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  • 601. Wilde Larsson, B.
    et al.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Bjoro, K.
    Kristoffersen, N. J.
    Kvalitet och kvalitetsutveckling inom hälso- och sjukvård1998In: Allmän omvårdnad: 1, Profession och ämnesområde - utveckling, värdegrund och kunskap / [ed] N. J. Kristoffersen, Stockholm: Liber, 1998, p. 431-453Chapter in book (Refereed)
  • 602. Wilde Larsson, B.
    et al.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Starrin, B.
    Patients' views on quality of care: A comparison of men and women1999In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 7, no 3, p. 133-139Article in journal (Refereed)
    Abstract [en]

    Aim This study set out to explore gender differences among medical and surgical acute care inpatients regarding their perceptions of actual care conditions as well as their evaluation of the subjective importance of various care conditions.

    Background Firstly, the literature reports inconsistent findings regarding male and female patients’ views on care. Secondly, the instruments used in most previous research are not derived from a patient perspective.

    Methods The sample consisted of 831 patients (48% were women and 52% were men) at two Swedish hospitals. Data were collected using the questionnaire ‘Quality from the Patient’s Perspective’.

    Findings Male and female patients tended to evaluate the actual care received similarly. However, women tend to assign the different care aspects higher subjective importance.

    Conclusion More research is needed to illuminate the reasons why men and women hold these different values. Until these issues are better understood, there is no valid basis on a group (gender) level to give specific practical recommendations to nursing managers.

  • 603. Wilde Larsson, B.
    et al.
    Larsson, Gerry
    Swedish National Defence College, Department of Leadership and Management (ILM).
    von Holsten, K.
    Wickman, M.
    Theory-based assessment of patients' views on quality of care in England, France, Norway, and Sweden.2005In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 18, p. 62-73Article in journal (Refereed)
  • 604.
    Wilde Larsson, Bodil
    et al.
    Karlstads universitet.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Kvalitetsmätning med KUPP-instrument2000In: Vårdfacket, ISSN 0347-0911, Vol. 24, no 2, p. 46-48Article in journal (Other academic)
  • 605.
    Wilde Larsson, Bodil
    et al.
    Karlstads universitet.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Värmlandskuppen: kartläggning av vårdkvalitet : Barn- och ungdomskliniken, Centralsjukhuset i Karlstad 1997-1998 : arbetsrapport1999Report (Other academic)
  • 606.
    Wilde Larsson, Bodil
    et al.
    Karlstads universitet.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Värmlandskuppen: kartläggning av vårdkvalitet vid sjukhuset i Arvika 1997-1998 : arbetsrapport1999Report (Other academic)
  • 607.
    Wilde Larsson, Bodil
    et al.
    Karlstads universitet.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Värmlandskuppen: kartläggning av vårdkvalitet vid sjukhuset i Säffle 1997-1998 : arbetsrapport1999Report (Other academic)
  • 608.
    Wilde Larsson, Bodil
    et al.
    Karlstads universitet.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Värmlandskuppen: kartläggning av vårdkvalitet vid Vårdcentralen Hermes i Säffle 1998 : arbetsrapport1999Report (Other academic)
  • 609. Wilde Larsson, Bodil
    et al.
    Larsson, Gerry
    Swedish Defence University, Department of Leadership and Management (ILM).
    Kvist, Linda
    Sandin-Bojö, Ann-Kristin
    Womens’ opinions on intrapartal care: development of a theory-based questionnaire2010In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 19, no 11-12, p. 1748-1760Article in journal (Refereed)
    Abstract [en]

    Aim.

    To develop a patient questionnaire specific to intrapartal care, based on the theoretical foundation of the general instrument Quality from the Patient's Perspective (QPP).

    Background.

    Existing general patient questionnaires do not take intrapartal care aspects fully into account, and available intrapartal-specific patient questionnaires tend to have a weak theoretical foundation.

    Design.

    A cross-sectional, nationwide study carried out during a two-week period in 2007 at Swedish maternity units.

    Method.

    An intrapartal-specific QPP-questionnaire (QPP-I) was developed by combining a selection of 22 items from the short and long versions of the QPP with 10 newly constructed items. Responses were obtained from 739 women (63% response rate). The dimensionality of the QPP-I was assessed using structural equation modelling (a nested factor model). Non-parametric statistics were used for subgroup comparisons.

    Results.

    A nested model with a general factor including all 32 items and 10 subordinate factors was developed. Most scales had acceptable reliability coefficients (0 center dot 73-0 center dot 93), and a meaningful pattern of subgroup differences was obtained.

    Conclusions.

    The QPP-I is theory based and has its roots in a patient perspective. It was developed using a nationwide sample of Swedish women receiving intrapartal care, and an advanced statistical method was used. The outcome of this initial empirical trial was promising but needs to be tested in different countries and cultures.

    Relevance to clinical practice.

    By combining womens' responses on perceived reality and subjective importance ascribed to the various aspects of care measured, the QPP-I offers the care provider better guidelines on which elements to focus quality improvement work on, than would be the case if only a rank order of perceived reality ratings was available.

  • 610.
    Wilde Larsson, Bodil
    et al.
    Karlstads universitet.
    Sandin Bojö, A
    Starrin, Bengt
    Karlstads universitet.
    Larsson, Gerry
    Swedish National Defence College, Department of Leadership and Management (ILM).
    Childbearing womens' feelings and perceptions of quality of intrapartum care: A nation-wide Swedish cross-sectional study2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 7-8, p. 1168-1177Article in journal (Other academic)
  • 611. Wilde-Larsson, B.
    et al.
    Larsson, Gerry
    Swedish National Defence College, Department of Leadership and Management (ILM).
    Development of a short form of the Quality from the Patient's Perspective (QPP) questionnaire2002In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 11, no 5, p. 681-687Article in journal (Refereed)
    Abstract [en]

    • Patients' views on the quality of care are important and it is desirable that these can be assessed using short, yet valid and reliable instruments.

    • The aim of the work reported here was to develop and test a short version of an established questionnaire: Quality from the Patient's Perspective (QPP).

    • Patients (n=162, 79% response rate) receiving care at medical and surgical departments in two Swedish hospitals responded to the original QPP as well as to a newly developed short version. An ethical research committee approved the study.

    • Pearson correlations were computed between the long and short forms and differences between means were analysed with t-tests. Reliability was estimated by computing Cronbach alpha coefficients.

    • Correlations of acceptable size were found between the short form and the original QPP. The short form also had acceptable reliability coefficients.

    • The strengths of the work are that the items in the short version are derived from a patient perspective and are formulated in words used by patients; the items still have a theoretical foundation, which makes the interpretation of results more meaningful; global formulations such as `What do you think about your care?' have been avoided; the short format should make the questionnaire more attractive for many patients to respond to.

    • Limitations are that results indicate that the short form does not fully measure what the long form does. Therefore, when the short form is used in practice, a two-step procedure is suggested, where a follow-up is done with a selection of items from the original long form. This selection could be restricted to areas where problems may be suspected, based on the results from the short form.

  • 612. Wilde-Larsson, B.
    et al.
    Larsson, Gerry
    Swedish National Defence College, Department of Leadership and Management (ILM).
    Rizell Carlsson, S.
    Advanced home care: Can patients' opinions on the quality of care be replaced by those of family members2004In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, no 2, p. 226-233Article in journal (Refereed)
    Abstract [en]

    Background.  Advanced medical care in the patient's home setting is becoming more common. Many of the patients who receive this kind of care have severe illnesses and are unable to respond to questions about the quality of care. The research question was: are the patients’ opinions congruent with those of family members?

    Aim.  To explore and compare the relationship between patients’ perception of the quality of care and close family members’ perception of this care as well as their perception of the patients’ perception.

    Methods.  Sixty-seven patients receiving advanced home care, 82 family members (54 matched patient + family member pairs) participated. Data were collected using a short version of the quality from the patient's perspective questionnaire modified to advanced home care.

    Results.  A high degree of perceptual congruence was found between patients and their family members. The similarity was also high between family members’ own opinion and their appraisal of how the patient perceived the care. A subgroup of family members who met the patient once a week or less often deviated from this pattern.

    Conclusion.  Patients’ views on the quality of care are congruent with the opinions of family members if they meet every day (live together) and share the same everyday and care-related experiences. The results can be understood in the light of empathic accuracy theory.

    Relevance to clinical practice.  The findings of this study have important implications for clinical nursing practice. Family members’ perception of the quality of care may be a valuable data source for nurses in the case of advanced home care if the patient and family member share the same everyday, care-related experiences, otherwise family members’ perception tend to be more critical than those of the patients themselves.

  • 613.
    Wilde-Larsson, Bodil
    et al.
    Department of Health Sciences, Karlstad University, Karlstad, Sweden and Department of Public Health, Hedmark University College, Elverum, Norway.
    Inde, Marianne
    Värmland County Council.
    Carlson, Annica
    Department of Surgery, Central Hospital, Karlstad, Sweden.
    Nordström, Gun
    Department of Health Sciences, Karlstad University, Karlstad, Sweden and Department of Public Health, Hedmark University College, Elverum, Norway.
    Larsson, Gerry
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), Ledarskapscentrum.
    Rystedt, Ingrid
    Department of Health Sciences, Karlstad University, Karlstad, Sweden.
    Implementation of patient-focused care: Before-after effects on work climate and quality of care in the eyes of patients and providers2014In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, E-ISSN 1758-6542, Vol. 27, p. 594-604Article in journal (Refereed)
    Abstract [en]

    Purpose– The purpose of this paper is to evaluate an organizationally oriented, patient-focused care (PFC) model's effects on care quality and work climate.

    Design/methodology/approach– The study has a before-after (PFC implementation) design. The sample included 1,474 patients and 458 healthcare providers in six participating wards before and after PFC implementation, plus five additional randomly chosen wards, which only featured in the post-assessment.

    Findings– No pre-post differences were found regarding care perceptions or provider work climate evaluations. Statistically significant improvements were noted among provider care evaluations. Using aggregate-level ward data, multiple regression analyses showed that high adherence to PFC principles and a positive work climate contributed significantly to variance among care quality ratings.

    Research limitations/implications– Among healthcare providers, questions related to specific PFC aspects during evenings, nights and weekends had to be dropped owing to a low response rate.

    Practical implications– An important requirement for both practice and research is to tailor PFC to various health and social care contexts.

    Originality/value– The study is large-scale before-after PFC model review, where patient and provider data were collected using well-established measurements.

  • 614.
    Wilde-Larsson, Bodil
    et al.
    Karlstads universitet.
    Larsson, Gerry
    Swedish National Defence College, Department of Leadership and Management (ILM).
    Patients' views on quality of care and attitudes towards re-visiting providers2009In: International Journal of Health Care Quality Assurance, ISSN 0952-6862, Vol. 22, no 6, p. 600-611Article in journal (Refereed)
  • 615. Wilde-Larsson, Bodil
    et al.
    Sandin-Bojo, Ann-Kristin
    Starrin, Bengt
    Larsson, Gerry
    Swedish Defence University, Department of Leadership and Management (ILM).
    Birthgiving women's feelings and perceptions of quality of intrapartal care: a nationwide Swedish cross-sectional study2011In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 20, no 7-8, p. 1168-1177Article in journal (Refereed)
    Abstract [en]

    Aim. The aim was to explore the relationships between the feelings of women who give birth and several birth-related care conditions, the womens' socio-demographic background, personality and perceptions of the quality of intrapartum care. Background. Childbirth is a highly significant emotional event for women and it is an explicit goal that each woman should have a positive childbirth experience. Design. The nationwide study is cross-sectional and was conducted at Swedish maternity units over two months in 2007. Methods. The study group consisted of 739 women (63% response rate). A dimensionality analysis of six emotion items was performed using structural equation modelling (SEM). Non-parametric tests and generalised linear mixed effects model analyses were used to study relationships and to make subgroup comparisons. Results. In the SEM analysis, a positive and a negative feeling factor were identified. Strong associations between the feeling factors and the womens' perceptions of the quality of care were found, particularly in regard to the so-called identity-oriented approach of the midwives and other health professionals. In addition, a higher intensity of negative feelings was associated with a personality pattern characterised by extraversion, emotional instability and lower degree of conscientiousness, a lower level of education and having had delivery through Caesarean section. Conclusions. The positive and negative feelings of women who give birth strongly covary with the women's perception of the quality of their intrapartum care. This pertains in particular to information issues, the midwives showing commitment, empathy and respect, being present during labour and allowing the women to actively participate as much as they want to. Relevance to clinical practice. Subgroup differences indicate that midwives should pay increased attention to childbearing women who have primary school education only, a lower emotional stability and/or deliver through Caesarean section.

  • 616.
    Wisén, Niclas
    et al.
    Karolinska institutet, (SWE).
    Larsson, Gerry
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), Leadership Division, Karlstad.
    Arborelius, Ulf
    Karolinska institutet, (SWE).
    Risling, Mårten
    Karolinska institutet, (SWE).
    Are Peacekeeping Missions Inevitably Stressful?2021In: Scandinavian Journal of Military Studies, E-ISSN 2596-3856, Vol. 4, no 1, p. 210-219Article in journal (Refereed)
  • 617.
    Wisén, Niclas
    et al.
    Department of Experimental Traumatology, Institution of Neuroscience at Karolinska Institute, Solna, Stockholm, Sweden, (SWE).
    Larsson, Gerry
    Swedish Defence University, Institutionen för ledarskap och ledning, Leadership and Command & Control Division Karlstad.
    Arborelius, Ulf
    Department of Experimental Traumatology, Institution of Neuroscience at Karolinska Institute, Solna, Stockholm, Sweden, (SWE).
    Risling, Mårten
    Department of Experimental Traumatology, Institution of Neuroscience at Karolinska Institute, Solna, Stockholm, Sweden, (SWE).
    Measuring the impact of operational stress: The relevance of assessing stress-related health across the deployment cycle2023In: Military medicine, ISSN 0026-4075, E-ISSN 1930-613X, Vol. 188, no 7-8, p. 2126-2132Article in journal (Refereed)
    Abstract [en]

    Introduction: Mental health issues from intense or prolonged stress are a common concern in regard to military deployment. Deployments can objectively vary in stress exposure, but it is the individuals' perception of that stress that affects sustainability, mental health, and combat fitness, which calls for the need of a protocol to evaluate and maintain a current estimation of stress impact. So, how can we assess the impact of stressors during different phases of deployment?

    Materials and methods: We used three psychological self-rating forms, the PSS14-Perceived Stress Scale, SMBM-Shirom Melamed Burnout Measure, and KSQ-Karolinska Sleep Questionnaire, to measure the impact of stress before (T1), during (T2), and at homecoming (T3). We also wanted to see if T1 or T2 results could predict T3 results to be able to better prepare the homecoming program.The forms were handed out to Swedish soldiers deployed in Mali in 2017. The forms were collected as a way to assess the status of the mental health load at three timepoints based on the personnel function as a way to assess the current "psychological fitness level".

    Results: The results show that stress measured using PSS14 was high at homecoming. The same result was observed for SMBM. No measures from T1 or T2 could however predict the T3 results.

    Conclusions: Taken together, we found that screening of all contingent staff is relatively easy and provides personnel with relevant data on mental health and stress at the current time. We also found that test results correlated between T1 and T2 but not with T3. This indicates that there might be different stressors that affect staff at different timepoints.

  • 618.
    Wisén, Niclas
    et al.
    Department of Experimental Traumatology, Institution of Neuroscience at Karolinska Institute, Stockholm, Sweden, (SWE).
    Larsson, Gerry
    Swedish Defence University, Institutionen för ledarskap och ledning, Leadership and Command & Control Division Karlstad.
    Risling, Mårten
    Department of Experimental Traumatology, Institution of Neuroscience at Karolinska Institute, Stockholm, Sweden, (SWE).
    Arborelius, Ulf
    Department of Experimental Traumatology, Institution of Neuroscience at Karolinska Institute, Stockholm, Sweden, (SWE).
    Is conduct after capture training sufficiently stressful?2022In: Frontiers in Psychology, E-ISSN 1664-1078, Vol. 13Article in journal (Refereed)
    Abstract [en]

    Conduct after capture (CAC) training is for personnel at risk of being captured. To be effective, it needs to be stressful. But how do we know if it is stressful enough? This study uses biomarkers and cognitive measures to evaluate CAC. Soldiers undergoing CAC were measured by the stress hormone cortisol from saliva samples at baseline and during training. The training consisted of being taken capture and put through a number of realistic and threatening scenarios, targeting survival strategies taught in the preceding week. Between scenarios, the trainees were held in a holding cell where they were monitored by a guard. The saliva samples were taken in conjunction with the scenarios. The whole training took place over a period of ~24 h. Cognitive performance was measured at baseline and after training. Three groups took part Group A (n = 20) was taken after 48 h of intense tasks leaving them in a poor resting state. Group B (n = 23) was well rested at CAC onset. Group C (n = 10) was part of a survival, evasion, resistance, and escape (SERE) instructor course. The CAC training was the same for all groups. Group A exhibited a high increase in cortisol during CAC, compared to baseline levels were multiple times as high as “expected” values. Group B exhibited elevated levels slightly lower than those of group A, they also “dropped” to “normal” levels during the latter part of the exercise. Group C displayed the least increase with only slightly elevated levels. CAC training is stressful and cortisol levels were elevated enough to satisfy the prerequisite for effective stress inoculation. No cognitive performance drop could be identified; however, several participants “froze” during the exercise due to intensive stress.

  • 619. Zhang, Z.
    et al.
    Zyphur, M. J.
    Nareayanan, J.
    Arvey, R. D.
    Chaturvedi, S.
    Avolio, B.
    Lichstenstein, P.
    Larsson, Gerry
    Swedish National Defence College, Department of Leadership and Management (ILM).
    The genetic basis of entrepreneurship: Effects of gender and personality2008Conference paper (Other academic)
  • 620.
    Zhang, Zhen
    et al.
    Department of Management, W. P. Carey School of Business, Arizona State University, Tempe, Arizona, USA.
    Zyphur, Michael, J
    Department of Management and Marketing, University of Melbourne,, Australia.
    Narayanan, Jayanth
    Department of Management & Organisation, Business School, National University of Singapore, Singapore.
    Arvey, Richard,D
    Department of Management & Organisation, Business School, National University of Singapore, Singapore.
    Chaturvedi, Sankalp
    Imperial College Business School, Organisation and Management Group, London, UK.
    Avolio, Bruce, J
    Department of Management and Organization, Foster School of Business, University of Washington, Seattle, WA, USA.
    Lichtenstein, Paul
    Institutionen för medicinsk epidemiologi och biostatistik, Karolinska institutet, Stockholm, Sverige.
    Larsson, Gerry
    Swedish Defence University, Department of Leadership and Management (ILM).
    The genetic basis of entrepreneurship: Effects of gender and personality2009In: Organizational Behavior and Human Decision Processes, ISSN 0749-5978, E-ISSN 1095-9920, Vol. 110, no 2, p. 93-107Article in journal (Refereed)
    Abstract [en]

    Extending previous research on the genetic underpinnings of entrepreneurship, we investigate gender differences in the genetic influences on the tendency of people to become entrepreneurs. We also examined two mediating variables through which genetic factors may impact this tendency: extraversion and neuroticism. Based on 1285 pairs of identical twins (449 male and 836 female pairs) and 849 pairs of same-sex fraternal twins (283 male and 566 female pairs), we found that females have a strong genetic influence and zero shared-environmental influences on their tendency to become entrepreneurs. In contrast, males show zero genetic influence, but a large shared-environmental influence. Extraversion and neuroticism mediate the genetic influences on women's tendency to become entrepreneurs, whereas extraversion mediates shared-environmental influences on men's tendency to become entrepreneurs. We discuss this sharp difference in genetic influences on entrepreneurship across gender groups and highlight the different challenges that men and women face in their entrepreneurial endeavors.

  • 621. Åström, S.
    et al.
    Wilde, B.
    Larsson, Gerry
    Swedish National Defence College, Ledarskapsinstitutionen.
    Ljungquist, M.
    Johansson, J.
    Wiklund, B.
    Sjuksköterskans roll i kommunal hälso- och sjukvård: erfarenheter av sjuksköterskor integrerade i vårdlag vid servicehus och som personalledare vid gruppboende1997Report (Other academic)
  • 622.
    Österberg, Johan
    et al.
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), Ledarskapscentrum.
    Fors Brandebo, Maria
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), Ledarskapscentrum.
    Jonsson, Emma
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), Ledarskapscentrum.
    Wallenius, Claes
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), Ledarskapscentrum.
    Larsson, Gerry
    Swedish Defence University, Department of Security, Strategy and Leadership (ISSL), Ledarskapscentrum.
    Arbetstillfredsställelse hos anställda soldater: Preliminär redovisning av en enkätstudie2012Report (Other academic)
10111213 601 - 622 of 622
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