It has been argued that the significance of personality in relation to students' readiness for interprofessional collaboration is an area where more research is needed. Nursing students in particular ...seem to be unsure about their role in the interprofessional team.
To explore associations between nursing students' readiness for interprofessional learning and personality traits with regard to biological sex, and previous work experience from health care.
A cross-sectional questionnaire study.
Nursing students in year one and three enrolled in a three-year undergraduate bachelor in nursing programme.
Nursing students (n = 284) in semester two and six.
The participants completed the Readiness for Interprofessional Learning Scale and the Neuroticism, Extraversion, and Openness to experience Five Factor Inventory-3. The data were statistically analyzed by descriptive statistics, t-tests, correlations and linear regressions.
Four of the five investigated personality traits – Extraversion, Openness to experiences, Agreeableness and Conscientiousness - were associated with nursing students' readiness for interprofessional learning. Moreover, nursing students in semester six were more ready for interprofessional learning regarding Negative professional identity and Roles and responsibilities than students in semester two. Female students were more ready for Teamwork and collaboration than male students.
Nursing students being more outgoing, open-minded, agreeable or conscientious seem to be more ready for interprofessional learning. Consequently, personality is of significance for nursing students' readiness for interprofessional learning.
Patients with chronic diseases create their own subjective beliefs about their conditions based on their illness perceptions. In the common-sense model, illness perceptions constitute personal ...beliefs about illness with regard to five components: identity, timeline, cause, control/cure, and consequences. Patients’ illness perceptions affect both their management of their disease and their adherence to treatment. Since patients with peripheral arterial disease need life-long treatment for secondary prevention, generating knowledge about illness perceptions in patients with peripheral arterial disease is essential.
To systematically review and synthesise the literature on illness perceptions in patients with peripheral arterial disease.
A systematic review
PubMed, CINAHL, and PsycINFO.
A systematic search strategy was conducted in December 2017, with an update in July 2019. Two team members independently screened all titles and abstracts. A relevance and quality appraisal of the studies was performed. The references from the included studies were evaluated for additional studies. The data from 14 studies were extracted and synthesised using a “best-fit” approach to framework analysis. A deductive analysis was conducted using the common-sense model. The data not suitable for the framework were analysed separately using inductive conventional content analysis, yielding an additional component representing the retrospective consequences of peripheral arterial disease.
The findings showed diversity in illness perceptions in each of the five components of the framework as well as in the additional component. The findings showed participants’ lack of understanding of the chronic nature of the disease, i.e., about the timeline, the identity of the symptoms and the cause of the disease. The patients’ beliefs about control and cures varied from having high motivation to engage in physical activity to thinking that walking could make their situations worse. There was fear about the future, as patients perceived disease progression and decreasing control to be consequences of their illness. Living with the disease, the emphasis in the additional component, was a process for regaining control and adapting to their situations.
Patients with peripheral arterial disease shape their own understandings of their conditions. These beliefs may influence their management of their disease and adherence to treatment. Therefore, the current study suggests that illness perceptions should be addressed when planning secondary prevention for patients with peripheral arterial disease.
Introduction: Little is known about health-psychologic features and health-related quality of life (HRQoL) in persons with severe asthma. Hence, the aim was to explore these features among persons ...with severe asthma.
Methods: In the population-based West Sweden Asthma Study, 68 persons with severe asthma completed questionnaires on HRQoL (SF-8), asthma control (ACT), general self-efficacy (GSE), beliefs about medications (BMQ), anxiety and depression (HADS). Severe asthma was based on GINA treatment steps 4/5. Sub-groups were compared with the Mann-Whitney U test and associations were explored using the Spearman’s r.
Results: Women with severe asthma reported worse mental HRQoL and indicated more symptoms of anxiety on HADS compared to men with severe asthma. Persons with severe asthma and ACT<20 reported worse physical HRQoL and perceived their medication as more necessary than those with severe asthma and ACT≥20. Among persons with severe asthma, physical HRQoL was associated with ACT-score (r=.613, p>.001). Mental HRQoL was associated with symptoms of anxiety (r=-.670, p>.001), depression (r=-.499, p>.001), self-efficacy (r=.344, p=.004) and concerns of asthma medication side effects (r=-.340, p=.006) within the same group.
Conclusions: Health-psychologic features and HRQoL were different between sub groups of severe asthma. Use of questionnaires in asthma management in healthcare might be helpful to identify these sub-groups and provide improved and preventive care.
Volt hockey is a team sport developed for persons with physical disabilities. Because family members are important resources to enable sports participation, the purpose of this study was to ...illuminate experiences of volt hockey from family members’ perspectives. Focus group interviews were conducted, including 20 family members, and the verbatim transcripts were inductively analysed using reflexive thematic analysis. Family members saw the value of enabling participation in volt hockey, being an inclusive team sport that brings enjoyment and strengthens social relationships within, and outside of, the family. Trying to facilitate sport participation, the need for material resources and other actors was emphasised, such as personal assistance, funders, and healthcare professionals informing about the sport and the engagement of the volt hockey clubs. In conclusion, involvement in volt hockey is emotionally and socially rewarding for family members, but there is a need for additional enablers to allow the sport to grow.
In this article, we explore the theme of choice in relation to education and work by discussing the notion of “compromise” within career guidance. In particular, we analyse compromises related to ...career choice in regard to groups and individuals who are restricted — or belong — to a particular geographical place and how this spatial limitation is managed and discussed by career guidance counsellors who work with unemployed individuals. The article is based on the following questions: How are compromises and restricted choices considered in relation to place and belonging? How do career guidance counsellors and other professionals discuss compromises of choice? The qualitative interviews have been conducted with career counsellors working with unemployed individuals in rural Sweden. Four themes emerge: location as a given/non-issue, location as opposed to interest, location as personal life and location as an obstacle. We argue that belonging can be seen as more available to certain groups. For example, career counsellors view the claims of belonging by young people as less valid than for individuals who can present caring and family obligations as reasons for not being mobile.
Individuals with severe asthma often report poor Health-related quality of life (HRQoL) and more research is essential to increase understanding of how they may be helped to improve HRQoL. The main ...aim of the current paper is to evaluate HRQoL, and possible factors influencing HRQoL, in individuals with severe asthma. The aim is also to explore associations among anxiety, depression, beliefs of medication, self-efficacy, and HRQoL among individuals with severe and other asthma as well as those with no asthma.
Participants with severe asthma (
= 59), other asthma (
= 526), and no asthma (
= 902) were recruited from West Sweden Asthma Study, a population-based study, which includes both questionnaire surveys and clinical examinations.
Individuals with severe asthma had worse physical HRQoL (measured with SF-8) than those with other and no asthma (median 48.4, 51.9, and 54.3, respectively). They also had worse mental HRQoL (median 46.7) and reported higher anxiety and depression scores (measured using HADS, median 5.0 and 3.5, respectively) compared to no asthma (median 4.0 and 2.0, respectively). HRQoL was particularly affected among women with severe asthma. Individuals with severe asthma believed that their asthma medication was more necessary than those with other asthma, but they reported more concern for the medication. Asthma control and packyears predicted physical HRQoL and anxiety predicted mental HRQoL among individuals with severe asthma.
Efforts to improve asthma control and to reduce anxiety may improve HRQoL in individuals with severe asthma. Especially, women with severe asthma seem to need support to improve their HRQoL. Reducing concerns with asthma medication is most likely essential as high concerns may lead to poor adherence, which in turn may negatively affect asthma control and HRQoL.
Current guidelines primarily use medication levels to distinguish severe asthma from other types of asthma. In addition, severe asthma must also be uncontrolled at high-intensity treatment or become ...uncontrolled if treatment level is decreased. To date, only a few studies have used this definition to investigate the prevalence and clinical characteristics of severe asthma in population-based samples. Therefore, the aim of this study was to evaluate the prevalence and clinical characteristics of individuals with severe asthma in the population-representative West Sweden Asthma Study.
In this cross-sectional population-based study, a randomly selected sample (n=1172) and a separate asthma sample (n=744) underwent clinical examinations, completed a structured interview and responded to questionnaires. Severe asthma was defined as at least one feature of uncontrolled asthma despite treatment in line with the Global Initiative for Asthma (GINA) steps 4/5. This treatment level required a minimum medium dose of inhaled corticosteroids (ICS) plus a second controller or oral corticosteroids.
The prevalence of severe asthma was 1.1% in the adult random sample and 9.5% within the asthma sample. Individuals with severe asthma were older and had more symptoms, activity limitations, heart disease and blood neutrophils compared to those with other asthma. They also had lower lung function and despite these impairments, 32% did not have annual contact with a healthcare provider.
The prevalence of severe asthma was higher compared to previous studies, and many individuals with severe asthma did not have regular contact with healthcare providers. Due to the high burden of symptoms and impairments for individuals with severe asthma, it is important that the healthcare system implement strategies to improve follow-up and evaluate these patients according to existing guidelines.