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  • SAGE Publications  (6)
  • 1
    Online Resource
    Online Resource
    Innovation activity among nurses: The translation and preliminary validation of the Bricolage Measure – a mixed-method study
    SAGE Publications ; 2018
    In:  Nordic Journal of Nursing Research Vol. 38, No. 3 ( 2018-09), p. 151-159
    Details
    In: Nordic Journal of Nursing Research, SAGE Publications, Vol. 38, No. 3 ( 2018-09), p. 151-159
    Abstract: Qualitatively, research has demonstrated the existence of bricolage among healthcare staff, i.e. solving problems on the spot by resources at hand, and its potential to lead to innovation. However, we know little about the spread of bricolage activity and its potential role for innovation in healthcare. The aim of this study was therefore to provide an instrument for measuring bricolage activity among nurses, to test the measure and learn about the spread of bricolage in nursing in Denmark. We used a mixed-method design including a translation–back translation, a pre-test and a pilot test. Primary data were collected during 2015 via interviews and a survey, including 248 nurses. The analysis revealed that the majority of nurses rated themselves and colleagues as having a high level of bricolage activity. This study’s preliminary validations (content and face validation), of the translated Bricolage Measure, confirmed the usability of the instrument to examine bricolage activity in nursing in Denmark.
    Type of Medium: Online Resource
    ISSN: 2057-1585 , 2057-1593
    URL: Article
    DOI: 10.1177/2057158517733931
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2018
    detail.hit.zdb_id: 2846935-5
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  • 2
    Online Resource
    Online Resource
    The influence of psychosocial factors on the duration of breastfeeding
    SAGE Publications ; 2004
    In:  Scandinavian Journal of Public Health Vol. 32, No. 3 ( 2004-05), p. 210-216
    Details
    In: Scandinavian Journal of Public Health, SAGE Publications, Vol. 32, No. 3 ( 2004-05), p. 210-216
    Abstract: Aim: A study was undertaken to examine to what extent psychosocial factors are related to the length of breastfeeding. Methods: A cohort of Danish mothers giving birth to a single child was followed up for four months. Information on mother and baby including psychosocial variables was obtained from a self-report questionnaire. Breastfeeding status was subsequently monitored by a health visitor. Results: A total of 471 (88%) mothers participated, 98.7 % initiated breastfeeding and after four months 277 (59%) were still exclusive breastfeeding; 99 mothers, 51% of those who stopped, stopped within the first five weeks. In Cox regression analyses the duration of breastfeeding showed a positive association with mother's schooling ( p=0.002), her intention to breastfeed ( p=0.001), previous experience with breastfeeding ( p 〈 0.001), self-efficacy with respect to breastfeeding ( p 〈 0.001), her confidence in breastfeeding ( p=0.012) and knowledge about breastfeeding ( p=0.001). The effect of the mother's knowledge depended on the parity of the child. Among primiparous mothers high knowledge was associated with long duration of breastfeeding, but this association was not found among the multiparous. Conclusions: To help the mothers who would like to breastfeed their baby, we must improve our ability to identify mothers at risk of early cessation. Mother's schooling, her intention, self-efficacy and earlier breastfeeding experience can be used as early predictors. An intervention should aim at improving the self-efficacy and resources of these mothers, with a focus on practical knowledge. The first five weeks, when the largest proportion of the cessations occurred, require special attention.
    Type of Medium: Online Resource
    ISSN: 1403-4948 , 1651-1905
    URL: Article
    DOI: 10.1080/14034940310019218
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2004
    detail.hit.zdb_id: 2027122-0
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  • 3
    Online Resource
    Online Resource
    Breastfeeding Support in Neonatal Intensive Care : A National Survey
    SAGE Publications ; 2012
    In:  Journal of Human Lactation Vol. 28, No. 3 ( 2012-08), p. 370-379
    Details
    In: Journal of Human Lactation, SAGE Publications, Vol. 28, No. 3 ( 2012-08), p. 370-379
    Abstract: The incidence of breastfeeding of preterm infants is affected by the support provided at the hospital and in the neonatal intensive care unit (NICU). However, policies and guidelines promoting breastfeeding vary both nationally and internationally. Objectives: The aim of this survey was to describe breastfeeding support in Danish NICUs, where approximately 98% of mothers initiate lactation. Methods: A national survey of all 19 Danish NICUs was conducted in 2009. Four NICUs were at designated Baby-Friendly hospitals, and 5 had a lactation consultant. In all NICUs, it was possible for some parents to stay overnight; 2 units had short restrictions on parents’ presence. Five NICUs had integrated postpartum care for mothers. Breastfeeding policies, written guidelines, and systematic breastfeeding training for the staff were common in most NICUs. Seventeen NICUs recommended starting breast milk expression within 6 hours after birth, and mothers were encouraged to double pump. Most NICUs aimed to initiate skin-to-skin contact the first time the parents were in the NICU, and daily skin-to-skin contact was estimated to last for 2-4 hours in 63% and 4-8 hours in 37% of the units. The use of bottle-feeding was restricted. Conclusions: The Danish NICUs described the support of breastfeeding as a high priority, which was reflected in the recommended policies for breast milk pumping, skin-to-skin contact, and the parents’ presence in the NICU, as well as in the restricted use of bottle-feeding. However, support varied between units, and not all units supported optimal breastfeeding.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    URL: Article
    DOI: 10.1177/0890334412440846
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2092674-1
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  • 4
    Online Resource
    Online Resource
    Development of a Postnatal Educational Program for Breastfeeding Mothers in Community Settings : Intervention Mapping as a Useful Guide
    SAGE Publications ; 2011
    In:  Journal of Human Lactation Vol. 27, No. 4 ( 2011-11), p. 339-349
    Details
    In: Journal of Human Lactation, SAGE Publications, Vol. 27, No. 4 ( 2011-11), p. 339-349
    Abstract: Inconsistency in how professionals can best support the breastfeeding mother after discharge call on further investigation. The authors describe how intervention mapping was used to develop a postnatal breastfeeding support intervention for mothers in community settings. Breastfeeding cessation most often occurred in the first weeks among mothers with low self-efficacy, low confidence, or limited previous breastfeeding experience. Besides learning effective breastfeeding techniques, mothers needed to learn how to recognize their baby’s cues, let the baby regulate meals, gain confidence in producing enough milk, and handle breastfeeding problems. Theory-based methods—such as individualization, skills training with guided practice, reattribution, planning coping responses, and mobilizing social support—were built into a health visitor–delivered program. An 18-hour training course addressed determinants for implementation. Finally, process and effect evaluations were planned. Support of the breastfeeding mother in community settings should address the psychosocial and practical aspects of breastfeeding to prevent premature cessation.
    Type of Medium: Online Resource
    ISSN: 0890-3344 , 1552-5732
    URL: Article
    DOI: 10.1177/0890334411422702
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2011
    detail.hit.zdb_id: 2092674-1
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  • 5
    Online Resource
    Online Resource
    Breastfeeding and introduction of complementary food in Danish infants
    SAGE Publications ; 2015
    In:  Scandinavian Journal of Public Health Vol. 43, No. 2 ( 2015-03), p. 138-145
    Details
    In: Scandinavian Journal of Public Health, SAGE Publications, Vol. 43, No. 2 ( 2015-03), p. 138-145
    Abstract: Aim: The purpose of the present study was to describe early feeding patterns in Danish infants. Methods: A self-administered questionnaire was sent to 7113 mothers of newborns in the western part of Denmark approximately 6 months postpartum. A total of 5127 mothers (72%) returned the questionnaire and 4526 (88%) of the responding mothers provided valid answers to questions on infant nutrition. Results: Breastfeeding was initiated after birth by 97%. At the ages of 2, 4 and 6 months, 68%, 55% and 7% of the infants, respectively, were fully breastfed, i.e. they received mother’s milk only. Full breastfeeding at 4 months was for infants significantly associated with higher birth weight, longer gestational age and singleton birth; for mothers it was associated with older ages, higher educational level, lower BMI and multiparity. During the first weeks, 14% of the infants were introduced to formula and this proportion increased to 32%, 43% and 74% at 2, 4 and 6 months, respectively. Only 20% of the infants never received formula during the first 6 months of life. Time for introduction of solid food was associated with breastfeeding status. At 4 months, 3% of the previously fully breastfed infants were introduced to solid food, 12% of the partially breastfed and 17% of the non-breastfed. At 6 months, 87% of the infants had been introduced to solid food. Conclusions: The majority of Danish mothers introduced infants to solid food between 4 and six months, and did not exclusively breastfeed until 6 months, as recommended by WHO.
    Type of Medium: Online Resource
    ISSN: 1403-4948 , 1651-1905
    URL: Article
    DOI: 10.1177/1403494814567171
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2015
    detail.hit.zdb_id: 2027122-0
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  • 6
    Online Resource
    Online Resource
    Comparison of video and in-hospital consultations during early in-home care for premature infants and their families: A randomised trial
    SAGE Publications ; 2022
    In:  Journal of Telemedicine and Telecare Vol. 28, No. 1 ( 2022-01), p. 24-36
    Details
    In: Journal of Telemedicine and Telecare, SAGE Publications, Vol. 28, No. 1 ( 2022-01), p. 24-36
    Abstract: Early in-home care is increasingly being used in Scandinavian countries for clinically stable premature infants. Due to challenges with travel and hospital resources, alternative ways to support parents during early in-home care are being considered. The aim of this study was to test whether the proportion of mothers exclusively breastfeeding, parental confidence and mother–infant interaction increased after early in-home care with premature infants, and to compare the outcomes of in-home care involving the use of video communication and a mobile application with those of in-home care involving in-hospital consultations. Methods This study was conducted in four neonatal wards offering premature infant in-home care in Denmark. Premature infants were randomised using 1:1 block randomisation. During early in-home care, families had planned consultations two to three times a week, during which they received support from nurses: the intervention group had video consultations, while the control group had in-hospital consultations. Results The proportion of exclusively breastfeeding mothers at discharge was 66.7% in the intervention group vs 66% in the control group and decreased to 49.4% vs 55%, respectively, 1 month after discharge. No significant improvements were found in the intervention group compared with the control group. In the intervention group, some video consultations were changed to telephone consultations due to problems with the video function, or to in-hospital consultations due to infants’ requirement for medical services. No significant differences in secondary outcomes were observed. Discussion The study showed similar breastfeeding proportions at discharge. No unfavourable effects of video consultation compared with in-hospital consultation were found, indicating that video consultation could be a viable option and an important supplement during early in-home care. Trial registration ClinicalTrials.gov ID: NCT02581800.
    Type of Medium: Online Resource
    ISSN: 1357-633X , 1758-1109
    URL: Article
    DOI: 10.1177/1357633X20913411
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2007700-2
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