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  1. Artikel ; Online: Associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among Swedish orthopaedic patients.

    Forsberg, Angelica

    International journal of orthopaedic and trauma nursing

    2020  Band 39, Seite(n) 100769

    Abstract: Background: The evaluation of one's physical health and psychological wellbeing may be subjective. Aspects of functional capacity, including the patients' own estimation of physical health and wellbeing, have been shown to be strong predictors of ... ...

    Abstract Background: The evaluation of one's physical health and psychological wellbeing may be subjective. Aspects of functional capacity, including the patients' own estimation of physical health and wellbeing, have been shown to be strong predictors of postoperative outcomes and should be the focus of further research.
    Aim: This study aimed to explore the associations between ASA classification, self-estimated physical health, psychological wellbeing and anxiety among orthopaedic patients.
    Methods: This was a longitudinal study using a quantitative approach.
    Settings: A central county hospital in northern Sweden.
    Results: A high ASA classification rated by anaesthetists was not associated with physical health and psychological wellbeing self-estimated as less than good. A high ASA classification was significantly associated with self-estimated anxiety prior to surgery. Three days and one month post-surgery, the situation was reversed, and the ASA I/II group, to a significantly higher extent, rated that they felt anxiety.
    Conclusion: Preoperative screening systems for orthopaedic patients should not only focus on the medical and objective physical issues but also include the patients' own estimation of their physical health and psychological wellbeing. It is essential that orthopaedic patients receive relevant information that provides a realistic outlook, as well as an honest and optimistic future view.
    Mesh-Begriff(e) Anxiety ; Humans ; Longitudinal Studies ; Orthopedics ; Research Design ; Sweden
    Sprache Englisch
    Erscheinungsdatum 2020-02-19
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2537649-4
    ISSN 1878-1292 ; 1878-1241
    ISSN (online) 1878-1292
    ISSN 1878-1241
    DOI 10.1016/j.ijotn.2020.100769
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Operating Theater Nurses' Main Concerns During Organ Procurement Procedures: A Grounded Theory Study.

    Andersson, Linda / Forsberg, Anna

    AORN journal

    2023  Band 119, Heft 1, Seite(n) e1–e11

    Abstract: The purpose of this study was to explore the experiences of perioperative nurses in Sweden (ie, operating theater nurses) associated with caring for a donor patient during organ procurement procedures. We sought to determine the nurses' main concerns and ...

    Abstract The purpose of this study was to explore the experiences of perioperative nurses in Sweden (ie, operating theater nurses) associated with caring for a donor patient during organ procurement procedures. We sought to determine the nurses' main concerns and how they dealt with them. Using constructivist grounded theory methodology, our participant sample included 10 nurses, one of whom self-identified as male. The average age of the participants was 51.8 years (range = 38 to 63 years). After interviewing the participants and coding their responses, we developed the core category of optimum organ procurement. The generated grounded theory comprises four main categories: brace oneself, facilitate, procurement, and completion. Commitment is the force that binds the perioperative nurse to a course of action. This theory may help guide a team-based approach to prepare nurses to care for donor patients with dignity and respect during procurement procedures.
    Mesh-Begriff(e) Humans ; Male ; Adult ; Middle Aged ; Grounded Theory ; Operating Rooms ; Sweden ; Tissue and Organ Procurement
    Sprache Englisch
    Erscheinungsdatum 2023-12-27
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 603972-8
    ISSN 1878-0369 ; 0001-2092
    ISSN (online) 1878-0369
    ISSN 0001-2092
    DOI 10.1002/aorn.14055
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: Organ Donation: Behaviour and Beliefs in Sweden.

    Södereld, Theres / Engström, Åsa / Lindgren, Katarina / Forsberg, Angelica

    SAGE open nursing

    2024  Band 10, Seite(n) 23779608241257011

    Abstract: Introduction: Barely one-fifth of people in Sweden have expressed their will regarding organ donation in the national Swedish Donor Registry, and the number of organ donations in Sweden remains low.: Objective: The aim of this study was to map ... ...

    Abstract Introduction: Barely one-fifth of people in Sweden have expressed their will regarding organ donation in the national Swedish Donor Registry, and the number of organ donations in Sweden remains low.
    Objective: The aim of this study was to map behaviour and beliefs regarding organ donation in Sweden.
    Methods: In a descriptive cross-sectional survey following a quantitative approach and 600 questionnaires were issued to randomly selected individuals across Sweden. Of them, 206 (36.3%) were completed. Data were analysed using descriptive statistics and presented as frequencies and percentages. Analytical statistical testing involved Pearson chi-square tests, Mann-Whitney
    Results: The results indicate a discrepancy between positive opinion about organ donation in Sweden and the number of people enrolled in the Swedish Donation Registry. The most common argument for not wanting to donate organs was the notion of being too old to. Although self-rated knowledge about organ donation was admittedly low, so was interest in interest in learning more about it. Younger patients more frequently wanted information than older patients did.
    Conclusion: Not wanting to donate organs due to age and/or illness may indicate a misconception. Making one's will known does not involve assessing one's health status or age but solely concerns the wish to do so. The findings thus raise an important question: How can people's interest in learning more about organ donation be induced in ethical ways?
    Sprache Englisch
    Erscheinungsdatum 2024-05-24
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2865437-7
    ISSN 2377-9608 ; 2377-9608
    ISSN (online) 2377-9608
    ISSN 2377-9608
    DOI 10.1177/23779608241257011
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  4. Artikel ; Online: Impact of organised colorectal cancer screening on age-specific population incidences: evidence from a quasi-experimental study in Sweden.

    Chauca Strand, Gabriella / Strömberg, Ulf / Forsberg, Anna / Bonander, Carl

    European journal of epidemiology

    2024  Band 39, Heft 1, Seite(n) 87–96

    Abstract: Colorectal cancer (CRC) incurs a significant disease burden globally. Organised CRC screening programmes have been widely implemented for early detection and prevention. To understand the public health impact of these programmes, quantitative evidence of ...

    Abstract Colorectal cancer (CRC) incurs a significant disease burden globally. Organised CRC screening programmes have been widely implemented for early detection and prevention. To understand the public health impact of these programmes, quantitative evidence of changes in overall and age-specific population incidences is fundamental. We aimed to provide such evidence by exploiting a time lag in the implementation of organised screening in Sweden: two out of 21 regions (these two regions comprise nearly 20% of the total Swedish population) have offered organised screening since 2008; the other regions have offered CRC screening since 2021. Using registry data on diagnosed CRC cases and socio-demographics for all regions in Sweden over the period 1970-2019, Bayesian structural time series modelling and difference-in-differences were applied to analyse the impact of screening on age-specific population incidences over time (CRC cases per 100.000 persons/year). After inviting birth-year cohorts aged 60-69 years for stool-based testing, the incidence rate in the 70-74-year age group decreased significantly over time, with an average reduction of - 44·40 (95% CI - 58·15 to - 31·31) from 2011 to 2019 in the intervention regions. In the overall population aged 60-74 years, there was a net incidence decrease of - 7·99 (95% CI - 13·85 to - 2·39) since the initiation of organised screening in the intervention regions (2008-2019). Organised CRC screening for 60-69-year-olds generated a change in age-specific incidence patterns with a long-lasting incidence decrease in the 70-74-year-old population, implying reductions in the excess mortality and burden of the disease.
    Mesh-Begriff(e) Humans ; Aged ; Incidence ; Sweden/epidemiology ; Bayes Theorem ; Early Detection of Cancer ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/epidemiology ; Colorectal Neoplasms/prevention & control ; Age Factors ; Mass Screening
    Sprache Englisch
    Erscheinungsdatum 2024-01-04
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 632614-6
    ISSN 1573-7284 ; 0393-2990
    ISSN (online) 1573-7284
    ISSN 0393-2990
    DOI 10.1007/s10654-023-01073-6
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  5. Artikel ; Online: Correction: Impact of organised colorectal cancer screening on age-specific population incidences: evidence from a quasi-experimental study in Sweden.

    Strand, Gabriella Chauca / Strömberg, Ulf / Forsberg, Anna / Bonander, Carl

    European journal of epidemiology

    2024  

    Sprache Englisch
    Erscheinungsdatum 2024-05-06
    Erscheinungsland Netherlands
    Dokumenttyp Published Erratum
    ZDB-ID 632614-6
    ISSN 1573-7284 ; 0393-2990
    ISSN (online) 1573-7284
    ISSN 0393-2990
    DOI 10.1007/s10654-024-01115-7
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  6. Artikel ; Online: The Career Core of Successful Scientific Leaders in Nursing – Their Motivators and Strategies

    Garmy P / Forsberg A

    Journal of Healthcare Leadership, Vol Volume 12, Pp 49-

    2020  Band 57

    Abstract: Pernilla Garmy,1,2 Anna Forsberg2,3 1Faculty of Health Sciences, Kristianstad University, Kristianstad 291 88, Sweden; 2Department of Health Sciences, Lund University, Lund 221 00, Sweden; 3Department of Cardiothoracic Surgery, Lund University, Skåne ... ...

    Abstract Pernilla Garmy,1,2 Anna Forsberg2,3 1Faculty of Health Sciences, Kristianstad University, Kristianstad 291 88, Sweden; 2Department of Health Sciences, Lund University, Lund 221 00, Sweden; 3Department of Cardiothoracic Surgery, Lund University, Skåne University Hospital, Lund, SwedenCorrespondence: Pernilla GarmyDepartment of Health Sciences, Lund University, 221 00 Lund, Sweden/Faculty of Health Sciences, Kristianstad University, Kristianstad 291 88, SwedenEmail pernilla.garmy@med.lu.seBackground: No studies explore the career core of successful scientific leaders in nursing, a context where role models and career support would be desirable. To achieve a successful academic career, there is a need for an in-depth understanding of how successful scientific leaders in healthcare think in order to guide junior researchers through their early careers.Aim: To explore the main concern of successful scientific leaders in nursing and their mind-set, motivators and strategies for dealing with it.Methods: A strategic group of 24 scientific leaders in nursing (professors and associate professors) in the United States (US) (n=12) and Sweden (n=12) was interviewed. The transcribed text was analysed using grounded theory.Results: The core category, fulfilment, summarizes a process where the generated grounded theory is presented through four main categories: create, struggle, interact and maintain, illustrating how the informants dealt with fulfilment, which was their main concern. The theoretical link between the strategies is professional dedication through reflection, characterized by a will to go beyond themselves to be clinically useful and implement their research.Conclusion: Successful scientific leaders in nursing construct a foundation for professional fulfilment by doing good for patients and improving the healthcare system maintaining being creative and interacting with others, all of which involve a great deal of struggle.Keywords: nursing, leadership, nursing science, grounded theory, qualitative research
    Schlagwörter nursing ; leadership ; nursing science ; grounded theory ; qualitative research ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 001
    Sprache Englisch
    Erscheinungsdatum 2020-07-01T00:00:00Z
    Verlag Dove Medical Press
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  7. Artikel ; Online: A lifespan study of the confidence-accuracy relation in working memory and episodic long-term memory.

    Greene, Nathaniel R / Forsberg, Alicia / Guitard, Dominic / Naveh-Benjamin, Moshe / Cowan, Nelson

    Journal of experimental psychology. General

    2024  Band 153, Heft 5, Seite(n) 1336–1360

    Abstract: The relation between an individual's memory accuracy and reported confidence in their memories can indicate self-awareness of memory strengths and weaknesses. We provide a lifespan perspective on this confidence-accuracy relation, based on two previously ...

    Abstract The relation between an individual's memory accuracy and reported confidence in their memories can indicate self-awareness of memory strengths and weaknesses. We provide a lifespan perspective on this confidence-accuracy relation, based on two previously published experiments with 320 participants, including children aged 6-13, young adults aged 18-27, and older adults aged 65-77, across tests of working memory (WM) and long-term memory (LTM). Participants studied visual items in arrays of varying set sizes and completed item recognition tests featuring 6-point confidence ratings either immediately after studying each array (WM tests) or following a long period of study events (LTM tests). Confidence-accuracy characteristic analyses showed that accuracy improved with increasing confidence for all age groups and in both WM and LTM tests. These findings reflect a universal ability across the lifespan to use awareness of the strengths and limitations of one's memories to adjust reported confidence. Despite this age invariance in the confidence-accuracy relation, however, young children were more prone to high-confidence memory errors than other groups in tests of WM, whereas older adults were more susceptible to high-confidence false alarms in tests of LTM. Thus, although participants of all ages can assess when their memories are weaker or stronger, individuals with generally weaker memories are less adept at this confidence-accuracy calibration. Findings also speak to potential different sources of high-confidence memory errors for young children and older adults, relative to young adults. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
    Mesh-Begriff(e) Humans ; Memory, Short-Term/physiology ; Adult ; Female ; Male ; Adolescent ; Aged ; Young Adult ; Memory, Long-Term/physiology ; Child ; Memory, Episodic
    Sprache Englisch
    Erscheinungsdatum 2024-03-07
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 189732-9
    ISSN 1939-2222 ; 0096-3445
    ISSN (online) 1939-2222
    ISSN 0096-3445
    DOI 10.1037/xge0001551
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel: Self-reported symptom occurrence and distress, and psychological well-being after liver transplantation - a descriptive cross-sectional study of Danish recipients.

    Dengsø, Kristine Elberg / Knudsen, Andreas Dehlbæk / Møller, Dina Leth / Forsberg, Anna / Nielsen, Susanne Dam / Hillingsø, Jens

    Frontiers in psychology

    2024  Band 15, Seite(n) 1354706

    Abstract: Introduction: Symptom distress and impaired psychological well-being after liver transplantation may lead to limitations in everyday activities and lowered health-related quality of life. The aim of this nationwide, descriptive, and cross-sectional ... ...

    Abstract Introduction: Symptom distress and impaired psychological well-being after liver transplantation may lead to limitations in everyday activities and lowered health-related quality of life. The aim of this nationwide, descriptive, and cross-sectional study was to explore self-reported symptom occurrence and distress, among Danish liver transplant recipients, and their association with self-reported psychological well-being as well as demographic, and clinical characteristics.
    Methods: Liver transplant recipients transplanted from 1990 to 2022 were included. All recipients were asked to complete the Organ Transplant Symptom and Wellbeing instruments consisting of two instruments measuring self-reported symptom occurrence and distress, respectively, as well as self-reported psychological well-being by the Psychological General well-being instrument.
    Results: Of 511 invited recipients 238 responded: 116 women and 122 men with a median post-transplant follow-up of 7.5 years (IQR 3.6-14.2 years). The most common single symptoms reported were decreased libido (18%), diarrhea (10%), and headache (8%). Sleep problems were the most common transplant-specific domain. 41% of the recipients reported poor psychological well-being, especially those who had undergone transplantation within the last 5 years, women, and younger recipients.
    Discussion: In the interest of equity, the fact that women reported a higher level of symptom distress than men requires attention. Research on symptom management support is warranted with interventions focusing on how to alleviate symptom distress, which might increase long-term survival, which has not improved in recent decades.
    Sprache Englisch
    Erscheinungsdatum 2024-03-13
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2024.1354706
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  9. Artikel ; Online: Causes of nephrotic syndrome in Sweden: The relevance of clinical presentation and demographics.

    Jönsson, Anneli / Hellmark, Thomas / Segelmark, Mårten / Forsberg, Anna / Dreja, Karl

    Frontiers in nephrology

    2023  Band 3, Seite(n) 1026864

    Abstract: Background: Many pathological processes can disrupt the integrity of the glomerular capillary wall and cause a massive leakage of protein, resulting in nephrotic syndrome (NS). Clinical parameters such as age, sex, renal function, presence of diabetes, ... ...

    Abstract Background: Many pathological processes can disrupt the integrity of the glomerular capillary wall and cause a massive leakage of protein, resulting in nephrotic syndrome (NS). Clinical parameters such as age, sex, renal function, presence of diabetes, and how NS is defined influence the spectrum of underlying diseases. In this study, we examine how these parameters interact.
    Methods: Age, sex, hematuria, proteinuria, plasma creatinine plasma albumin levels, and final diagnosis were retrieved for all adult patients with NS as an indication for biopsy and/or massive albuminuria in conjunction with low plasma albumin from the biopsy module of the Swedish Renal Registry (SRR) between 2014 and 2019. A basic calculator was developed to demonstrate the importance of clinical presentation in relation to the likelihood of having a specific diagnosis.
    Results: A total of 913 unique patients were included in the study. Diabetic nephropathy (DN) and membranous nephropathy (MN) (both found in 17% of patients) were the most common diagnoses. With a stringent definition of NS, MN and minimal change nephropathy (MCN) increased in proportion. Among the cohort as a whole, MCN was the most frequent diagnosis in women and those < 50 years of age (found in 21% and 17%, respectively). In the case of patients aged between 50 and 70 years, those with chronic kidney disease stage 4, and those with negative dipstick tests for hematuria, the most common underlying disease was DN (in 23%, 30%, and 21% of cases, respectively). Among those with high-grade hematuria (dipstick grade 3 or 4), membranoproliferative glomerulonephritis was the most common diagnosis (14%), closely followed by IgA nephropathy (13%). Focal segmental glomerulosclerosis (9.7%) was less common than in many comparable studies.
    Conclusion: Clinical parameters have a profound impact on the likelihood of different diagnoses in adult patients with NS. Differences in clinical practice and study inclusion criteria may be more important than genetic background and environmental factors when explaining differences between studies in different parts of the world.
    Sprache Englisch
    Erscheinungsdatum 2023-03-17
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ISSN 2813-0626
    ISSN (online) 2813-0626
    DOI 10.3389/fneph.2023.1026864
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  10. Artikel ; Online: Post-colonoscopy rectal cancer in Swedish patients with Crohn's disease 2001-2015: a population-based case review study.

    Stjärngrim, Jessica / Ekbom, Anders / Widman, Linnea / Hultcrantz, Rolf / Forsberg, Anna

    European journal of gastroenterology & hepatology

    2023  Band 35, Heft 12, Seite(n) 1334–1340

    Abstract: Objective: Post-colonoscopy colorectal cancer (PCCRC) is a key quality indicator of colonoscopy, and PCCRC rates are high in the IBD population. Rectal cancer, an important risk factor for PCCRC among patients with Crohn's disease (CD), has not ... ...

    Abstract Objective: Post-colonoscopy colorectal cancer (PCCRC) is a key quality indicator of colonoscopy, and PCCRC rates are high in the IBD population. Rectal cancer, an important risk factor for PCCRC among patients with Crohn's disease (CD), has not previously been examined.
    Methods: Swedish adult patients with CD who underwent a colonoscopy within 36 months before a rectal cancer diagnosis between 2001 and 2015 were identified through the National Patient and Cancer registers. Their medical records were reviewed and a root-cause analysis and a sub-categorization according to the World Endoscopic Organization (WEO) were performed.
    Results: Of 24 patients with CD and PCCRC in the rectum, 79% were men and the median age was 50 (IQR 45-59) years. The median disease duration was 21.5 (IQR 19-30) years. The cancer was located in the distal 5 cm of the rectum in 63% of the cases. Retroversion in the rectum was reported in only one case. The most common plausible explanation for PCCRC was 'possible missed lesion, prior examination adequate' (63%); when adding retroversion in the rectum, instead 77% of examinations were considered negative but deemed as inadequate. The most common PCCRC sub-category was non-interval type C (54%) and B (37%). Among those with type C, 38% should have been included in surveillance according to present guidelines.
    Conclusion: Better adherence to surveillance guidelines and more meticulous follow-up is warranted. The importance of performing rectal palpation and retroversion in the rectum is underscored and we suggest that this is included in the WEO algorithm.
    Mesh-Begriff(e) Adult ; Male ; Humans ; Middle Aged ; Female ; Crohn Disease/diagnosis ; Crohn Disease/epidemiology ; Crohn Disease/complications ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/epidemiology ; Colorectal Neoplasms/etiology ; Sweden/epidemiology ; Colonoscopy/adverse effects ; Rectal Neoplasms/diagnosis ; Rectal Neoplasms/epidemiology ; Rectal Neoplasms/complications ; Risk Factors
    Sprache Englisch
    Erscheinungsdatum 2023-10-25
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 1034239-4
    ISSN 1473-5687 ; 0954-691X
    ISSN (online) 1473-5687
    ISSN 0954-691X
    DOI 10.1097/MEG.0000000000002658
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