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  • Braut, Geir S.  (4)
  • 1
    Online Resource
    Online Resource
    Resilience From a Stakeholder Perspective: The Role of Next of Kin in Cancer Care
    Ovid Technologies (Wolters Kluwer Health) ; 2020
    In:  Journal of Patient Safety Vol. 16, No. 3 ( 2020-9), p. e205-e210
    Details
    In: Journal of Patient Safety, Ovid Technologies (Wolters Kluwer Health), Vol. 16, No. 3 ( 2020-9), p. e205-e210
    Abstract: The aim of this article was to provide new knowledge on how next of kin are co-creators of resilient performance, as seen from the viewpoint of the healthcare personnel and managers. The following research question guided the study: How are next of kin involved in shaping resilience within cancer care in hospitals? Methods The design of the study is a case study of cancer departments in two Norwegian hospitals. Data collection included a total of 32 qualitative semistructured interviews at two organizational levels (managers and staff). The data were analyzed by ways of a directed content analysis according to Hollnagel's Resilience in Health Care framework of resilience potentials (anticipate, monitor, respond, learn). Results Next of kin are involved in creating and maintaining resilience in cancer care by different kind of activities and in-depth insight into the patient's condition, which strengthen all resilience potentials of responding, anticipation, monitoring, and learning. We have identified nine areas in which next of kin are co-creators in shaping resilience. Next of kin are important stakeholders, both as safety experts and as safety resources, helping healthcare professionals provide quality and safety in the patient care process under difficult conditions. Next of kin's knowledge of the patient's history, their observation of the patient over time within the hospital, at home, and across care transitions are key elements of their contribution. Conclusions Next of kin complement healthcare professionals in all four potentials for resilient performance. The study suggests that the Resilience in Health Care framework takes into account the role of next of kin, as a stakeholder potential, because this has not previously been sufficiently considered.
    Type of Medium: Online Resource
    ISSN: 1549-8425 , 1549-8417
    URL: Article
    DOI: 10.1097/PTS.0000000000000532
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2020
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  • 2
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    Next-of-kin involvement in improving hospital cancer care quality and safety – a qualitative cross-case study as basis for theory development
    Springer Science and Business Media LLC ; 2018
    In:  BMC Health Services Research Vol. 18, No. 1 ( 2018-12)
    Details
    In: BMC Health Services Research, Springer Science and Business Media LLC, Vol. 18, No. 1 ( 2018-12)
    Type of Medium: Online Resource
    ISSN: 1472-6963
    URL: Article
    DOI: 10.1186/s12913-018-3141-7
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2018
    detail.hit.zdb_id: 2050434-2
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  • 3
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    Developing a Next-of-Kin Involvement Guide in Cancer Care—Results From a Consensus Process
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Cancer Nursing Vol. 44, No. 6 ( 2021-11), p. E447-E457
    Details
    In: Cancer Nursing, Ovid Technologies (Wolters Kluwer Health), Vol. 44, No. 6 ( 2021-11), p. E447-E457
    Abstract: In hospital cancer care, there is no set standard for next-of-kin involvement in improving the quality of care and patient safety. There is therefore a growing need for tools and methods that can guide this complex area. Objective The aim of this study was to present the results from a consensus-based participatory process of designing a guide for next-of-kin involvement in hospital cancer care. Method A consensus process based on a modified Nominal group technique was applied with 20 stakeholder participants from 2 Norwegian university hospitals. Result The participants agreed on the 5 most important priorities for hospital cancer care services when involving next-of-kin. The results showed that next-of-kin stakeholders, when proactively involved, are important resources for the patient and healthcare professionals in terms of contribution to quality and safety in hospitals. Suggested means of involving next-of-kin were closer interaction with external support bodies, integration in clinical pathways, adjusted information, and training healthcare professionals. Conclusion In this study, we identified topics and elements to include in a next-of-kin involvement guide to support quality and safety in hospital cancer care. The study raises awareness of the complex area of next-of-kin involvement and contributes with theory development and knowledge translation in an involvement guide tailored for use by healthcare professionals and managers in everyday clinical practice. Implications for Practice Service providers can use the guide to formulate intentions and make decisions with suggestions and priorities or as a reflexive tool for organizational improvement.
    Type of Medium: Online Resource
    ISSN: 1538-9804 , 0162-220X
    URL: Article
    DOI: 10.1097/NCC.0000000000000869
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
    detail.hit.zdb_id: 2049755-6
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  • 4
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    Measuring next of kin satisfaction with hospital cancer care: Using a mixed‐method approach as basis for improving quality and safety
    Wiley ; 2020
    In:  Journal of Advanced Nursing Vol. 76, No. 5 ( 2020-05), p. 1232-1246
    Details
    In: Journal of Advanced Nursing, Wiley, Vol. 76, No. 5 ( 2020-05), p. 1232-1246
    Abstract: 探讨直系亲属对癌症护理的满意度,绘制直系亲属参与建议图,并结合此类信息,为提高医院护理质量和安全性奠定基础。 设计 采用集合并行混合法设计,使用20个条目FAMCARE量表对护理满意度进行定量测量,并采用开放式问题进行定性分析。 数据来源 238名直系亲属(2016年11月至2017年11月)的回复。 方法 探索性因素分析、回归分析与定性内容分析相结合。 结果 两所医院在医疗方面的得分(中位数,四分位数范围:1.5,1.1‐2.0)均高于直系亲属对信息和参与度的满意度得分(1.9,1.3‐2.4), p 〈 .001(威尔科克森符号秩检验)。在调整了人口统计学和临床变量的差异后,其中一家医院的FAMCARE总分高出13%(95%可信区间:1%‐27%,Wald p = .029)。定性研究结果表明,医院并未向直系亲属提供参与医院癌症护理的同等待遇,包括采取积极主动的方法。 结论 作为提高护理质量和安全性的基础,直系亲属对癌症护理的满意度和参与度应从两个方面着手解决,平衡直系亲属参与癌症治疗的需要以及患者观点之间的关系。 影响 对于直系亲属对医院癌症护理的满意度以及直系亲属希望如何参与这一轨迹的了解尚且有限。但对于癌症护理满意度,有几个方面可促使改变,以提高服务质量和安全性(如信息、参与度、实际护理),但这方面的信息来源目前尚未得以充分利用。直系亲属在癌症护理中发挥关键作用,而我们的研究也表明,从包括直系亲属在内的综合角度出发,其可能会对未来改善癌症护理服务提供的实践方法产生重大影响。
    Type of Medium: Online Resource
    ISSN: 0309-2402 , 1365-2648
    URL: Issue
    URL: Article
    DOI: 10.1111/jan.v76.5
    DOI: 10.1111/jan.14315
    Language: English
    Publisher: Wiley
    Publication Date: 2020
    detail.hit.zdb_id: 2009963-0
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