Joakim, Andersson, David, Bostrom, Anne-Marie, Guidetti, Susanne, Prytz, Mattias, Ekerstad, Niklas, Olsson, Henrik, Ahlund, Kristina, Alfredsson, Joakim, Andersson, David, Bostrom, Anne-Marie, Guidetti, Susanne, Prytz, Mattias, and Ekerstad, Niklas
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BackgroundWorldwide, there is a large and growing group of older adults. Frailty is known as an important discriminatory factor for poor outcomes. The Clinical Frailty Scale (CFS) has become a frequently used frailty instrument in different clinical settings and health care sectors, and it has shown good predictive validity. The aims of this study were to describe and validate the translation and cultural adaptation of the CFS into Swedish (CFS-SWE), and to test the inter-rater reliability (IRR) for registered nurses using the CFS-SWE.MethodsAn observational study design was employed. The ISPOR principles were used for the translation, linguistic validation and cultural adaptation of the scale. To test the IRR, 12 participants were asked to rate 10 clinical case vignettes using the CFS-SWE. The IRR was assessed using intraclass correlation and Krippendorff's alpha agreement coefficient test.ResultsThe Clinical Frailty Scale was translated and culturally adapted into Swedish and is presented in its final form. The IRR for all raters, measured by an intraclass correlation test, resulted in an absolute agreement value among the raters of 0.969 (95% CI: 0.929-0.991) and a consistency value of 0.979 (95% CI: 0.953-0.994), which indicates excellent reliability. Krippendorff's alpha agreement coefficient for all raters was 0.969 (95% CI: 0.917-0.988), indicating near-perfect agreement. The sensitivity of the reliability was examined by separately testing the IRR of the group of specialised registered nurses and non-specialised registered nurses respectively, with consistent and similar results.ConclusionThe Clinical Frailty Scale was translated, linguistically validated and culturally adapted into Swedish following a well-established standard technique. The IRR was excellent, judged by two established, separately used, reliability tests. The reliability test results did not differ between non-specialised and specialised registered nurses. However, the use of case vignettes, Funding Agencies|Linkping University
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- 2023
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4. Older Persons' Views on Important Values in Swedish Home Care Service : A Semi-Structured Interview Study
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Olsen, Marie, Udo, Camilla, Dahlberg, Lena, Bostrom, Anne-Marie, Olsen, Marie, Udo, Camilla, Dahlberg, Lena, and Bostrom, Anne-Marie
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Introduction: Knowledge of older person's experiences of important values in home care service can facilitate the development and delivery of high-quality services supporting their well-being, dignity and participation in the care provided. To date, few studies have explored older person's values and experiences of home care services. Purpose: This study aimed to explore values that older person holds regarding home care services and their experiences of how these values manifest in home care service delivery. Participants and Methods: The study has a qualitative exploratory design. Semi-structured interviews were conducted with 16 older persons aged 74-90 who received home care service. Data were analysed using qualitative content analysis. Results: Two themes (each with sub-themes) of values relating to the experience of home care service from the perspective of the 16 older persons were identified: to be supported as an autonomous person and to be supported as a relational being. The participants experience that these two values were only partly manifested in the home care services they received. They also noted that their well-being was negatively affected when staff failed to implement these values. The fundamental values identified in study related to the older person feeling safe, being autonomous, maintaining control and independence, and having relationships. The values constitute help to guide practice from the perspective of older persons who receive home care services. Conclusion: The identified values are primarily interpersonal-level values. However, such values are also of importance for home care service organisations when promoting delivery of person-centred care Taking such a position implies adopting a relation-oriented rather than a task-oriented approach in providing home care services for older persons.
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- 2022
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5. Setting goals with patients at risk of malnutrition : A focus group study with clinical dietitians
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Al-Adili, Lina, McGreevy, Jenny, Orrevall, Ylva, Nydahl, Margaretha, Bostrom, Anne-Marie, Lövestam, Elin, Al-Adili, Lina, McGreevy, Jenny, Orrevall, Ylva, Nydahl, Margaretha, Bostrom, Anne-Marie, and Lövestam, Elin
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Objective: Setting goals collaboratively with patients is a key aspect in shared decision-making (SDM) in malnutrition interventions. The aim, therefore, was to gain an understanding of clinical dietitians' reflections regarding the process of goal-setting with patients at risk of malnutrition. Methods: Six semi-structured audio-recorded focus group discussions were held with registered dietitians (n = 29) from primary healthcare and hospitals in Sweden. Focus group transcripts were analysed thematically to find patterns in the data and identify themes. Results: Dietitians expressed striving to explore patients' narratives, capabilities, and resources before deciding on goals. They described different strategies in counseling patients and a lack of patient participation in the goal setting. They emphasized the difficulties of setting feasible goals due to discrepancies between their clinically oriented goals and patients' personal goals. Conclusion: Findings highlight a gap in the process of setting goals for patients at risk of malnutrition, where patients' participation was lacking. Education in SDM, and strategies and tools to support dietitians in involving patients in goal-setting, are required to bridge the gap and promote person-centeredness. Practice implications: Findings may be further used to develop tools and strategies, and design studies on the implementation of and education in SDM and goal-setting for malnutrition interventions.
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- 2022
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6. Staffs' Psychosocial Work Environment in Relation to Recipient Satisfaction in Home Care Services
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Kåreholt, Ingemar, Lundgren, Dan, Kabir, Zarina Nasar, Bostrom, Anne-Marie, Kåreholt, Ingemar, Lundgren, Dan, Kabir, Zarina Nasar, and Bostrom, Anne-Marie
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In accordance with ‘aging in place’ policy, older persons in Sweden are increasingly encouraged to continue living at home and if necessary be supported by home care service (HCS). Studies have examined whether the work environment of staff has an impact on the experiences and the wellbeing of the older persons in nursing homes, but few have examined such associations in HCS. The setting was 16 HCS work units. Two surveys were sent, one to staff on psychosocial working conditions, one to care recipients on care satisfaction. For each work unit, data on individual recipient satisfaction was matched to average values on psychosocial work conditions. Outcomes analyzed with linear regressions were overall recipient satisfaction, based on one question, and indexes on: assessment of implementation of services, contact with staff, and sense of security. Index on treatment by staff was analyzed with ordered logistic regressions due to skewed distribution. We used cluster correlated standard errors (clustering on work units). Results showed that good working conditions are important for recipient satisfaction, specifically overall recipient satisfaction, treatment by staff, and sense of security. Psychosocial work factors most important were work group climate, overall job strain, sense of mastery, job control, frustrated empathy, balancing competing needs, balancing emotional involvement, and lack of recognition. Having more home help hours was associated to stronger relation between working conditions and recipient satisfaction, especially with overall recipient satisfaction and treatment by staff as outcomes.
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- 2022
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7. Factors in the psychosocial work environment of staff are associated with satisfaction with care among older persons receiving home care services
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Bostrom, Anne-Marie, Lundgren, Dan, Kabir, Zarina Nahar, Kåreholt, Ingemar, Bostrom, Anne-Marie, Lundgren, Dan, Kabir, Zarina Nahar, and Kåreholt, Ingemar
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Older persons in Sweden are increasingly encouraged to continue living at home and, if necessary, be supported by home care services (HCS). Studies have examined whether the work environment of staff has an impact on the experiences and well-being of older persons in residential care facilities, but few have examined such associations in HCS. This study examined associations between home care staff's perceptions of their psychosocial work environment and satisfaction with care among older people receiving HCS. The setting was 16 HCS work units. Two surveys were conducted, one on psychosocial working conditions of staff, one on satisfaction of older persons receiving HCS. For each work unit, data on individual satisfaction were matched to average values concerning psychosocial work conditions. Outcomes analysed with linear regressions were overall satisfaction and indices regarding assessment of performance of services, contact with staff and sense of security. The index for treatment by staff was analysed with ordered logistic regressions. Cluster correlated-standard error clustering on work units was used. Results showed that good working conditions were important for satisfaction with care, specifically overall satisfaction, treatment by staff and sense of security. The most important psychosocial work factors were work group climate, sense of mastery, job control, overall job strain, frustrated empathy, balancing competing needs, balancing emotional involvement and lack of recognition. Receiving more HCS hours was associated with stronger relationships between working conditions and satisfaction with care, especially with overall satisfaction and treatment by staff as outcomes. Managers and policymakers for home care need to acknowledge that the working conditions of home care staff are crucial for the satisfaction of older persons receiving HCS, particularly those receiving many HCS hours. Psychosocial work factors together with job strain factors are areas to f
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- 2022
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8. The Use of Data for Process and Quality Improvement in Long Term Care and Home Care: A Systematic Review of the Literature
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Sales, Anne E., Bostrom, Anne-Marie, Bucknall, Tracey, Draper, Kellie, Fraser, Kimberly, Schalm, Corinne, and Warren, Sharon
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- 2012
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9. Using an electronic frailty index to predict adverse outcomes in geriatric COVID-19 patients: data from the Stockholm GeroCovid study
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Mak, Jonathan K. L., primary, Eriksdotter, Maria, additional, Annetorp, Martin, additional, Kuja-Halkola, Ralf, additional, Kananen, Laura, additional, Bostrom, Anne-Marie, additional, Kivipelto, Miia, additional, Metzner, Carina, additional, Back Jerlardtz, Viktoria, additional, Engstrom, Malin, additional, Johnson, Peter, additional, Lundberg, Lars Goran, additional, Akesson, Elisabet, additional, Suhl Oberg, Carina, additional, Olsson, Maria, additional, Cederholm, Tommy, additional, Hagg, Sara, additional, Religa, Dorota, additional, and Jylhava, Juulia, additional
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- 2021
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10. Development of an electronic frailty index for hospitalized geriatric patients in Sweden
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Mak, Jonathan K. L., primary, Hagg, Sara, additional, Eriksdotter, Maria, additional, Annetorp, Martin, additional, Kuja-Halkola, Ralf, additional, Kananen, Laura, additional, Bostrom, Anne-Marie, additional, Kivipelto, Miia, additional, Metzner, Carina, additional, Back Jerlardtz, Viktoria, additional, Engstrom, Malin, additional, Johnson, Peter, additional, Lundberg, Lars Goran, additional, Akesson, Elisabet, additional, Suhl Oberg, Carina, additional, Olsson, Maria, additional, Cederholm, Tommy, additional, Jylhava, Juulia, additional, and Religa, Dorota, additional
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- 2021
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11. Polypharmacy and Potential Drug–Drug Interactions in Home-Dwelling Older People – A Cross-Sectional Study
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Hermann,Monica, Carstens,Nina, Kvinge,Lars, Fjell,Astrid, Wennersberg,Marianne, Folleso,Kjersti, Skaug,Knut, Seiger,Ake, Cronfalk,Berit Seiger, and Bostrom,Anne-Marie
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Journal of Multidisciplinary Healthcare - Abstract
Monica Hermann,1 Nina Carstens,2 Lars Kvinge,1 Astrid Fjell,1,3 Marianne Wennersberg,4 Kjersti Folleso,5 Knut Skaug,6 Ake Seiger,7 Berit Seiger Cronfalk,3,8 Anne-Marie Bostrom1,3,9 1Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Stord, Norway; 2Hospital Pharmacies Enterprise, Western Norway, Bergen, Norway; 3Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institutet, Stockholm, Sweden; 4FOUSAM, Western Norway University of Applied Sciences, Haugesund, Norway; 5Bømlo Municipality, Hordaland, Norway; 6Department of Research and Innovation, Helse Fonna HF, Haugesund, Norway; 7Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; 8Department of Health Care Sciences, Palliative Research Centre Ersta Sköndal Bräcke University College, Stockholm, Sweden; 9Theme Aging, Karolinska University Hospital, Huddinge, SwedenCorrespondence: Monica Hermann Tel + 47 53491477Email monica.hermann@hvl.noBackground: Risks associated with polypharmacy and drug–drug interactions represent a challenge in drug treatment, especially in older adults. The aim of the present study was to assess the use of prescription and non-prescription drugs and the frequency of potential drug–drug interactions in home-dwelling older individuals.Methods: A cross-sectional study design was applied. Data were collected during preventive home visits among individuals aged ≥ 75 in three separate communities of Western Norway. A questionnaire, which was filled out by the individual, their next-of-kin, and the nurse performing the home visit was used for the collection of demographic and clinical data (age, sex, medication use, diagnoses, need of assistance with drug administration). Potential drug–drug interactions were identified electronically by IBM Micromedex Drug Interaction Checking. Point prevalence of potential drug–drug interactions and polypharmacy (≥ 5 drugs) were calculated. Binary logistic regression analyses were performed to assess factors potentially associated with polypharmacy or potential drug–drug interactions.Results: Among the 233 individuals (mean age 78± 3 years, 46% male) included in the study, 43% used ≥ 5 drugs, 3.4% ≥ 10 drugs, while 4.3% used no drugs. In 54% of the 197 individuals using two or more drugs, at least one potential drug–drug interaction was detected. Low-dose aspirin and simvastatin were most frequently involved in potential drug–drug interactions. In total, 25% of the individuals reported current use of drugs sold over the counter of which more than 95% were analgesic drugs. Potential drug–drug interactions involving ibuprofen were identified in nine of 11 (82%) individuals using over-the-counter ibuprofen.Conclusion: The study revealed a high prevalence of polypharmacy and potential drug–drug interactions with both prescription and non-prescription drugs in older home-dwelling individuals. Close monitoring of the patients at risk of drug–drug interactions, and increased awareness of the potential of over-the-counter drugs to cause drug–drug interactions, is needed.Keywords: drug–drug interactions, polypharmacy, home-dwelling, old people
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- 2021
12. Response and Adherence of Nursing Home Residents to a Nutrition/Exercise Intervention
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Karlsson, Emelie S., Gronstedt, Helena K., Faxen-Irving, Gerd, Franzen, Erika, Luiking, Yvette C., Seiger, Ake, Vikstrom, Sofia, Wimo, Anders, Cederholm, Tommy, Bostrom, Anne-Marie, Karlsson, Emelie S., Gronstedt, Helena K., Faxen-Irving, Gerd, Franzen, Erika, Luiking, Yvette C., Seiger, Ake, Vikstrom, Sofia, Wimo, Anders, Cederholm, Tommy, and Bostrom, Anne-Marie
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Objectives: Interindividual response variability to nutrition and exercise interventions is extensive in older adults. A group of nursing home (NH) residents participated in a combined intervention. The objective of this post-hoc analysis was to identify factors associated with intervention response measured by change in physical function and body composition. Design: Post-hoc analyses in the Older Person's Exercise and Nutrition study, a 2-arm randomized trial. The primary outcomes were 30-second Chair Stand Test and composite scores combining physical function and fat-free mass. A secondary outcome was intervention adherence. A 12-week intervention of sit-to-stand exercises and protein-rich nutritional supplements did not improve chair-stand capacity vs control on intention-to-treat basis. Setting and Participants: Residents >75 years of age from dementia and somatic units in eight NHs in Sweden. Methods: Logistic regressions were performed to define factors associated with response (maintenance/ improvement) or nonresponse (deterioration) in 30-second Chair Stand Test, and with intervention adherence. Linear regressions were performed to explore factors associated with response in composite scores. Results: Mean age of participants (n = 52 intervention, n = 49 control) was 85.8 years. Sarcopenia was occurring in 74%. Sarcopenia at baseline (P = .005) and high adherence to nutritional supplements (P = .002) increased the odds of response. Higher independence in daily activities increased the odds of adherence to sit-to-stand exercises (P =.027) and the combined intervention (P = .020). Allocation to the intervention group and higher self-perceived health were associated with higher composite scores. Conclusions and Implications: NH residents with baseline sarcopenia, better self-perceived health, and high adherence to nutritional supplements benefitted most from a combined nutrition and exercise intervention regarding chair-stand capacity and composite scores o
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- 2021
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13. Identifying modifiable factors to improve quality for older adults in hospital: a scoping review
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Parke, Belinda, Hunter, Kathleen F., Bostrom, Anne-Marie, Chambers, Thane, and Manraj, Christina
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- 2014
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14. Age, Frailty, and Comorbidity as Prognostic Factors for Short-Term Outcomes in Patients With Coronavirus Disease 2019 in Geriatric Care
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Hagg, Sara, Jylhava, Juulia, Wang, Yunzhang, Xu, Hong, Metzner, Carina, Annetorp, Martin, Garcia-Ptacek, Sara, Khedri, Masih, Bostrom, Anne-Marie, Kadir, Ahmadul, Johansson, Anna, Kivipelto, Miia, Eriksdotter, Maria, Cederholm, Tommy, Religa, Dorota, Hagg, Sara, Jylhava, Juulia, Wang, Yunzhang, Xu, Hong, Metzner, Carina, Annetorp, Martin, Garcia-Ptacek, Sara, Khedri, Masih, Bostrom, Anne-Marie, Kadir, Ahmadul, Johansson, Anna, Kivipelto, Miia, Eriksdotter, Maria, Cederholm, Tommy, and Religa, Dorota
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Objectives: To analyze whether frailty and comorbidities are associated with in-hospital mortality and discharge to home in older adults hospitalized for coronavirus disease 2019 (COVID-19). Design: Single-center observational study. Setting and Participants: Patients admitted to geriatric care in a large hospital in Sweden between March 1 and June 11, 2020; 250 were treated for COVID-19 and 717 for other diagnoses. Methods: COVID-19 diagnosis was clinically confirmed by positive reverse transcription polymerase chain reaction test or, if negative, by other methods. Patient data were extracted from electronic medical records, which included Clinical Frailty Scale (CFS), and were further used for assessments of the Hospital Frailty Risk Score (HFRS) and the Charlson Comorbidity Index (CCI). In-hospital mortality and home discharge were followed up for up to 25 and 28 days, respectively. Multivariate Cox regression models adjusted for age and sex were used. Results: Among the patients with COVID-19, in-hospital mortality rate was 24% and home discharge rate was 44%. Higher age was associated with in-hospital mortality (hazard ratio [HR] 1.05 per each year, 95% confidence interval [CI] 1.01.1.08) and lower probability of home discharge (HR 0.97, 95% CI 0.95.0.99). CFS (>5) and CCI, but not HFRS, were predictive of in-hospital mortality (HR 1.93, 95% CI 1.02.3.65 and HR 1.27, 95% CI 1.02.1.58, respectively). Patients with CFS >5 had a lower probability of being discharged home (HR 0.38, 95% CI 0.25.0.58). CCI and HFRS were not associated with home discharge. In general, effects were more pronounced in men. Acute kidney injury was associated with in-hospital mortality and hypertension with discharge to home. Other comorbidities (diabetes, cardiovascular disease, lung diseases, chronic kidney disease and dementia) were not associated with either outcome. Conclusions and Implications: Of all geriatric patients with COVID-19, 3 out of 4 survived during the study perio
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- 2020
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15. Effect of Sit-to-Stand Exercises Combined With Protein-Rich Oral Supplementation in Older Persons : The Older Person's Exercise and Nutrition Study
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Gronstedt, Helena, Vikstrom, Sofia, Cederholm, Tommy, Franzen, Erika, Luiking, Yvette C., Seiger, Ake, Wimo, Anders, Faxen-Irving, Gerd, Bostrom, Anne-Marie, Gronstedt, Helena, Vikstrom, Sofia, Cederholm, Tommy, Franzen, Erika, Luiking, Yvette C., Seiger, Ake, Wimo, Anders, Faxen-Irving, Gerd, and Bostrom, Anne-Marie
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Objectives: Nursing home (NH) residents are often undernourished and physically inactive, which contributes to sarcopenia and frailty. The Older Person's Exercise and Nutrition Study aimed to investigate the effects of sit-to-stand exercises (STS) integrated into daily care, combined with a protein-rich oral nutritional supplement (ONS), on physical function, nutritional status, body composition, health-related quality of life, and resource use. Design: Residents in 8 NHs were randomized by NH units into an intervention group (IG) or a control group (CG) (n = 60/group). The IG was a combination of STS (4 times/day) and ONS (2 bottles/day providing 600 kcal and 36 g protein) for 12 weeks. Setting and Participants: The participants resided in NH units (dementia and somatic care), were >= 75 years of age, and able to rise from a seated position. Methods: The 30-second Chair Stand Test was the primary outcome. Secondary outcomes were balance, walking speed, dependence in activities of daily living, nutritional status and body composition, health-related quality of life, and resource use. Results: Altogether, 102 residents (age 86 +/- 5 years, 62% female) completed the study. No improvement in the physical function assessments was observed in the IG, whereas body weight increased significantly (2.05 +/- 3.5 kg, P = .013) vs the CG. Twenty-one (of 52) participants with high adherence to the intervention (ie, at least 40% compliance to the combined intervention) increased their fat free mass (2.12 kg (0.13, 4.26 interquartile range), P = .007 vs CG). Logistic regression analyses indicated that the odds ratio for maintained/improved 30-second Chair Stand Test was 3.5 (confidence interval 1.1, 10.9, P = .034) among the participants with high adherence compared with the CG. Conclusions/Implications: Twelve-week intervention of daily STS combined with ONS in NH residents did not improve physical function, but increased body weight. Subgroup analyses indicated that high adhe
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- 2020
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16. Predictive Performance of the FIF Screening Tool in 2 Cohorts of Community-Living Older Adults
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Frisendahl, Nathalie, Ek, Stina, Rosendahl, Erik, Bostrom, Anne-Marie, Fagerstrom, Cecilia, Elmstahl, Solve, Welmer, Anna-Karin, Frisendahl, Nathalie, Ek, Stina, Rosendahl, Erik, Bostrom, Anne-Marie, Fagerstrom, Cecilia, Elmstahl, Solve, and Welmer, Anna-Karin
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Objectives: The First-time Injurious Fall (FIF) screening tool was created to identify fall risk in communityliving older adults who may benefit from primary preventive interventions. The aim of this study was to evaluate the predictive performance of the FIF tool in 2 cohorts of older adults. Design: Longitudinal cohort study. Setting and Participants: The Swedish National Study on Aging and Care in Skane (SNAC-S) and Blekinge (SNAC-B), Sweden. Community-living people aged >= 60 years (n = 2766). Methods: Nurses and physicians collected data in the 2 cohorts through interviews and testing. Data on injurious falls were collected from register data and were defined as receipt of care after a fall. The FIF tool, consisting of 3 questions and 1 balance test, was examined in relation to injurious falls for up to 5 years of follow-up using Cox proportional hazards models. The predictive performance of the FIF tool was further explored using Harrell C statistic and Youden cut-off for sensitivity and specificity. Results: The hazard ratios (HRs) of an injurious fall in the high-risk group for women and men were 3.80 (95% confidence interval [CI] 2.53, 5.73) and 5.10 (95% CI 2.57, 10.12) in SNAC-S and 4.45 (95% CI 1.86, 10.61) and 32.58 (95% CI 4.30, 247.05) in SNAC-B compared with those in the low risk group. The sensitivity and specificity of the Youden cut-off point (3 or higher for high-risk) were 0.64 and 0.69 for women and 0.68 and 0.69 for men in SNAC-S, and 0.64 and 0.74 for women and 0.94 and 0.68 for men in SNAC-B. The predictive values (Harrell C statistic) for the scores for women and men were 0.73 and 0.74 in SNAC-S and 0.72 and 0.89 in SNAC-B. Conclusions and Implications: Our results suggest that the FIF tool is a valid tool to use for prediction of first-time injurious falls in community-living older adults. (C) 2020 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
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- 2020
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17. In Conversation with a Frontline Worker in a Care Home in Sweden during the COVID-19 Pandemic
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Kabir, Zarina N., Bostrom, Anne-Marie, Konradsen, Hanne, Kabir, Zarina N., Bostrom, Anne-Marie, and Konradsen, Hanne
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- 2020
18. Feedback reporting of survey data to healthcare aides
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Hutchinson Alison M, Batra-Garga Neha, Cranley Lisa, Bostrom Anne-Marie, Cummings Greta, Norton Peter, and Estabrooks Carole A
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Medicine (General) ,R5-920 - Abstract
Abstract Background This project occurred during the course of the Translating Research in Elder Care (TREC) program of research. TREC is a multilevel and longitudinal research program being conducted in the three Canadian Prairie Provinces of Alberta, Saskatchewan, and Manitoba. The main purpose of TREC is to increase understanding about the role of organizational context in influencing knowledge use in residential long-term care settings. The purpose of this study was to evaluate healthcare aides’ (HCAs) perceptions of a one-page poster designed to feed back aggregated data (including demographic information and perceptions about influences on best practice) from the TREC survey they had recently completed. Methods A convenience sample of 7 of the 15 nursing homes participating in the TREC research program in Alberta were invited to participate. Specific facility-level summary data were provided to each facility in the form of a one-page poster report. Two weeks following delivery of the report, a convenience sample of HCAs was surveyed using one-to-one structured interviews. Results One hundred twenty-three HCAs responded to the evaluation survey. Overall, HCAs’ opinions about presentation of the feedback report and the understandability, usability, and usefulness of the content were positive. For each report, analysis of data and production and inspection of the report took up to one hour. Information sessions to introduce and explain the reports averaged 18 minutes. Two feedback reports (minimum) were supplied to each facility at a cost of CAN$2.39 per report, for printing and laminating. Conclusions This study highlights not only the feasibility of producing understandable, usable, and useful feedback reports of survey data but also the value and importance of providing feedback to survey respondents. More broadly, the findings suggest that modest strategies may have a positive and desirable effect in participating sites.
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- 2012
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19. Factors affecting job satisfaction in long‐term care unit managers, directors of care and facility administrators: A secondary analysis
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Aloisio, Laura D., primary, Baumbusch, Jennifer, additional, Estabrooks, Carole A., additional, Bostrom, Anne‐Marie, additional, Chamberlain, Stephanie, additional, Cummings, Greta G., additional, Thompson, Genevieve, additional, and Squires, Janet E., additional
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- 2019
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20. Perpetuating harms from isolation among older adults with cognitive impairment : observed discrepancies in homecare service documentation, assessment and approval practices
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Nilsson, Ingeborg, Luborsky, Mark, Rosenberg, Lena, Sandberg, Linda, Bostrom, Anne-Marie, Borell, Lena, Nilsson, Ingeborg, Luborsky, Mark, Rosenberg, Lena, Sandberg, Linda, Bostrom, Anne-Marie, and Borell, Lena
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Background: Older persons with cognitive impairment (CI) risk social isolation. Strong evidence shows that perceived loneliness, or inadequate social networks, triggers and increases health problems. How homecare systems address social participation remains unknown; anecdotal data suggests there are significant gaps. This study's objective was to identify and describe how the assessors of homecare needs document social participation among persons with CI and how their documentation corresponds with the services actually provided to meet social needs. The research questions were: How and what kinds of social participation needs are documented on need assessment forms? What types of homecare services (with a social focus) are documented and approved? How are specified needs in social participation profiles addressed by a homecare service? Methods: Descriptive data from need assessment forms and their attached care plans for all applicants aged 65+ were collected during a 2 month period from a large homecare agency serving a municipality in Sweden. Persons with documented CI (n = 43) in the group were identified. Qualitative data analysis was conducted to examine the research questions. Results: Social participation factors were not documented consistently. The relationship between recognition of limitations to social participation and approval of service eligibility was not consistent. Social participation was designated by references to social status, sometimes by social network size, and occasionally by limitations to social participation. The range of approved homecare services (with social focus) covered services such as day care center visits or companionship. Three profiles of social participation were identified: clients with, (a) no participation limitations; (b) potential limitations; and (c) marked limitations. Conclusion: Given the known health harms from social isolation and the high risk of isolation among older persons with CI, this novel study's documen
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- 2018
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21. Oral health and dental care of older persons-A systematic map of systematic reviews
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Astvaldsdottir, Alfheidur, Bostrom, Anne-Marie, Davidson, Thomas, Gabre, Pia, Gahnberg, Lars, Englund, Gunilla Sandborgh, Skott, Pia, Stahlnacke, Katri, Tranaeus, Sofia, Wilhelmsson, Hanna, Wardh, Inger, Ostlund, Pernilla, Nilsson, Mikael, Astvaldsdottir, Alfheidur, Bostrom, Anne-Marie, Davidson, Thomas, Gabre, Pia, Gahnberg, Lars, Englund, Gunilla Sandborgh, Skott, Pia, Stahlnacke, Katri, Tranaeus, Sofia, Wilhelmsson, Hanna, Wardh, Inger, Ostlund, Pernilla, and Nilsson, Mikael
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Objectives: To examine the current knowledge on oral health status and dental care of older persons through a systematic mapping of systematic reviews of low or moderate risk of bias. Background: Geriatric dentistry covers all aspects of oral health and oral care of older persons. Oral health is part of general health and contributes to a persons physical, psychological and social wellbeing. Methods: A literature search was performed in three different databases (PubMed, The Cochrane Library and Cinahl) within 12 domains: Dental caries, periodontitis, Orofacial pain and temporomandibular joint (TMJ) pain, mucosal lesions, oral motor function, dry mouth, halitosis, interaction between oral status and other medical conditions, ability to interrelate and communicate, quality of life, ethics and organisation of dental care for older persons. Systematic reviews were identified and scrutinised, highlighting scientific knowledge and knowledge gaps. Results: We included 32 systematic reviews of which 14 were judged to be of low/moderate risk of bias. Most of the domains lack systematic reviews with low or moderate risk of bias. In two of the domains evidence was identified; in institutionalised people aged 65 or older, effective oral hygiene can prevent pneumonia. Furthermore, there is an evidence of a relationship between malnutrition (protein energy-related malnutrition, PEM) and poor appetite and edentulousness. Conclusions: There is an urgent need for further research and evidence-based knowledge within most domains in geriatric dentistry and in other fields related to oral health and dental care for older persons striving for multi-disciplinary research programmes.
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- 2018
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22. Factors associated with evidence-based practice among registered nurses in Sweden : a national cross-sectional study
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Bostrom, Anne-Marie, Rudman, Ann, Ehrenberg, Anna, Gustavsson, Jens Petter, Wallin, Lars, Bostrom, Anne-Marie, Rudman, Ann, Ehrenberg, Anna, Gustavsson, Jens Petter, and Wallin, Lars
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Background: Evidence-based practice (EBP) is emphasized to increase the quality of care and patient safety. EBP is often described as a process consisting of distinct activities including, formulating questions, searching for information, compiling the appraised information, implementing evidence, and evaluating the resulting practice. To increase registered nurses' (RNs') practice of EBP, variables associated with such activities need to be explored. The aim of the study was to examine individual and organizational factors associated with EBP activities among RNs 2 years post graduation. Methods: A cross-sectional design based on a national sample of RNs was used. Data were collected in 2007 from a cohort of RNs, included in the Swedish Longitudinal Analyses of Nursing Education/Employment study. The sample consisted of 1256 RNs (response rate 76%). Of these 987 RNs worked in healthcare at the time of the data collection. Data was self-reported and collected through annual postal surveys. EBP activities were measured using six single items along with instruments measuring individual and work-related variables. Data were analyzed using logistic regression models. Results: Associated factors were identified for all six EBP activities. Capability beliefs regarding EBP was a significant factor for all six activities (OR = 2.6 - 7.3). Working in the care of older people was associated with a high extent of practicing four activities (OR = 1.7 - 2.2). Supportive leadership and high collective efficacy were associated with practicing three activities (OR = 1.4 - 2.0). Conclusions: To be successful in enhancing EBP among newly graduated RNs, strategies need to incorporate both individually and organizationally directed factors., Open Access
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- 2013
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23. A Profile of Regulated Nurses Employed in Canadian Long-Term Care Facilities
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Squires, Janet E., Baumbusch, Jennifer, Varin, Melissa Demery, MacDonald, Ibo, Chamberlain, Stephanie, Boström, Anne-Marie, Thompson, Genevieve, Cummings, Greta, and Estabrooks, Carole A.
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- 2019
24. Nursing home administrators’ perspectives on a study feedback report : a cross sectional survey
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Bostrom, Anne-Marie, Cranley, Lisa A., Hutchinson, Alison M., Cummings, Greta G., Norton, Peter G., Estabrooks, Carole A., Bostrom, Anne-Marie, Cranley, Lisa A., Hutchinson, Alison M., Cummings, Greta G., Norton, Peter G., and Estabrooks, Carole A.
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Background This project is part of the Translating Research in Elder Care (TREC) program of research, a multi-level and longitudinal research program being conducted in 36 nursing homes in three Canadian Prairie Provinces. The overall goal of TREC is to improve the quality of care for older persons living in nursing homes and the quality of work life for care providers. The purpose of this paper is to report on development and evaluation of facility annual reports (FARs) from facility administrators’ perspectives on the usefulness, meaningfulness, and understandability of selected data from the TREC survey. Methods A cross sectional survey design was used in this study. The feedback reports were developed in collaboration with participating facility administrators. FARs presented results in four contextual areas: workplace culture, feedback processes, job satisfaction, and staff burnout. Six weeks after FARs were mailed to each administrator, we conducted structured telephone interviews with administrators to elicit their evaluation of the FARs. Administrators were also asked if they had taken any actions as a result of the FAR. Descriptive and inferential statistics, as well as content analysis for open-ended questions, were used to summarize findings. Results Thirty-one facility administrators (representing thirty-two facilities) participated in the interviews. Six administrators had taken action and 18 were planning on taking action as a result of FARs. The majority found the four contextual areas addressed in FAR to be useful, meaningful, and understandable. They liked the comparisons made between data from years one and two and between their facility and other TREC study sites in their province. Twenty-two indicated that they would like to receive information on additional areas such as aggressive behaviours of residents and information sharing. Twenty-four administrators indicated that FARs contained enough
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- 2012
25. Feedback reporting of survey data to healthcare aides
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Hutchinson, Alison M., Batra-Garga, Neha, Cranley, Lisa, Bostrom, Anne-Marie, Cummings, Greta, Norton, Peter, Estabrooks, Carole A., Hutchinson, Alison M., Batra-Garga, Neha, Cranley, Lisa, Bostrom, Anne-Marie, Cummings, Greta, Norton, Peter, and Estabrooks, Carole A.
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Background This project occurred during the course of the Translating Research in Elder Care (TREC) program of research. TREC is a multilevel and longitudinal research program being conducted in the three Canadian Prairie Provinces of Alberta, Saskatchewan, and Manitoba. The main purpose of TREC is to increase understanding about the role of organizational context in influencing knowledge use in residential long-term care settings. The purpose of this study was to evaluate healthcare aides’ (HCAs) perceptions of a one-page poster designed to feed back aggregated data (including demographic information and perceptions about influences on best practice) from the TREC survey they had recently completed. Methods A convenience sample of 7 of the 15 nursing homes participating in the TREC research program in Alberta were invited to participate. Specific facility-level summary data were provided to each facility in the form of a one-page poster report. Two weeks following delivery of the report, a convenience sample of HCAs was surveyed using one-to-one structured interviews. Results One hundred twenty-three HCAs responded to the evaluation survey. Overall, HCAs’ opinions about presentation of the feedback report and the understandability, usability, and usefulness of the content were positive. For each report, analysis of data and production and inspection of the report took up to one hour. Information sessions to introduce and explain the reports averaged 18 minutes. Two feedback reports (minimum) were supplied to each facility at a cost of CAN$2.39 per report, for printing and laminating. Conclusions This study highlights not only the feasibility of producing understandable, usable, and useful feedback reports of survey data but also the value and importance of providing feedback to survey respondents. More broadly, the findings suggest that modest strategies may have a
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- 2012
26. A data quality control program for computer-assisted personal interviews
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Squires, Janet E., Hutchinson, Alison M., Bostrom, Anne-Marie, Deis, Kelly, Norton, Peter G., Cummings, Greta G., Estabrooks, Carole A., Squires, Janet E., Hutchinson, Alison M., Bostrom, Anne-Marie, Deis, Kelly, Norton, Peter G., Cummings, Greta G., and Estabrooks, Carole A.
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Researchers strive to optimize data quality in order to ensure that study findings are valid and reliable. In this paper, we describe a data quality control program designed to maximize quality of survey data collected using computer-assisted personal interviews. The quality control program comprised three phases: (1) software development, (2) an interviewer quality control protocol, and (3) a data cleaning and processing protocol. To illustrate the value of the program, we assess its use in the Translating Research in Elder Care Study. We utilize data collected annually for two years from computer-assisted personal interviews with 3004 healthcare aides. Data quality was assessed using both survey and process data. Missing data and data errors were minimal. Mean and median values and standard deviations were within acceptable limits. Process data indicated that in only 3.4% and 4.0% of cases was the interviewer unable to conduct interviews in accordance with the details of the program. Interviewers’ perceptions of interview quality also significantly improved between Years 1 and 2. While this data quality control program was demanding in terms of time and resources, we found that the benefits clearly outweighed the effort required to achieve high-quality data.
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- 2012
27. To what extent do nurses use research in clinical practice? A systematic review
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Squires, Janet E., Hutchinson, Alison M., Bostrom, Anne-Marie, O'Rourke, Hannah M., Cobban, Sandra J., Estabrooks, Carole A., Squires, Janet E., Hutchinson, Alison M., Bostrom, Anne-Marie, O'Rourke, Hannah M., Cobban, Sandra J., and Estabrooks, Carole A.
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Background : In the past forty years, many gains have been made in our understanding of the concept of research utilization. While numerous studies exist on professional nurses' use of research in practice, no attempt has been made to systematically evaluate and synthesize this body of literature with respect to the extent to which nurses use research in their clinical practice. The objective of this study was to systematically identify and analyze the available evidence related to the extent to which nurses use research findings in practice. Methods : This study was a systematic review of published and grey literature. The search strategy included 13 online bibliographic databases: Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, EMBASE, HAPI, Web of Science, SCOPUS, OCLC Papers First, OCLC WorldCat, ABI Inform, Sociological Abstracts, and Dissertation Abstracts. The inclusion criteria consisted of primary research reports that assess professional nurses' use of research in practice, written in the English or Scandinavian languages. Extent of research use was determined by assigning research use scores reported in each article to one of four quartiles: low, moderate-low, moderate-high, or high. Results : Following removal of duplicate citations, a total of 12,418 titles were identified through database searches, of which 133 articles were retrieved. Of the articles retrieved, 55 satisfied the inclusion criteria. The 55 final reports included cross-sectional/survey (n = 51) and quasi-experimental (n = 4) designs. A sensitivity analysis, comparing findings from all reports with those rated moderate (moderate-weak and moderate-strong) and strong quality, did not show significant differences. In a majority of the articles identified (n = 38, 69%), nurses reported moderate-high research use. Conclusions : According to this review, nurses' reported use of research is moderate-hig
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- 2011
28. Identifying modifiable factors to improve quality for older adults in hospital: a scoping review
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Parke, Belinda, primary, Hunter, Kathleen F., additional, Bostrom, Anne‐Marie, additional, Chambers, Thane, additional, and Manraj, Christina, additional
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- 2012
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29. A Data Quality Control Program for Computer-Assisted Personal Interviews
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Squires, Janet E., primary, Hutchinson, Alison M., additional, Bostrom, Anne-Marie, additional, Deis, Kelly, additional, Norton, Peter G., additional, Cummings, Greta G., additional, and Estabrooks, Carole A., additional
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- 2012
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