Rytter L.,Glostrup University Hospital |
Jakobsen H.N.,Capital Region of Denmark |
Ronholt F.,Herlev University Hospital |
Hammer A.V.,Metropolitan University College |
And 3 more authors.
Scandinavian Journal of Primary Health Care | Year: 2010
Objectives. Many hospital admissions are due to inappropriate medical treatment, and discharge of fragile elderly patients involves a high risk of readmission. The present study aimed to assess whether a follow-up programme undertaken by GPs and district nurses could improve the quality of the medical treatment and reduce the risk of readmission of elderly newly discharged patients. Design and setting. The patients were randomized to either an intervention group receiving a structured home visit by the GP and the district nurse one week after discharge followed by two contacts after three and eight weeks, or to a control group receiving the usual care. Patients. A total of 331 patients aged 78 years discharged from Glostrup Hospital, Denmark, were included. Main outcome measures. Readmission rate within 26 weeks after discharge among all randomized patients. Control of medication, evaluated 12 weeks after discharge on 293 (89%) of the patients by an interview at home and by a questionnaire to the GP. Results. Control-group patients were more likely to be readmitted than intervention-group patients (52% v 40%; p=0.03). In the intervention group, the proportions of patients who used prescribed medication of which the GP was unaware (48% vs. 34%; p=0.02) and who did not take the medication prescribed by the GP (39% vs. 28%; p=0.05) were smaller than in the control group. Conclusion. The intervention shows a possible framework securing the follow-up on elderly patients after discharge by reducing the readmission risk and improving medication control. © 2010 Informa Healthcare.
Jensen C.S.,Aarhus University Hospital |
Jackson K.,Deakin University |
Kolbaek R.,Health Science University |
Glasdam S.,Metropolitan University College
Journal of Child Health Care | Year: 2012
Short-stay treatment has become a popular form of care as a strategy to cope with increased demands on health care. There is little research that considers children's experiences of acute hospitalisation to a short-stay care facility such as a Paediatric Emergency and Assessment Unit (PEAU). This study explored the experiences of eight children aged 8-10 years. Semi-structured interviews were carried out to investigate the children's own experiences of being hospitalised in a PEAU. Thematic content analyses were used. Three major themes were identified: the children's understanding of disease, treatment and procedures; the children's experiences of health-care personnel and the PEAU and transformation of everyday life into the settings of the hospital. The children identified the hospital stay as an overall positive experience. The children took part in leisure activities as they would at home and enjoyed time together with their parents while in hospital. In their conversations with staff they adapted to professional terms that they did not necessarily understand. They did not differentiate between professionals. Further work should be considered to clarify the consequences of this. This study has provided some limited insight into the child's experiences of acute hospitalisation, which should inform nursing care. © The Author(s) 2012.
Mackrill T.,Metropolitan University College |
Iwakabe S.,Ochanomizu University
Counselling Psychology Quarterly | Year: 2013
The evidence debate in psychotherapy pays little attention to developing an evidence base for training practices. Understanding effective training requires an examination of what makes training work. This article examines the role of case studies in psychotherapy training. This has not been articulated explicitly or researched systematically in spite of its cardinal importance. An analysis of the role of case studies in psychotherapy training is presented. Reading, watching, or hearing about cases can offer novice psychotherapists access to a closed world; access to psychological theory in action; access to whole courses of therapy; access to different approaches; access to significant moments; access to the therapeutic relationship; access to a wide range of client types; access to working in different contexts; and the opportunity of identifying with therapists and clients. Writing or presenting cases offer students the opportunity of: learning to integrate information into a relevant whole; being in the 'hot seat'; learning to give appropriate feedback; assessing the validity of interpretations, inferences, and interventions; adapting methods to suit the client; and learning to collaborate with other professionals. The paper presents directions for future research into psychotherapy training, specifically proposing an international survey of training practices at psychotherapy training institutions. © 2013 Taylor & Francis.
Aner L.G.,Metropolitan University College
European Urban and Regional Studies | Year: 2016
This paper examines young Danish families’ motives for leaving the city. By drawing on theories of Bourdieu and Giddens and combining them with a notion of place drawn from human geography, an analytical framework for studying people’s motives for moving is developed. In this framework the concept “dwelling habitus” is central. By applying the analytical framework to the study of Danish middle-income families with children, their motives for out-migrating from Copenhagen are explored. Two broad categories of motives for moving are identified: the housing and the anti-urban. The housing motive is based on changes in housing needs during family formation and on the limited opportunities in the Copenhagen housing market. The anti-urban motive is based on a wish to bring up children in a non-urban milieu. The paper argues that an understanding of motives that focuses on the interrelationship of habitus and sense of place, the “dwelling habitus”, can inform studies of migration processes and make them more nuanced. © 2014, © The Author(s) 2014.
Enemark Larsen A.,Metropolitan University College |
Carlsson G.,Lund University
Scandinavian Journal of Occupational Therapy | Year: 2012
In a community-based geriatric rehabilitation project, the Canadian Occupational Performance Measure (COPM) was used to develop a coordinated, interdisciplinary, and client-centred approach focusing on occupational performance. The purpose of this study was to evaluate the utility of the COPM as an admission and outcome measure in an interdisciplinary geriatric rehabilitation context in Denmark. Eighteen occupational and physiotherapists administered the COPM among elderly citizens. Of 185 citizens referred to the study, 152 were admitted to rehabilitation based on health indices, and 124 completed the COPM after their admission, identifying 404 occupational performance issues in all. Post-assessment data were obtained from 95 participants and revealed statistically significant positive change (p < 0.001) in both performance and satisfaction with performance. Furthermore the therapists answered a questionnaire evaluating their experiences, showing that they found development in knowledge and community between the professions to benefit both therapists and citizens, and gained a better insight into their clients' everyday lives through the COPM. In conclusion, the COPM may be useful as an admission and outcome measurement for the rehabilitation of elderly citizens; however, aspects of education and administration must be considered before the instrument can be successfully administered in an interdisciplinary geriatric rehabilitation context. © 2012 Informa Healthcare.
Lauridsen C.,Metropolitan University College |
Lefere P.,Virtual Colonoscopy Teaching Center |
Gerke O.,University of Southern Denmark |
Gryspeerdt S.,Virtual Colonoscopy Teaching Center
European Journal of Radiology | Year: 2012
Objective: To assess the performance of radiographers in CT colonography (CTC) after a tele-training programme, supervised by 2 experienced radiologists. Materials and methods: Five radiographers underwent training in CTC using a tele-training programme mainly based on the interpretation of 75 training cases performed in the novice department. To evaluate the educational performance, each radiographer was tested on 20 test cases with 27 lesions >6 mm (12: 6-9 mm; 15: > 10 mm). Sensitivity, specificity and PPV for polyps ≥6 mm and ≥10 mm were calculated with point estimates and 95% confidence interval (95% CI). The results were compared by comparing 95% CI with a 5% significance level. Results: In the training cases overall per-polyp sensitivity was 57% (95% CI 46.1-67.9) and 69.1% (95% CI 50.6-87.5) for lesions ≥6 mm and ≥10 mm, respectively. Overall per patient sensitivity, specificity and PPV were 86.4% (95% CI 76.7-96.1), 85.4% (95% CI 77-93.9) and 78.3% (95% CI 64.9-91.7), respectively. In the test cases overall per-polyp sensitivity was 80.7% (95% CI 69.5-92) and 94.7% (95% CI 85.6-100×) for lesions ≥6 mm and ≥10 mm, respectively. Overal per patient sensitivity, specificity and PPV were 92.9% (95% CI 83.1-100×), 64% (95% CI 13.1-100×) and 87.8% (95% CI 71.7-100×), respectively. There was a statistically significant improvement in per-polyp sensitivity for lesions ≥6 mm in the test cases. No statistically significant differences were found in per patient sensitivity, specificity and PPV, but there was an improvement. Conclusion: This training programme based on tele-training obtained good performance of radiographers in detecting tumoral lesions in CTC. © 2011 Elsevier Ireland Ltd. All rights reserved.
Kristensen S.T.,Metropolitan University College |
Koster A.,Metropolitan University College
Health (London, England : 1997) | Year: 2014
Health professionals consider diet to be a vital component in managing weight, chronic diseases and the overall promotion of health. This article takes the position that the complexity and contextual nature of individual eating problems needs to be addressed in a more systematic and nuanced way than is usually the case in diet counselling, motivational interviewing and health coaching. We suggest the use of narrative practice as a critical and context-sensitive counselling approach to eating problems. Principles of externalisation and co-researching are combined within a counselling framework that employs logistic, social and discursive eating problems as analytic categories. Using cases from a health clinic situated at the Metropolitan University College in Copenhagen, we show that even if the structural conditions associated with eating problems may not be solvable through individual counselling sessions, exploration of the complex structures of food and eating with the client can provide agency by helping them navigate within the context of the problem. We also exemplify why a reflexive and critical approach to the way health is perceived by clients should be an integrated part of diet counselling.
Andersen L.K.,Copenhagen University |
Backhausen M.,Copenhagen University |
Backhausen M.,Roskilde University |
Hegaard H.K.,Copenhagen University |
And 3 more authors.
Sexual and Reproductive Healthcare | Year: 2015
Objective: Pelvic girdle pain is a frequent cause of sick leave among pregnant women in Denmark. Studies regarding prevention of pelvic girdle pain are sparse. The aim of this study was to examine the association between physical exercise and pelvic girdle pain in pregnancy. Study design: A nested case-control study within the Danish National Birth Cohort (n = 5304). Methods: This study used self-reported data on pelvic girdle pain obtained from an interview six months after childbirth. Information on physical exercise was obtained from the pregnancy interview around gestational week 16. The association was estimated using logistic regression analysis. Results: Physical exercise in pregnancy was associated with decreased risk of overall pelvic girdle pain (OR = 0.87; 95% CI: 0.77-0.99, p = 0.028). Tests for trend indicated decreasing odds for pelvic girdle pain with increasing number of hours per week spent on exercise (p < 0.001). Compared to no exercise, swimming was associated with a decreased risk of pelvic girdle pain (OR = 0.73; 95% CI: 0.58-0.91, p = 0.005). Conclusions: The findings suggest a possible protective effect of physical exercise on pelvic girdle pain during pregnancy. © 2015 Elsevier B.V..
PubMed | Metropolitan University College and Copenhagen University
Type: | Journal: Journal of clinical nursing | Year: 2016
To explore and summarize best evidence of how constipation affects the daily living of older people from their own perspective. Furthermore, to assess how interventions aimed at treating constipation in older people affect patient-reported outcome such as quality of life.Constipation is a common and overlooked problem with an impact on everyday life, especially among older people. Older people seem to have individual preconceptions on constipation which can influence the strategies used to prevent and treat constipation.A systematic review, integrating findings from both qualitative and quantitative studies.Systematic searches were carried out in PubMed, CINAHL, PsycINFO and Embase on the 31th of July 2014. A search strategy was constructed with key concepts identified using PICO to identify quantitative studies and PIC(o) to identify qualitative studies. Search terms included constipation, elderly, aged, elderly people, aged people, quality of life, patient experience, patient perspective, meaning, emotion, psychological. Reference lists were searched manually.A total of nine studies were included in the review, five quantitative and four qualitative. Three main themes crystallized from the results of the included studies: Bodily experiences, Everyday life shadowed by constipation and Adverse psychological effects.Constipation among older people was connected to subjective and comprehensive experiences. It had a negative impact on physical and mental well-being as well as the social life of older people. The review also showed that older people had individual and personal strategies, based on their own beliefs. This article is protected by copyright. All rights reserved.
PubMed | Metropolitan University College
Type: Journal Article | Journal: Nurse education in practice | Year: 2016
Undergraduate students can learn how to be innovative in partnerships with health care institutions and private enterprises. This study portrays how a three phase innovation model was applied in an interprofessional health education context at a Danish university college. The aim of the study was to explore midwifery, nutrition and health as well physiotherapy students perceptions of participating in a real-life innovation project situated in antenatal care. A total of eighteen students participated in five focus group interviews. Thematic analysis was used to interpret data findings. Data analysis revealed three themes: Navigating in uncertainty, Being part of a team and Impact of project learning. Students found project learning to be the most relevant with regards to their clinical practice. Furthermore, study findings suggest that innovation is promoted by teamwork, interprofessional participation, mentor support and external partnerships.