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Papers by Ingela Berggren

Research paper thumbnail of Evidence of Linkages between Patient Safety and Person-Centred Care in the Maternity and Obstetric Context—An Integrative Review

Open Journal of Nursing, 2017

The aim was to evaluate the current state of knowledge pertaining to patient safety and its link ... more The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred care. Inspired by this new trend, we collated and summarized the literature for evidence of the two topics. The study was guided by Russell, Whittemore and Knafl's integrative review framework. An electronic database search was conducted for relevant articles from 2005 to 2016. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The structure and process of the evaluation of the evidence are described and the findings interpreted by means of a thematic synthesis. One theme emerged: trustful, safe communication in the relationship between the patient, family members and healthcare professionals and two domains; safety culture and multidisciplinary capacity building.

Research paper thumbnail of Omvårdnadshandledning : ur etiskt och tvärdisciplinärt pers

Research paper thumbnail of Nurses experience of collaboration between community healthcare and psychiatric in-patient care : a Swedish study

Aim: The aim of the study is to examine register nurses experiences of collaboration between comm... more Aim: The aim of the study is to examine register nurses experiences of collaboration between community healthcare and psychiatric in- patient care.Background: Register nurses indicate a need of routines in collaboration between community health care and psychiatric inpatient care in the western Sweden region.Method: Qualitative content analyses of focus group interviews.Results: Register nurses experienced the healthcare communication program as a big obstacle in a developing process of a collaboration plan. The deficiencies in collaboration between the register nurses were due to poor knowledge about each group of nurses working tasks.Conclusion: The findings contribute an understanding of the barriers in collaboration between register nurses in the Community healthcare and Psychiatric in- patient care. That requires improvement from the nurse managers to contribute well function routines.Implications for Nursing Management: Nurse Managers need to develop a more structured collaboration plan between units to create a better collaboration in caring of the patient

Research paper thumbnail of Etisk undran i omvårdnadshandledning

Hermeneutik I Vardpraxis Det Nara Det Flyktiga Det Dolda, 2014

Research paper thumbnail of A quality registers impact on community nurses’ in end-of-life care - a grounded theory study

Journal of Nursing Management, 2012

A quality registers impact on community nurses in end-of-life care a grounded theory study Aim Th... more A quality registers impact on community nurses in end-of-life care a grounded theory study Aim The aim of the study was to identify the impact of a quality register in end-oflife-care, from community nursesÕ perspective. Background There is a lack of knowledge about the impact of such a register in endof-life care. Method Data were collected by means of focus group interviews with a total of 12 nurses, from two communities in the western part of Sweden. Data analysis was based on grounded theory. Result Feedback is the core category that influences all other processes. Two main categories emerged: ÔBecoming aware ofÕ and ÔActing accordinglyÕ. These influenced the nurses and led to improved quality of care. Conclusion A quality register gives the users (nurses) feedback on the care provided, which starts a process of change. Implications for nursing management The value of working with a quality register as a feedback system can be applicable to all professions working with quality assurance. The experiences will increase the motivation and understanding the value of using quality registers as a tool for enhanced quality. Further, nurse managers can use such a register as a feedback system, not only as a motivating tool when implementing a quality register, but in the evaluation of its outcomes.

Research paper thumbnail of The state of the science of clinical supervision in Europe

Fundamental International Themes, 2013

Research paper thumbnail of Omvårdnadshandledning i teori och praktik

Research paper thumbnail of Risk Management – evaluation of healthcare professionals’ reasoning about and understanding of maternity care

Journal of Nursing Management

AIM To evaluate healthcare professionals' explanations of the prerequisites for safe maternit... more AIM To evaluate healthcare professionals' explanations of the prerequisites for safe maternity care and understanding of risk management, including the underlying reasons for decision-making intended to ensure safe care. BACKGROUND Risk management focuses on maintaining and promoting safe care by identifying circumstances that place childbearing women at risk of harm, thus reducing risks. METHODS A hermeneutic action research approach was chosen. Through a series of focus group sessions, we uncovered healthcare professionals' explanations of risk management. RESULTS One overriding theme emerged; the consequences of what managers do or fail to do constitute the meaning of taking responsibility for team collaboration to provide safe care. Inadequate support, resources and staff shortages have consequences, such as inability to concentrate on team communication and collaboration, leading to the risk of unsafe care. CONCLUSION Communication constitutes a prerequisite for both team collaboration and risk management. Thus, communication is linked to the ability of managers and healthcare professionals to provide safe care. IMPLICATIONS FOR NURSING MANAGEMENT In terms of safety management, nurse managers have a significant role in and responsibility for supporting communication training, developing guidelines and providing the prerequisites for interprofessional team reflection.

Research paper thumbnail of Qualitative study of women's experiences of safe childbirth in maternity care

Nursing & health sciences, 2018

Few studies have focused on women's childbirth experiences in relation to patient safety. The... more Few studies have focused on women's childbirth experiences in relation to patient safety. The aim of this study was to explore the meaning of safety as a process phenomenon by outlining women's positive and negative experiences of safety in childbirth. A descriptive explorative design was chosen and 16 interviews were conducted. Qualitative content analysis was used. One main theme emerged: safe childbirth through involvement and guidance, based on four subthemes. The characteristics of women's experiences of safe childbirth included the need to be informed and involved by sharing and receiving trustworthy information. Women's experiences of unsafe childbirth included lack of meaningful and trustworthy information that resulted in feelings of being misled or lulled into a false sense of security. Not being involved evoked feelings of being ignored. In conclusion, this study highlights issues of importance for safe maternity care. The perspectives of childbearing wome...

Research paper thumbnail of A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care

Journal of advanced nursing, Jan 27, 2018

The aim of this study was to explore healthcare professionals' perceptions of adverse events ... more The aim of this study was to explore healthcare professionals' perceptions of adverse events during childbirth with focus on communication and teamwork. Inadequate communication, a poor teamwork climate and insufficient team training are harmful to women. Reviews of reported adverse events can be used to develop a safety culture based on preparedness for preventing adverse events and strengthening patient safety. Action research principles were used to facilitate the implementation and evaluation of this study. An interprofessional team of healthcare professionals comprising obstetricians, registered midwives and assistant nurses employed at a labour ward agreed to take part. Data were collected from multistage focus group interviews (March 2016 - June 2016) and analysed by means of interpretative thematic analysis. Two analytical themes based on five sub-themes emerged; Promoting interprofessional teamwork and Building capabilities by involving healthcare professionals and eluc...

Research paper thumbnail of Child health nurses' experiences of language assessment in children: A Swedish study

Journal of Health Visiting

The aim of this study was to discover Swedish child healthcare (CHC) nurses' experiences of l... more The aim of this study was to discover Swedish child healthcare (CHC) nurses' experiences of language assessment in children who do not have Swedish as their mother tongue. A CHC nurse has qualifications in child health, and their role is to promote good health and prevent illness. As immigration to Sweden is at the highest level ever recorded (Statistics Sweden, 2014), there is an increasing need for language assessment. In this study, ‘mother tongue’ is defined as the language a child learns first, which is synonymous with the term ‘first language’ (Oxford Learner's Dictionaries, 2016). The CHC nurses in this study were Swedish-speaking, but conducted speech and language assessments among children who did not speak Swedish; for example, who had a mother tongue other than Swedish. It is important to acquire knowledge of CHC nurses' experiences of language assessment.

Research paper thumbnail of Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters

Journal of Health Visiting

Research paper thumbnail of Omvårdnadshandledning i teori och praktik

Omvardnadshandledning Ur Etiskt Och Tvardisciplinart Perspektiv, 2009

Research paper thumbnail of Etiska kärnbegrepp i omvårdnadshandledning

Omvardnadshandledning Ur Etiskt Och Tvardisciplinart Perspektiv, 2009

Research paper thumbnail of Dignified end-of-life care in the patients’ own homes

Nursing Ethics, May 1, 2011

Nowadays it is increasingly common that the patients in the end of life phase choose to be cared ... more Nowadays it is increasingly common that the patients in the end of life phase choose to be cared for in their own home. Therefore it is vital to identify significant factors in order to prevent unnecessary suffering for dying patients and their families in end-of-life homecare. This study aimed to describe 10 nurses' perceptions of significant factors that contribute to good end-of-life care in the patients own home. The transcribed texts from the interviews' were analyzed using phenomenological hermeneutical method, which focuses on the life-world of human beings. The results demonstrate that good end-of-life care presupposes that the aim of the caring staff is to provide safety, autonomy and integrity for the patient and family in order to create the respect required for as good and dignified a death as possible.

Research paper thumbnail of A Qualitative Metasynthesis From Nurses' Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care

International Journal for Human Caring, 2015

Research paper thumbnail of Implementation of clinical supervision in amedical department: nurses' views of the effects

Journal of Clinical Nursing, 1997

Research paper thumbnail of Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care —A Systematic Literature Review

Open Journal of Nursing, 2015

Research paper thumbnail of A phenomenological study of living with a partner affected with dementia

British Journal of Community Nursing, 2016

Caring for people affected by dementia is a collective effort that involves public health, primar... more Caring for people affected by dementia is a collective effort that involves public health, primary care, and informal care. The third mainly comprises the efforts of spouses. This study aimed to describe spouses' experiences of living with a partner affected with dementia. The study has a descriptive phenomenological approach based on a reflective life-world perspective. Seven in-depth interviews were conducted with spouses of persons affected with dementia. The interviews were audiotaped and analysed using the procedures described by Giorgi (2009) . The essence of living with a partner affected by dementia formed a comprehensive theme: from togetherness to loneliness, which along with three descriptive categories-changes in their partner's behaviour, changes in everyday life, and a changed future-describes the phenomenon. The theme 'From togetherness to loneliness' reflects the spouses' descriptions of their life-world. Daily life changed gradually in line with their partners' personality, and their role became that of a care provider rather than a spouse. Information and knowledge about dementia should be provided at an early stage. Health care has a major responsibility to meet their needs, thus ensuring that all parties are satisfied.

Research paper thumbnail of Community nurses' experiences of ethical dilemmas in palliative care: a Swedish study

International Journal of Palliative Nursing, May 1, 2010

The aim of this study was to highlight community nurses&a... more The aim of this study was to highlight community nurses' experiences of ethical dilemmas in palliative care. There are many studies on palliative care but research on how community nurses experience ethical dilemmas in palliative home care is lacking. The ethical dilemmas to which these nurses are exposed seriously challenge their ethical competence. Seven community nurses described their experiences of ethical dilemmas in palliative home care. The data was analysed by means of qualitative content analysis. The core themes that emerged were: powerlessness, frustration, and concern in relation to ethical dilemmas in palliative care. The nurses were motivated and felt responsibility for their patients' end of life, and their relatives, and took their duties seriously. They wanted to satisfy all parties; the patient, the relatives and other palliative care professionals. The study confirms the need for knowledge about how community nurses experience dilemmas in ethical decision-making. They have the freedom to act and the willingness to make decisions, but they lack competence and knowledge about how their colleagues' experience and deal with such issues.

Research paper thumbnail of Evidence of Linkages between Patient Safety and Person-Centred Care in the Maternity and Obstetric Context—An Integrative Review

Open Journal of Nursing, 2017

The aim was to evaluate the current state of knowledge pertaining to patient safety and its link ... more The aim was to evaluate the current state of knowledge pertaining to patient safety and its link to person-centred care. The international relevance of patient safety has expanded, as have the models of person-centred care. Inspired by this new trend, we collated and summarized the literature for evidence of the two topics. The study was guided by Russell, Whittemore and Knafl's integrative review framework. An electronic database search was conducted for relevant articles from 2005 to 2016. This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The structure and process of the evaluation of the evidence are described and the findings interpreted by means of a thematic synthesis. One theme emerged: trustful, safe communication in the relationship between the patient, family members and healthcare professionals and two domains; safety culture and multidisciplinary capacity building.

Research paper thumbnail of Omvårdnadshandledning : ur etiskt och tvärdisciplinärt pers

Research paper thumbnail of Nurses experience of collaboration between community healthcare and psychiatric in-patient care : a Swedish study

Aim: The aim of the study is to examine register nurses experiences of collaboration between comm... more Aim: The aim of the study is to examine register nurses experiences of collaboration between community healthcare and psychiatric in- patient care.Background: Register nurses indicate a need of routines in collaboration between community health care and psychiatric inpatient care in the western Sweden region.Method: Qualitative content analyses of focus group interviews.Results: Register nurses experienced the healthcare communication program as a big obstacle in a developing process of a collaboration plan. The deficiencies in collaboration between the register nurses were due to poor knowledge about each group of nurses working tasks.Conclusion: The findings contribute an understanding of the barriers in collaboration between register nurses in the Community healthcare and Psychiatric in- patient care. That requires improvement from the nurse managers to contribute well function routines.Implications for Nursing Management: Nurse Managers need to develop a more structured collaboration plan between units to create a better collaboration in caring of the patient

Research paper thumbnail of Etisk undran i omvårdnadshandledning

Hermeneutik I Vardpraxis Det Nara Det Flyktiga Det Dolda, 2014

Research paper thumbnail of A quality registers impact on community nurses’ in end-of-life care - a grounded theory study

Journal of Nursing Management, 2012

A quality registers impact on community nurses in end-of-life care a grounded theory study Aim Th... more A quality registers impact on community nurses in end-of-life care a grounded theory study Aim The aim of the study was to identify the impact of a quality register in end-oflife-care, from community nursesÕ perspective. Background There is a lack of knowledge about the impact of such a register in endof-life care. Method Data were collected by means of focus group interviews with a total of 12 nurses, from two communities in the western part of Sweden. Data analysis was based on grounded theory. Result Feedback is the core category that influences all other processes. Two main categories emerged: ÔBecoming aware ofÕ and ÔActing accordinglyÕ. These influenced the nurses and led to improved quality of care. Conclusion A quality register gives the users (nurses) feedback on the care provided, which starts a process of change. Implications for nursing management The value of working with a quality register as a feedback system can be applicable to all professions working with quality assurance. The experiences will increase the motivation and understanding the value of using quality registers as a tool for enhanced quality. Further, nurse managers can use such a register as a feedback system, not only as a motivating tool when implementing a quality register, but in the evaluation of its outcomes.

Research paper thumbnail of The state of the science of clinical supervision in Europe

Fundamental International Themes, 2013

Research paper thumbnail of Omvårdnadshandledning i teori och praktik

Research paper thumbnail of Risk Management – evaluation of healthcare professionals’ reasoning about and understanding of maternity care

Journal of Nursing Management

AIM To evaluate healthcare professionals' explanations of the prerequisites for safe maternit... more AIM To evaluate healthcare professionals' explanations of the prerequisites for safe maternity care and understanding of risk management, including the underlying reasons for decision-making intended to ensure safe care. BACKGROUND Risk management focuses on maintaining and promoting safe care by identifying circumstances that place childbearing women at risk of harm, thus reducing risks. METHODS A hermeneutic action research approach was chosen. Through a series of focus group sessions, we uncovered healthcare professionals' explanations of risk management. RESULTS One overriding theme emerged; the consequences of what managers do or fail to do constitute the meaning of taking responsibility for team collaboration to provide safe care. Inadequate support, resources and staff shortages have consequences, such as inability to concentrate on team communication and collaboration, leading to the risk of unsafe care. CONCLUSION Communication constitutes a prerequisite for both team collaboration and risk management. Thus, communication is linked to the ability of managers and healthcare professionals to provide safe care. IMPLICATIONS FOR NURSING MANAGEMENT In terms of safety management, nurse managers have a significant role in and responsibility for supporting communication training, developing guidelines and providing the prerequisites for interprofessional team reflection.

Research paper thumbnail of Qualitative study of women's experiences of safe childbirth in maternity care

Nursing & health sciences, 2018

Few studies have focused on women's childbirth experiences in relation to patient safety. The... more Few studies have focused on women's childbirth experiences in relation to patient safety. The aim of this study was to explore the meaning of safety as a process phenomenon by outlining women's positive and negative experiences of safety in childbirth. A descriptive explorative design was chosen and 16 interviews were conducted. Qualitative content analysis was used. One main theme emerged: safe childbirth through involvement and guidance, based on four subthemes. The characteristics of women's experiences of safe childbirth included the need to be informed and involved by sharing and receiving trustworthy information. Women's experiences of unsafe childbirth included lack of meaningful and trustworthy information that resulted in feelings of being misled or lulled into a false sense of security. Not being involved evoked feelings of being ignored. In conclusion, this study highlights issues of importance for safe maternity care. The perspectives of childbearing wome...

Research paper thumbnail of A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care

Journal of advanced nursing, Jan 27, 2018

The aim of this study was to explore healthcare professionals' perceptions of adverse events ... more The aim of this study was to explore healthcare professionals' perceptions of adverse events during childbirth with focus on communication and teamwork. Inadequate communication, a poor teamwork climate and insufficient team training are harmful to women. Reviews of reported adverse events can be used to develop a safety culture based on preparedness for preventing adverse events and strengthening patient safety. Action research principles were used to facilitate the implementation and evaluation of this study. An interprofessional team of healthcare professionals comprising obstetricians, registered midwives and assistant nurses employed at a labour ward agreed to take part. Data were collected from multistage focus group interviews (March 2016 - June 2016) and analysed by means of interpretative thematic analysis. Two analytical themes based on five sub-themes emerged; Promoting interprofessional teamwork and Building capabilities by involving healthcare professionals and eluc...

Research paper thumbnail of Child health nurses' experiences of language assessment in children: A Swedish study

Journal of Health Visiting

The aim of this study was to discover Swedish child healthcare (CHC) nurses' experiences of l... more The aim of this study was to discover Swedish child healthcare (CHC) nurses' experiences of language assessment in children who do not have Swedish as their mother tongue. A CHC nurse has qualifications in child health, and their role is to promote good health and prevent illness. As immigration to Sweden is at the highest level ever recorded (Statistics Sweden, 2014), there is an increasing need for language assessment. In this study, ‘mother tongue’ is defined as the language a child learns first, which is synonymous with the term ‘first language’ (Oxford Learner's Dictionaries, 2016). The CHC nurses in this study were Swedish-speaking, but conducted speech and language assessments among children who did not speak Swedish; for example, who had a mother tongue other than Swedish. It is important to acquire knowledge of CHC nurses' experiences of language assessment.

Research paper thumbnail of Assessment and decision-making of Swedish primary care nurses in relation to the use of interpreters

Journal of Health Visiting

Research paper thumbnail of Omvårdnadshandledning i teori och praktik

Omvardnadshandledning Ur Etiskt Och Tvardisciplinart Perspektiv, 2009

Research paper thumbnail of Etiska kärnbegrepp i omvårdnadshandledning

Omvardnadshandledning Ur Etiskt Och Tvardisciplinart Perspektiv, 2009

Research paper thumbnail of Dignified end-of-life care in the patients’ own homes

Nursing Ethics, May 1, 2011

Nowadays it is increasingly common that the patients in the end of life phase choose to be cared ... more Nowadays it is increasingly common that the patients in the end of life phase choose to be cared for in their own home. Therefore it is vital to identify significant factors in order to prevent unnecessary suffering for dying patients and their families in end-of-life homecare. This study aimed to describe 10 nurses' perceptions of significant factors that contribute to good end-of-life care in the patients own home. The transcribed texts from the interviews' were analyzed using phenomenological hermeneutical method, which focuses on the life-world of human beings. The results demonstrate that good end-of-life care presupposes that the aim of the caring staff is to provide safety, autonomy and integrity for the patient and family in order to create the respect required for as good and dignified a death as possible.

Research paper thumbnail of A Qualitative Metasynthesis From Nurses' Perspective When Dealing With Ethical Dilemmas and Ethical Problems in End-of-Life Care

International Journal for Human Caring, 2015

Research paper thumbnail of Implementation of clinical supervision in amedical department: nurses' views of the effects

Journal of Clinical Nursing, 1997

Research paper thumbnail of Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care —A Systematic Literature Review

Open Journal of Nursing, 2015

Research paper thumbnail of A phenomenological study of living with a partner affected with dementia

British Journal of Community Nursing, 2016

Caring for people affected by dementia is a collective effort that involves public health, primar... more Caring for people affected by dementia is a collective effort that involves public health, primary care, and informal care. The third mainly comprises the efforts of spouses. This study aimed to describe spouses' experiences of living with a partner affected with dementia. The study has a descriptive phenomenological approach based on a reflective life-world perspective. Seven in-depth interviews were conducted with spouses of persons affected with dementia. The interviews were audiotaped and analysed using the procedures described by Giorgi (2009) . The essence of living with a partner affected by dementia formed a comprehensive theme: from togetherness to loneliness, which along with three descriptive categories-changes in their partner's behaviour, changes in everyday life, and a changed future-describes the phenomenon. The theme 'From togetherness to loneliness' reflects the spouses' descriptions of their life-world. Daily life changed gradually in line with their partners' personality, and their role became that of a care provider rather than a spouse. Information and knowledge about dementia should be provided at an early stage. Health care has a major responsibility to meet their needs, thus ensuring that all parties are satisfied.

Research paper thumbnail of Community nurses' experiences of ethical dilemmas in palliative care: a Swedish study

International Journal of Palliative Nursing, May 1, 2010

The aim of this study was to highlight community nurses&a... more The aim of this study was to highlight community nurses' experiences of ethical dilemmas in palliative care. There are many studies on palliative care but research on how community nurses experience ethical dilemmas in palliative home care is lacking. The ethical dilemmas to which these nurses are exposed seriously challenge their ethical competence. Seven community nurses described their experiences of ethical dilemmas in palliative home care. The data was analysed by means of qualitative content analysis. The core themes that emerged were: powerlessness, frustration, and concern in relation to ethical dilemmas in palliative care. The nurses were motivated and felt responsibility for their patients' end of life, and their relatives, and took their duties seriously. They wanted to satisfy all parties; the patient, the relatives and other palliative care professionals. The study confirms the need for knowledge about how community nurses experience dilemmas in ethical decision-making. They have the freedom to act and the willingness to make decisions, but they lack competence and knowledge about how their colleagues' experience and deal with such issues.