Janet Mattsson - Academia.edu (original) (raw)

Papers by Janet Mattsson

Aims and Objectives Retrospective review of the transition from a 22-bed, centralized, open-plan ... more Aims and Objectives Retrospective review of the transition from a 22-bed, centralized, open-plan PICU to a new, 28-bed, single patient room PICU facility with a decentralized, 3-pod design. Methods

Pharmacotherapy, Jun 12, 2023

IntroductionAnalgesia and sedation are essential for the care of children in the pediatric intens... more IntroductionAnalgesia and sedation are essential for the care of children in the pediatric intensive care unit (PICU); however, when prolonged, they may be associated with iatrogenic withdrawal syndrome (IWS) and delirium. We sought to evaluate current practices on IWS and delirium assessment and management (including non‐pharmacologic strategies as early mobilization) and to investigate associations between the presence of an analgosedation protocol and IWS and delirium monitoring, analgosedation weaning, and early mobilization.MethodsWe conducted a multicenter cross‐sectional survey‐based study collecting data from one experienced physician or nurse per PICU in Europe from January to April 2021. We then investigated differences among PICUs that did or did not follow an analgosedation protocol.ResultsAmong 357 PICUs, 215 (60%) responded across 27 countries. IWS was systematically monitored with a validated scale in 62% of PICUs, mostly using the Withdrawal Assessment Tool‐1 (53%). The main first‐line treatment for IWS was a rescue bolus with interruption of weaning (41%). Delirium was systematically monitored in 58% of PICUs, mostly with the Cornell Assessment of Pediatric Delirium scale (48%) and the Sophia Observation Scale for Pediatric Delirium (34%). The main reported first‐line treatment for delirium was dexmedetomidine (45%) or antipsychotic drugs (40%). Seventy‐one percent of PICUs reported to follow an analgosedation protocol. Multivariate analyses adjusted for PICU characteristics showed that PICUs using a protocol were significantly more likely to systematically monitor IWS (odds ratio [OR] 1.92, 95% confidence interval [CI] 1.01–3.67) and delirium (OR 2.00, 95% CI 1.07–3.72), use a protocol for analgosedation weaning (OR 6.38, 95% CI 3.20–12.71) and promote mobilization (OR 3.38, 95% CI 1.63–7.03).ConclusionsMonitoring and management of IWS and delirium are highly variable among European PICUs. The use of an analgosedation protocol was associated with an increased likelihood of monitoring IWS and delirium, performing a structured analgosedation weaning and promoting mobilization. Education on this topic and interprofessional collaborations are highly needed to help reduce the burden of analgosedation‐associated adverse outcomes.

BACKGROUND: The preparation to become a critical-care nurse in Sweden consists of a college progr... more BACKGROUND: The preparation to become a critical-care nurse in Sweden consists of a college program. The programs need to meet a set of widely defined goals developed by the Board of Higher Educati ...

With the aim to unfold nurses' concerns of the supervision of the student in the clinical caring ... more With the aim to unfold nurses' concerns of the supervision of the student in the clinical caring situation of the vulnerable child, clinical nurses situated supervision of postgraduate nursing students in the Pediatric Intensive Care Unit (PICU) are explored. A qualitative approach, interpretive phenomenology, with participant observations and narrative interviews, was used. Two qualitative variations of patterns of meaning for the nurses' clinical facilitation were disclosed in this study. Learning by doing theme supports the students learning by doing through performing skills and embracing routines. The reflecting theme supports thinking and awareness of the situation. As the supervisor often serves as a role model for the student this might have an immediate impact on how the student applies nursing care in the beginning of his or her career. If the clinical supervisor narrows the perspective and hinders room for learning the student will bring less knowledge from the clinical education than expected, which might result in reduced nursing quality.

BackgroundThe noise levels in adult intensive care is a well-researched phenomenon which constant... more BackgroundThe noise levels in adult intensive care is a well-researched phenomenon which constantly exceeds international and national recommendations.In the pediatric intensive care, the caregiver ...

Pediatric Critical Care Medicine, Jun 1, 2018

Children who are critically ill are vulnerable, and the nurse has a responsibility to meet the ch... more Children who are critically ill are vulnerable, and the nurse has a responsibility to meet the child`s needs in a pediatric intensive care unit (PICU).Aim: The aim was to explore the vulnerable chi ...

Clinical nursing studies, Apr 28, 2017

Objective: The objective of this study was to investigate the nurses' approach to three sources o... more Objective: The objective of this study was to investigate the nurses' approach to three sources of sound that contribute to high noise levels; alarms, doors that open and conversation. Methods: Methods used derived from a theoretical perspective based on interpretive phenomenology and caring culture. In the pediatric intensive care, the caregivers of the children work in a high-tech environment as they are surrounded by sound from several sources. How caregivers understand and acknowledge how these sounds negatively affect a child's well-being depends on their individual knowledge and awareness of how children are affected by sound. In most cases, coming into an intensive care unit is a new experience for a child. This causes greater stress, both from the environment itself as well as from sound levels. The method was built on a phenomenological perspective and an interpretive non-participation, semi-structured observations were conducted in a pediatric intensive care unit (PICU) of one of Sweden's metropolitan regions in the winter of 2014-2015. Results: The results show that noise is an overlooked phenomenon in the pediatric intensive care environment as it has given way to other priorities in the nurse's work. It is also apparent that this depends on the department's caring culture as it prioritizes other things, resulting in normalizing high levels of noise as a part of the pediatric intensive care environment. Conclusions: Noise levels are not a priority in the department's caring culture. High noise levels are permitted unreflectedly and appears to be a token of potency and an accepted part of the health care environment.


Objective: The objective of this study was to investigate the nurses' approach to three sources o... more Objective: The objective of this study was to investigate the nurses' approach to three sources of sound that contribute to high noise levels; alarms, doors that open and conversation. Methods: Methods used derived from a theoretical perspective based on interpretive phenomenology and caring culture. In the pediatric intensive care, the caregivers of the children work in a high-tech environment as they are surrounded by sound from several sources. How caregivers understand and acknowledge how these sounds negatively affect a child's well-being depends on their individual knowledge and awareness of how children are affected by sound. In most cases, coming into an intensive care unit is a new experience for a child. This causes greater stress, both from the environment itself as well as from sound levels. The method was built on a phenomenological perspective and an interpretive non-participation, semi-structured observations were conducted in a pediatric intensive care unit (PICU) of one of Sweden's metropolitan regions in the winter of 2014-2015. Results: The results show that noise is an overlooked phenomenon in the pediatric intensive care environment as it has given way to other priorities in the nurse's work. It is also apparent that this depends on the department's caring culture as it prioritizes other things, resulting in normalizing high levels of noise as a part of the pediatric intensive care environment. Conclusions: Noise levels are not a priority in the department's caring culture. High noise levels are permitted unreflectedly and appears to be a token of potency and an accepted part of the health care environment.

The objective of this study was to investigate the nurse approach to sound in an hightechnologica... more The objective of this study was to investigate the nurse approach to sound in an hightechnological pediatric intensive care unit. The method used derived from a theorethical perspective based on P ...

Pediatric Critical Care Medicine, Jun 1, 2018

International journal of higher education, Oct 7, 2016

Background: At a specialist nursing education in intensive care, located at a University college ... more Background: At a specialist nursing education in intensive care, located at a University college in Sweden, there was a desire among the faculty to develop their ability to support specialist nursing students in their academic development, as well as in their academic writing, to improve the overall quality of the master theses. A quality improvement design, the Plan, DO, Study, Act (PDSA) cycle was applied. Two graduating classes of specialist nursing students and two faculty members were involved in the quality improvement of academic writing. The result of the study showed improved academic writing and improved student satisfaction in the master thesis writing process.

Aims and Objectives Retrospective review of the transition from a 22-bed, centralized, open-plan ... more Aims and Objectives Retrospective review of the transition from a 22-bed, centralized, open-plan PICU to a new, 28-bed, single patient room PICU facility with a decentralized, 3-pod design. Methods

Pharmacotherapy, Jun 12, 2023

IntroductionAnalgesia and sedation are essential for the care of children in the pediatric intens... more IntroductionAnalgesia and sedation are essential for the care of children in the pediatric intensive care unit (PICU); however, when prolonged, they may be associated with iatrogenic withdrawal syndrome (IWS) and delirium. We sought to evaluate current practices on IWS and delirium assessment and management (including non‐pharmacologic strategies as early mobilization) and to investigate associations between the presence of an analgosedation protocol and IWS and delirium monitoring, analgosedation weaning, and early mobilization.MethodsWe conducted a multicenter cross‐sectional survey‐based study collecting data from one experienced physician or nurse per PICU in Europe from January to April 2021. We then investigated differences among PICUs that did or did not follow an analgosedation protocol.ResultsAmong 357 PICUs, 215 (60%) responded across 27 countries. IWS was systematically monitored with a validated scale in 62% of PICUs, mostly using the Withdrawal Assessment Tool‐1 (53%). The main first‐line treatment for IWS was a rescue bolus with interruption of weaning (41%). Delirium was systematically monitored in 58% of PICUs, mostly with the Cornell Assessment of Pediatric Delirium scale (48%) and the Sophia Observation Scale for Pediatric Delirium (34%). The main reported first‐line treatment for delirium was dexmedetomidine (45%) or antipsychotic drugs (40%). Seventy‐one percent of PICUs reported to follow an analgosedation protocol. Multivariate analyses adjusted for PICU characteristics showed that PICUs using a protocol were significantly more likely to systematically monitor IWS (odds ratio [OR] 1.92, 95% confidence interval [CI] 1.01–3.67) and delirium (OR 2.00, 95% CI 1.07–3.72), use a protocol for analgosedation weaning (OR 6.38, 95% CI 3.20–12.71) and promote mobilization (OR 3.38, 95% CI 1.63–7.03).ConclusionsMonitoring and management of IWS and delirium are highly variable among European PICUs. The use of an analgosedation protocol was associated with an increased likelihood of monitoring IWS and delirium, performing a structured analgosedation weaning and promoting mobilization. Education on this topic and interprofessional collaborations are highly needed to help reduce the burden of analgosedation‐associated adverse outcomes.

BACKGROUND: The preparation to become a critical-care nurse in Sweden consists of a college progr... more BACKGROUND: The preparation to become a critical-care nurse in Sweden consists of a college program. The programs need to meet a set of widely defined goals developed by the Board of Higher Educati ...

With the aim to unfold nurses' concerns of the supervision of the student in the clinical caring ... more With the aim to unfold nurses' concerns of the supervision of the student in the clinical caring situation of the vulnerable child, clinical nurses situated supervision of postgraduate nursing students in the Pediatric Intensive Care Unit (PICU) are explored. A qualitative approach, interpretive phenomenology, with participant observations and narrative interviews, was used. Two qualitative variations of patterns of meaning for the nurses' clinical facilitation were disclosed in this study. Learning by doing theme supports the students learning by doing through performing skills and embracing routines. The reflecting theme supports thinking and awareness of the situation. As the supervisor often serves as a role model for the student this might have an immediate impact on how the student applies nursing care in the beginning of his or her career. If the clinical supervisor narrows the perspective and hinders room for learning the student will bring less knowledge from the clinical education than expected, which might result in reduced nursing quality.

BackgroundThe noise levels in adult intensive care is a well-researched phenomenon which constant... more BackgroundThe noise levels in adult intensive care is a well-researched phenomenon which constantly exceeds international and national recommendations.In the pediatric intensive care, the caregiver ...

Pediatric Critical Care Medicine, Jun 1, 2018

Children who are critically ill are vulnerable, and the nurse has a responsibility to meet the ch... more Children who are critically ill are vulnerable, and the nurse has a responsibility to meet the child`s needs in a pediatric intensive care unit (PICU).Aim: The aim was to explore the vulnerable chi ...

Clinical nursing studies, Apr 28, 2017

Objective: The objective of this study was to investigate the nurses' approach to three sources o... more Objective: The objective of this study was to investigate the nurses' approach to three sources of sound that contribute to high noise levels; alarms, doors that open and conversation. Methods: Methods used derived from a theoretical perspective based on interpretive phenomenology and caring culture. In the pediatric intensive care, the caregivers of the children work in a high-tech environment as they are surrounded by sound from several sources. How caregivers understand and acknowledge how these sounds negatively affect a child's well-being depends on their individual knowledge and awareness of how children are affected by sound. In most cases, coming into an intensive care unit is a new experience for a child. This causes greater stress, both from the environment itself as well as from sound levels. The method was built on a phenomenological perspective and an interpretive non-participation, semi-structured observations were conducted in a pediatric intensive care unit (PICU) of one of Sweden's metropolitan regions in the winter of 2014-2015. Results: The results show that noise is an overlooked phenomenon in the pediatric intensive care environment as it has given way to other priorities in the nurse's work. It is also apparent that this depends on the department's caring culture as it prioritizes other things, resulting in normalizing high levels of noise as a part of the pediatric intensive care environment. Conclusions: Noise levels are not a priority in the department's caring culture. High noise levels are permitted unreflectedly and appears to be a token of potency and an accepted part of the health care environment.


Objective: The objective of this study was to investigate the nurses' approach to three sources o... more Objective: The objective of this study was to investigate the nurses' approach to three sources of sound that contribute to high noise levels; alarms, doors that open and conversation. Methods: Methods used derived from a theoretical perspective based on interpretive phenomenology and caring culture. In the pediatric intensive care, the caregivers of the children work in a high-tech environment as they are surrounded by sound from several sources. How caregivers understand and acknowledge how these sounds negatively affect a child's well-being depends on their individual knowledge and awareness of how children are affected by sound. In most cases, coming into an intensive care unit is a new experience for a child. This causes greater stress, both from the environment itself as well as from sound levels. The method was built on a phenomenological perspective and an interpretive non-participation, semi-structured observations were conducted in a pediatric intensive care unit (PICU) of one of Sweden's metropolitan regions in the winter of 2014-2015. Results: The results show that noise is an overlooked phenomenon in the pediatric intensive care environment as it has given way to other priorities in the nurse's work. It is also apparent that this depends on the department's caring culture as it prioritizes other things, resulting in normalizing high levels of noise as a part of the pediatric intensive care environment. Conclusions: Noise levels are not a priority in the department's caring culture. High noise levels are permitted unreflectedly and appears to be a token of potency and an accepted part of the health care environment.

The objective of this study was to investigate the nurse approach to sound in an hightechnologica... more The objective of this study was to investigate the nurse approach to sound in an hightechnological pediatric intensive care unit. The method used derived from a theorethical perspective based on P ...

Pediatric Critical Care Medicine, Jun 1, 2018

International journal of higher education, Oct 7, 2016

Background: At a specialist nursing education in intensive care, located at a University college ... more Background: At a specialist nursing education in intensive care, located at a University college in Sweden, there was a desire among the faculty to develop their ability to support specialist nursing students in their academic development, as well as in their academic writing, to improve the overall quality of the master theses. A quality improvement design, the Plan, DO, Study, Act (PDSA) cycle was applied. Two graduating classes of specialist nursing students and two faculty members were involved in the quality improvement of academic writing. The result of the study showed improved academic writing and improved student satisfaction in the master thesis writing process.