- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Global Cancer Incidence and Screening
- Grief, Bereavement, and Mental Health
- Patient-Provider Communication in Healthcare
- Childhood Cancer Survivors' Quality of Life
- Geriatric Care and Nursing Homes
- Cervical Cancer and HPV Research
- Head and Neck Cancer Studies
- Olfactory and Sensory Function Studies
- Nursing education and management
- Patient Dignity and Privacy
- Family Support in Illness
- Lung Cancer Treatments and Mutations
- Family and Patient Care in Intensive Care Units
- Complementary and Alternative Medicine Studies
- Health Systems, Economic Evaluations, Quality of Life
- Colorectal Cancer Screening and Detection
- Healthcare professionals’ stress and burnout
- Ethics in medical practice
- Art Therapy and Mental Health
- Social and Educational Sciences
- Health, psychology, and well-being
- Workplace Health and Well-being
- Nutrition and Health in Aging
Karolinska Institutet
2016-2025
Stockholm Health Care Services
2018-2025
Vrije Universiteit Brussel
2023-2025
Ghent University
2023-2025
Stockholm County Council
2020-2022
University of Southampton
2019-2021
Karolinska University Hospital
2000-2018
Västerbotten County
2018
Umeå University
2015
Swedish Foundation for Strategic Research
2005-2014
<b>Objective</b> To determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient workforce stability in European countries. <b>Design</b> Cross sectional surveys patients nurses. <b>Setting</b> Nurses were surveyed general acute (488 12 countries; 617 the United States); 210 430 US hospitals. <b>Participants</b> 33 659 nurses 11 318 Europe; 27 509 more than 120 000 US. <b>Main outcome measures</b> Nurse outcomes...
Variation in post-operative mortality rates has been associated with differences registered nurse staffing levels. When levels are lower there is also a higher incidence of necessary but missed nursing care. Missed care may be significant predictor patient following surgery. Examine if mediates the observed association between and mortality. Data from RN4CAST study (2009–2011) combined routinely collected data on 422,730 surgical patients 300 general acute hospitals 9 countries, survey...
Background: Despite concerns as to whether nurses can perform reliably and effectively when working longer shifts, a pattern of two 12- 13-hour shifts per day is becoming common in many hospitals reduce shift handovers, staffing overlap, hence costs. Objectives: To describe patterns European investigate length beyond contracted hours (overtime) associated with nurse-reported care quality, safety, left undone. Methods: Cross-sectional survey 31,627 registered general medical/surgical units...
There are wide international differences in 1-year cancer survival. The UK and Denmark perform poorly compared with other high-income countries similar health care systems: Australia, Canada Sweden have good survival rates, Norway intermediate rates. objective of this study was to examine the pattern awareness beliefs across these identify where might contribute
Abstract We present a conceptual framework of one‐to‐one, in‐person communication that occurs between health‐care professional and patient. The is intended as tool for organizing summarizing relevant research but it can also help guide assessing the process development interventions to improve process. includes four key components, with focus on elements be modified. first component interaction: each participant's goals. second consists participants themselves, five attributes determine, in...
Abstract Aims To determine factors associated with variation in ‘care left undone’ (also referred to as ‘missed care’) by Registered Nurses (RNs) acute hospital wards Sweden. Background ‘Care has been examined a factor mediating the relationship between nurse staffing and patient outcomes. The context not previously explored what other are RNs. Design Cross‐sectional survey explore association of RN contextual such time shift, nursing role acuity/dependency on was using multi‐level logistic...
No AccessJournal of UrologyAdult Urology1 Mar 2011Comorbidity, Treatment and Mortality: A Population Based Cohort Study Prostate Cancer in PCBaSe Sweden Anders Berglund, Hans Garmo, Carol Tishelman, Lars Holmberg, Pär Stattin, Mats Lambe BerglundAnders Berglund Department Medical Epidemiology Biostatistics, Karolinska Institutet, Stockholm, Regional Oncologic Centre, Uppsala University Hospital, Uppsala, , GarmoHans Garmo King's College London, School, United Kingdom TishelmanCarol Tishelman...
Objectives To develop an internationally validated measure of cancer awareness and beliefs; the beliefs about (ABC) measure. Design setting Items modified from existing measures were assessed by a working group in six countries (Australia, Canada, Denmark, Norway, Sweden UK). Validation studies completed UK, cross-sectional surveys general population carried out participating countries. Participants Testing UK English included cognitive interviewing for face validity (N=10), calculation...
Nursing turnover is a major issue for health care managers, notably during the global nursing workforce shortage. Despite often hierarchical structure of data used in studies, few studies have investigated impact work environment on intention to leave using multilevel techniques. Also, differences between intentions current workplace or profession entirely rarely been studied.The aim study was investigate how aspects nurse practice and satisfaction with schedule flexibility measured at...
Advanced home care for cancer patients at the end of life: a qualitative study hopes and expectations family caregivers It is increasingly common that are cared life, with help from advanced teams. This may have positive implications their families, but it also be burdensome to health well‐being. was therefore initiated prospectively explore how reason about providing end‐of‐life relatives cancer, enrolled in palliative units. Ten interviews were conducted 11 enrolment unit. A form constant...
Purpose To examine symptom prevalence, intensity, and association with distress in patients inoperable lung cancer (LC), using time to death as point of reference. Patients Methods A consecutive sample 400 completed the European Organisation for Research Treatment Cancer Quality Life Questionnaire C30 plus a 13-item LC-specific scale Thurstone Scale Symptom Distress–Lung at six points during first year after diagnosis. were divided into subgroups, data from closest (< 1; 1 2; > 2 3; 3...
The majority of dying patients do not have access to necessary drugs alleviate their most common symptoms, despite evidence drug efficacy. Our aim was explore the degree consensus about appropriate pharmacological treatment for symptoms in last days life with cancer, among physicians working specialist palliative care.Within OPCARE9, a European Union seventh framework project aiming optimize end-of-life cancer care, we conducted Delphi survey 135 care clinicians nine countries. Physicians...
Although registered nurses (RNs) are central in patient care, we have not found prior research that specifically addresses how RNs assess the safety of care at their workplace and factors RNs' work environment related to assessments. This study aims address these issues.9236 working with inpatient 79 acute-care hospitals Sweden completed a national population-based survey, including Practice Environment Scale Nursing Work Index-Revised items from Agency for Healthcare Research Quality's...
Objectives To investigate associations between nurse work practice environment measured at department level and individual work-family conflict on burnout, as emotional exhaustion, depersonalization personal accomplishment among Swedish RNs. Methods A multilevel model was fit with the RN 1st, hospital 2nd using cross-sectional survey data from part of RN4CAST, an EU 7th framework project. The analysed here is based a national sample 8,620 RNs 369 departments in 53 hospitals. Results...
In late-stage palliative cancer care, relief of distress and optimized well-being become primary treatment goals. Great strides have been made in improving researching pharmacological treatments for symptom relief; however, little systematic knowledge exists about the range non-pharmacological caregiving activities (NPCAs) staff use last days a patient's life.Within European Commission Seventh Framework Programme project to optimize research clinical care life patients with cancer, OPCARE9,...
The aim of this study was to investigate the awareness palliative care (PC) in a general Swedish population.We developed an e-survey based on similar conducted Northern Ireland, consisting 10 questions. Closed questions were primarily analyzed using descriptive statistics. Open subject inductive qualitative analysis.The utilized population sample 7684 persons aged 18-66, which 2020 responded, stratified by gender, age and region.Most participants reported 'no' ( n = 827, 41%) or 'some' 863,...
Abstract BACKGROUND The patient perspective on distress associated with lung carcinoma is important, yet understudied. Previous research symptom experience generally had not differentiated the dimension intensity/frequency from which symptoms are most distress. objective of current study was to determine whether patterns intensity were similar distress, consistent at different time points, varied by subgroups, and high equivalent METHODS Four hundred adults who newly diagnosed inoperable...
Purpose Standardized questionnaires for patient-reported outcomes are generally composed of specified predetermined items, although other areas may also cause patients distress. We therefore studied reports what was most distressing 343 with inoperable lung cancer (LC) at six time points during the first year postdiagnosis and how these concerns were assessed by three quality-of-life symptom questionnaires. Patients Methods Qualitative analysis patients' responses to question “What do you...