liu.seSearch for publications in DiVA
Change search
Link to record
Permanent link

Direct link
BETA
Idvall, Ewa
Alternative names
Publications (10 of 63) Show all publications
Suhonen, R., Berg, A., Idvall, E., Kalafati, M., Katajisto, J., Land, L., . . . Leino-Kilpi, H. (2010). Adapting the Individualized Care Scale for cross-cultural comparison. SCANDINAVIAN JOURNAL OF CARING SCIENCES, 24(2), 392-403
Open this publication in new window or tab >>Adapting the Individualized Care Scale for cross-cultural comparison
Show others...
2010 (English)In: SCANDINAVIAN JOURNAL OF CARING SCIENCES, ISSN 0283-9318, Vol. 24, no 2, p. 392-403Article in journal (Refereed) Published
Abstract [en]

Rationale: Cross-cultural comparative studies using reliable and valid instruments can increase awareness of the differences and similarities between health workers ability to respond to patients individual needs within different health systems. This will enable a better understanding of cultural perspectives in individualized nursing care. Aim: To describe the translation and adaptation process of the Individualized Care Scale (ICS) and examine its reliability and validity in a cross-cultural study. Design: A cross-sectional comparative study. Settings: Twenty-seven orthopaedic and trauma in-patient units at 14 hospitals in 5 countries. Participants: A total of 1126 patients were included in the study: Finland (n = 425), Greece (n = 315), Sweden (n = 218), UK (n = 135) and USA (n = 33). Methods: A systematic forward-and back-translation procedure using bilingual techniques, a committee approach, pretest techniques and pilot testing were used with a convenience sample to produce a valid ICS for each participating group. Psychometric evaluation of the adapted ICS was based on means, SD, missing data analysis, Cronbachs alpha coefficients and average inter-item correlations. Construct validity was examined using sub-scale correlations to total scales and principal components analysis. Results: The use of the range of options and the sub-scale mean scores ranging from 2.72 to 4.30 demonstrated the sensitivity of the scale. Cronbachs alpha coefficients (0.77-0.97) and average inter-item correlations (0.37-0.77) were acceptable. The sub-scale correlations to total scales were high (0.83-0.97). The underlying theoretical construct of the ICS was demonstrated by the explained variances ranging from 58% to 79%. Conclusions: The ICS shows promise as a tool for evaluating individualized care in European cultures. The international expansion of an existing instrument developed for one country facilitates comparative studies across countries. There is a need to further test the construct validity and appropriateness of the ICS in different settings in European and nonwestern cultures.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2010
Keywords
individualized nursing care, inpatients, cross-cultural comparison, instrument adaptation
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-56679 (URN)10.1111/j.1471-6712.2009.00712.x (DOI)000277713500024 ()
Available from: 2010-05-31 Created: 2010-05-31 Last updated: 2010-05-31
Söderhamn, U., Christensson, L., Idvall, E., Johansson, A. & Bachrach-Lindström, M. (2010). Factors associated with nutritional risk in 75-year-old community living people. International Journal of Older People Nursing
Open this publication in new window or tab >>Factors associated with nutritional risk in 75-year-old community living people
Show others...
2010 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743Article in journal (Refereed) Published
Abstract [en]

Aim.  To identify risk factors for being at nutritional risk, by means of a nutritional screening, in a population based sample of 75-year-old people living in three county councils in Sweden.

Background.  Undernutrition in older people is known to contribute to poor health. The instrument ‘Nutritional Form For the Elderly’ (NUFFE) helps to identify those at nutritional risk.

Method.  The screening instrument ‘Nutritional Form For the Elderly’, background variables and health related questions were mail distributed. A total of 1461 persons (75 years old) were included in the study. Descriptive statistical methods were used in the analyses.

Results.  One percent of the participants had high risk, 21.3% medium and 77.7% low risk for undernutrition. Medium or high risk was predicted by: living alone, receiving help and impaired perceived health. Low Body Mass Index was associated with low risk for undernutrition.

Conclusion.  By using a simple nutritional screening instrument, significant risk factors were highlighted.

Relevance to practice.  This instrument can identify older people at nutritional risk and is easy to use. Older people living alone have an increased risk of undernutrition. Body Mass Index (BMI) should be used with caution as one and only indicator of nutritional risk in older people.

Keywords
home-dwelling;nutritional screening;older people;perceived health
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-60549 (URN)10.1111/j.1748-3743.2010.00242.x (DOI)
Available from: 2010-10-18 Created: 2010-10-18 Last updated: 2017-12-12
Athlin, E., Idvall, E., Jernfalt, M. & Johansson, I. (2010). Factors of importance to the development of pressure ulcers in the care trajectory: perceptions of hospital and community care nurses. Journal of Clinical Nursing, 19(15-16), 2252-2258
Open this publication in new window or tab >>Factors of importance to the development of pressure ulcers in the care trajectory: perceptions of hospital and community care nurses
2010 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 15-16, p. 2252-2258Article in journal (Refereed) Published
Abstract [en]

Aim. The study aimed at describing contributing factors for the progression or regression of pressure ulcers in the care trajectory as they were understood by nurses working in hospitals or community care. Background. The development of pressure ulcers is considered to be connected with early prevention and awareness among nurses and some studies have indicated that the care trajectory may be a weak point. Design. The study was carried out with a qualitative design. Method. Fifteen nurses from two Swedish hospitals and 15 nurses from community care were interviewed during 2005. Qualitative content analysis was used to make an understanding of patterns possible. Findings. Three main categories arose, showing that pressure ulcers were considered to be affected in the care trajectory by factors related to the individual patient, to the healthcare personnel and to the healthcare structure. Hospital and community care nurses mostly had corresponding perceptions of these factors. Conclusion. The study both confirmed previous findings and added new knowledge about factors that may affect pressure ulcer in the trajectory of care. The informants views of nurses responsibilities and their attitudes towards the care of pressure ulcers could, along with their views on the organisation of care, increase the understanding of the occurrence of pressure ulcers. The need for development and clarification of the organisation and responsibility of pressure ulcer care in the care trajectory was stressed. Relevance to clinical practice. The study highlighted attitudes and values among registered nurses, as well as to how to preserve their commitment and increase their knowledge concerning prevention of pressure ulcers.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2010
Keywords
care trajectory; co-operation; nursing care; pressure ulcers; qualitative interviews
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-58190 (URN)10.1111/j.1365-2702.2009.02886.x (DOI)000279937600020 ()
Available from: 2010-08-11 Created: 2010-08-09 Last updated: 2017-12-12
Berg, K., Idvall, E., Nilsson, U., Franzén Årestedt, K. & Unosson, M. (2010). Psychometric evaluation of the post-discharge surgical recovery scale. Journal of Evaluation In Clinical Practice, 16(4), 794-801
Open this publication in new window or tab >>Psychometric evaluation of the post-discharge surgical recovery scale
Show others...
2010 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 16, no 4, p. 794-801Article in journal (Refereed) Published
Abstract [en]

Rationale, aim and objectives Day surgery patients are discharged after a short period of postoperative surveillance, and reliable and valid instruments for assessment at home are needed. The aim of this study was to evaluate the psychometric properties of a Swedish version of the post-discharge surgical recovery (PSR) scale, an instrument to monitor the patients recovery after day surgery, in terms of data quality, internal consistency, dimensionality and responsiveness. Methods Data were collected on postoperative days 1 and 14 and included 525 patients. Data quality and internal consistency were evaluated using descriptive statistics, correlation analyses and Cronbachs alpha. The dimensionality of the scale was determined through an exploratory factor analysis. Responsiveness was evaluated using the standardized response mean and the area under the receiver operating characteristics curve (AUC). The correlation between change score in PSR and change score in self-rated health was assessed using Pearsons correlation coefficient. Patients ability to work and their self-rated health on postoperative day 14 were used as external indicators of change. Results Six items showed floor or ceiling effects. Cronbachs coefficient alpha was 0.90 and the average inter-item correlation coefficient was 0.44 after the deletion of two items. The items were closely related to each other, and a one-factor solution was decided on. A robust ability to detect changes in recovery (standardized response mean = 1.14) was shown. The AUC for the entire scale was 0.60. When initial PSR scores were categorized into three intervals, the ability to detect improved and non-improved patients varied (AUC 0.58-0.81). There was a strong correlation between change scores in PSR and health (0.63). Conclusions The Swedish version of the PSR scale demonstrates acceptable psychometric properties of data quality, internal consistency, dimensionality and responsiveness. In addition to previous findings, these results strengthen the PSR scale as a potential instrument of recovery at home.

Place, publisher, year, edition, pages
Blackwell Publishing Ltd, 2010
Keywords
day surgery; postoperative period; psychometrics; questionnaire; recovery; validation study
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-58188 (URN)10.1111/j.1365-2753.2009.01197.x (DOI)000279901700019 ()
Note

This is the authors’ version of the following article: Katarina Berg, Ewa Idvall, Ulrica Nilsson, Kristofer Franzén Årestedt and Mitra Unosson, Psychometric evaluation of the post-discharge surgical recovery scale, 2010, Journal of Evaluation In Clinical Practice, (16), 4, 794-801. which has been published in final form at: http://dx.doi.org/10.1111/j.1365-2753.2009.01197.x Copyright: Blackwell Publishing Ltd http://eu.wiley.com/WileyCDA/Brand/id-35.html

Available from: 2010-08-11 Created: 2010-08-09 Last updated: 2017-12-12Bibliographically approved
Wåhlin, I., Ek, A.-C. & Idvall, E. (2010). Staff empowerment in intensive care: nurses' and physicians' lived experiences. Intensive and Critical Care Nursing, 26(5), 262-269
Open this publication in new window or tab >>Staff empowerment in intensive care: nurses' and physicians' lived experiences
2010 (English)In: Intensive and Critical Care Nursing, ISSN 0964-3397, Vol. 26, no 5, p. 262-269Article in journal (Other academic) Published
Abstract [en]

Aim

The purpose of the study was to describe empowerment from the perspective of intensive care staff. What makes intensive care staff experience inner strength and power?

Background

Intensive care staff are repeatedly exposed to traumatic situations and demanding events, which could result in stress and burnout symptoms. A higher level of psychological empowerment at the workplace is associated with increased work satisfaction and mental health, fewer burnout symptoms and a decreased number of sick leave days.

Method

Open-ended interviews were conducted with 12 intensive care unit (ICU) staff (four registered nurses, four enrolled nurses and four physicians) in southern Sweden. Data were analysed using a phenomenological method.

Findings

Intensive care staff were found to be empowered both by internal processes such as feelings of doing good, increased self-esteem/self-confidence and increased knowledge and skills, and by external processes such as nourishing meetings, well functioning teamwork and a good atmosphere.

Conclusion

Findings show that not only personal knowledge and skills, but also a supporting atmosphere and a good teamwork, has to be focused and encouraged by supervisors in order to increase staff's experiences of empowerment. Staff also need a chance to feel that they do something good for patients, next of kin and other staff members.

Keywords
Critical care, workplace empowerment, empowering processes, work satisfaction, nurses, physicians, enrolled nurses, interview, experiences, phenomenology
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-17843 (URN)10.1016/j.iccn.2010.06.005 (DOI)20674363 (PubMedID)
Available from: 2009-04-22 Created: 2009-04-22 Last updated: 2010-11-12Bibliographically approved
Idvall, E., Berg, K., Unosson, M., Brudin, L. & Nilsson , U. (2009). Assessment of recovery after day surgery using a modified version of quality of recovery-40. ACTA ANAESTHESIOLOGICA SCANDINAVICA, 53(5), 673-677
Open this publication in new window or tab >>Assessment of recovery after day surgery using a modified version of quality of recovery-40
Show others...
2009 (English)In: ACTA ANAESTHESIOLOGICA SCANDINAVICA, ISSN 0001-5172 , Vol. 53, no 5, p. 673-677Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-18044 (URN)10.1111/j.1399-6576.2009.01914.x (DOI)
Available from: 2009-05-04 Created: 2009-05-04 Last updated: 2009-05-04
Råsmark Hammar, G., Ozolins, A., Idvall, E. & Rudebeck, C. E. (2009). Body image in adolescents with cerebral palsy. Journal of Child Health Care, 13(1), 19-29
Open this publication in new window or tab >>Body image in adolescents with cerebral palsy
2009 (English)In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 13, no 1, p. 19-29Article in journal (Refereed) Published
Abstract [en]

The study aims to describe important features of body image in adolescents with motor disabilities and compare them against similar features in able-bodied peers. Relational aspects of body image were given preference in a questionnaire distributed to 35 adolescents with cerebral palsy and 98 adolescents with no known disabilities. Similarities were shown, but also significant differences, indicating a less favourable body image in adolescents with cerebral palsy. It is paramount for young people who are constantly reminded of physical restrictions to experience body vitality. Professionals need to consider the importance of how they interact with young people when seeking to promote a positive body image

Place, publisher, year, edition, pages
Greycoat Publishing, 2009
Keywords
adolescents, body image, cerebral palsy, motor disability, phenomenology
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-45394 (URN)10.1177/1367493508098378 (DOI)000281503100003 ()82532 (Local ID)82532 (Archive number)82532 (OAI)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2017-12-13
Allvin, R., Ehnfors, M. & Idvall , E. (2009). Development of a questionnaire to measure patient-reported postoperative recovery: content validity and intra-patient reliability. JOURNAL OF EVALUATION IN CLINICAL PRACTICE, 15(3), 411-419
Open this publication in new window or tab >>Development of a questionnaire to measure patient-reported postoperative recovery: content validity and intra-patient reliability
2009 (English)In: JOURNAL OF EVALUATION IN CLINICAL PRACTICE, ISSN 1356-1294 , Vol. 15, no 3, p. 411-419Article in journal (Refereed) Published
Abstract [en]

In this study we describe the development of a short, easy-to-use questionnaire to measure postoperative recovery and evaluate its content validity and intra-patient reliability. The questionnaire is designed to evaluate the progress of postoperative recovery and the long-term follow-up of possible effects of interventions during recovery. The study involved four steps. (1) A conceptualization and item definitions were based on a theoretical framework and a description of patients postoperative recovery from the perspective of patients, registered nurses and surgeons; (2) Content validity of items was tested through expert judgements; (3) A test run of the questionnaire was performed to confirm its feasibility and workload requirement; and (4) The stability of the questionnaire was evaluated through intra-patient reliability assessment. As a result of the operationalization process of the concept postoperative recovery, five dimensions (physical symptoms, physical functions, psychological, social, activity) and 19 items were identified. Each item was formulated as a statement in the questionnaire. Content validity was judged to be high. After the pre-test of the questionnaire a revision with refinements in the layout was made. The vast majority of items showed a high level of intra-patient reliability. Based on a theoretical framework and empirical data, we developed a short and easy-to-use tentative questionnaire to measure patient-reported postoperative recovery. Initial support for content validity was established. The vast majority of items showed a high level of test-retest reliability.

Keywords
content validity, postoperative recovery, questionnaire, reliability
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-19131 (URN)10.1111/j.1365-2753.2008.01027.x (DOI)
Available from: 2009-06-12 Created: 2009-06-12 Last updated: 2009-06-12
Wåhlin, I., Ek, A.-C. & Idvall, E. (2009). Empowerment from the perspective of next of kin in intensive care. Journal of Clinical Nursing, 18(18), 2580-2587
Open this publication in new window or tab >>Empowerment from the perspective of next of kin in intensive care
2009 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 18, p. 2580-2587Article in journal (Refereed) Published
Abstract [en]

Aims and objectives. The aim of the study was to describe next of kin empowerment in an intensive care situation.

Background. Next of kin is important in reducing intensive care patients’ fear and anxiety. However, admission to an intensive care unit is often recognised as an extremely stressful event, causing next of kin to experience shock, fear, anxiety and vulnerability. More knowledge is needed about how next of kin in intensive care can be strengthen and empowered.

Design and methodology. The study was conducted using a phenomenological method and is based on ten interviews with intensive care patients’ next of kin.

Findings. Perceptions of both a genuine will and a capacity to help and relieve were found to be essential for next of kin’s experiences of empowerment in an intensive care situation. All informants were strengthened and empowered by a caring atmosphere in which they received continuous, straightforward and honest information that left room for hope, and in which closeness to the patient was facilitated and medical care was experienced as the best possible. Some of the informants were also strengthened by support from other family members and/or by being involved in caring for the patient.

Conclusions. The findings emphasise the essential entirety of what is done and how these acts are performed. A warm and positive atmosphere in which next of kin always feel welcome, are met with empathy in an unaffected way, are confirmed and receive support or advice when needed, are crucial to next of kin’s experiences of empowerment.

Relevance to clinical practice. Knowledge of how to empower next of kin in an intensive care situation allows caring staff to support these persons in a more sensitive and appropriate way. Findings underline the importance of creating caring relations.

Keywords
critical care, empowerment, experiences, family, interview, nurses
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-17842 (URN)10.1111/j.1365-2702.2008.02744.x (DOI)
Note
This is the authors’ version of the following article: Ingrid Wåhlin, Anna-Christina Ek and Ewa Idvall, Empowerment from the perspective of next of kin in intensive care, 2009, Journal of Clinical Nursing, (18), 18, 2580-2587. which has been published in final form at: http://dx.doi.org/10.1111/j.1365-2702.2008.02744.x Copyright: Blackwell Publishing Ltd http://www.blackwellpublishing.com/ Available from: 2009-08-28 Created: 2009-04-22 Last updated: 2017-12-13Bibliographically approved
Wåhlin, I., Ek, A.-C. & Idvall, E. (2009). Empowerment in Intensive Care: Patient experiences compared to next of kin and staff beliefs. Intensive & Critical Care Nursing, 25(6), 332-340
Open this publication in new window or tab >>Empowerment in Intensive Care: Patient experiences compared to next of kin and staff beliefs
2009 (English)In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 25, no 6, p. 332-340Article in journal (Refereed) Published
Abstract [en]

Experiences of critically ill patients are an important aspect of the quality of care in intensive care units. If next of kin and staff try to empower the patient, this is probably performed in accordance with their beliefs about what patients experience as empowering. As intensive care patients often have difficulties communicating, staff and next of kin need to interpret their wishes, but there is limited knowledge about how proper a picture next of kin and staff have of the intensive care patient’s experiences. The aim of this study was to compare intensive care patients’ experiences of empowerment with next of kin and staff beliefs. Interviews with 11 intensive care patients, 12 next of kin and 12 staff were conducted and analysed using a content analysis method. The findings show that the main content is quite similar between patient experiences, next of kin beliefs and staff beliefs, but a number of important differences were identified. Some of these differences were regarding how joy of life and the will to fight were generated, the character of relationships, teamwork, humour, hope and spiritual experiences. Staff and next of kin seemed to regard the patient as more unconscious than the patient him/herself did. 2

National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-17844 (URN)10.1016/j.iccn.2009.06.003 (DOI)
Available from: 2009-04-22 Created: 2009-04-22 Last updated: 2017-12-13Bibliographically approved
Organisations

Search in DiVA

Show all publications