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Cesars celebrated

Last week there was an historic event at Länssjukhuset Kalmar; nine colleagues of different professions who had defended their thesis during the year were celebrated by the hospital and the research unit of Region Kalmar county. The wooden stocks now had a few more leaves and more leaves are to come as the commitment to increase research within Region Kalmar county has only just began to bear fruit. Among the nine doctors were three Cesar members, and the differnt foci of their research reflects the multiprofessionality of the Cesar network.

Malin Johansson Östbring, pharmacist and Pharm Dr, Charlotta Lans, physiotherapist and PhD, Frida Andreasson, social worker and PhD in front of the newly installed wood of knowledge at Länssjukhuset

Exercise training and testing in patients with heart failure (Charlotta Lans)

Doing informal care: Identity, couplehood, social health and information and communication technologies in older people’s everyday lives (Frida Andreasson)

Pharmaceutical care in coronary heart disease (Malin Johansson Östbring)

Katharine Lembright Life Time Achievement Lecture

CESAR congratulates the American Heart Associations Katharine Lembright Life Time Achievement Lecture winner Professor Anna Strömberg.

On 15th of November 2021 Anna Strömberg was recongized for her work in cardiovascular nursing research.  She received a life time achievement award of the American Heart Association. During her lecture ‘Research in Heart Failure Care- Looking Back and into the Future’ she talked about changes in heart failure care, including shifts in eHealth for these patients.

We also will listen, meet and greet professor Anna Strömberg and congratulate her on the 16th of December 2021 when she will repeat this lecture in Linköping.

Congratulations Anna Strömberg!

Astrid Janzon Symposium 2021

The theme for the Astrid Janzon symposium 2021 was “Ethical issues in healthcare”. When the need for care is explosively greater than the care resources, which we live through in the ongoing covid-19 pandemic, timeless ethical issues about priorities in care and nursing come are very actual.

During the symposium, Emma Säfström (last years receiver stipendium) gave a great presentation on continuity of care after hospitalization due to cardiac condition.

Charlotte Sahlén Helmer from Linköping University received this years’ stipendium for her research in preventing stress and support interaction between preterm infants and their parents. 

Research visit from Tel Aviv: Semyon Melnikov

We are so delighted that since a couple of weeks we have a new active new member in our research group. At the moment Semyon is working with us online, because of the travel restrictions from Israel to Sweden due to COVID-19, but we hope he can join us physically in March when we will have two weeks where international researcher will visit and work together with members of the CESAR network.

Semyon received a grant of the ESC to visit Tiny Jaarsma and her group to work together on research to increase self-care in cardiac patients, especially in patients who received and LVAD. I asked Semyon to tell a bit about himself and his research interest.

I graduated with a BA in nursing from Tel Aviv University, Tel Aviv, Israel. An MSc and a PhD I performed in the Department of Cell and Developmental Biology, Sackler Faculty of Medicine at Tel Aviv University. My research explored the association between intracellular trafficking and signaling in mast cells. After graduation, I examined effects of various gene mutations on hypertension development among the affected subjects, in the clinical pharmacology lab at Sheba Medical Center, Ramat Gan, Israel.

Since 2014 I work as a teacher and a lecturer in the Nursing department at Tel Aviv University and since 2018 I am a senior lecturer. My main teaching topics are evidence-based practice, organ donation and transplantation, and cardiovascular nursing. I am mentoring seven MA students. I am a head of the PISGAH program for IDF soldiers, which grants an RN certificate and a BA degree in Nursing.

In Israel, the organization involved in research in the field of cardiac nursing is the Association for the Promotion of Cardiac Nursing and Intensive Care. The members of the Association conduct research in the various fields of cardiac nursing, present their research at national and international conferences and publish papers at scientific nursing journals.

My current research focuses in cardiovascular nursing, heart failure, heart transplantation, Ventricular Assist Device implantation, and Extracorporeal Membrane Oxygenation in patients with heart and lung failure. Another theme I am interested in explores factors affecting nurses’ readiness to report to work and nurses’ functioning during emergency situations and disasters.

My current research project in collaboration with Prof. Tiny Jaarsma and Dr. Naoko Perkio Kato from Linkoping University, Linkoping, Sweden, examines psychometric properties of the Self-Care Behavior Scale among patients with implanted Left Ventricular Assist Device and its suitability for use in different cultures.

Semyon Melnikov RN PhD

Nursing Department, Steyer School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University

Tel Aviv, Israel

melniko@tauex.tau.ac.il

CESAR NETWORK meeting in Kalmar

We had a great CESAR NETWORK meeting in Kalmar.

In the first part of the meeting we learned a lot about the great research conducted within the innovative Cardiac Arrest REsearch group (iCARE). Johan Israelsson and Anders Bremer discussed the goal of this group to conduct research aimed at improving the care and care of people suffering from cardiac arrest in or outside hospitals, their relatives and survivors. Read more about this research group here: https://lnu.se/forskning/sok-forskning/the-innovative-cardiac-arrest-research-group-icare/

After this presentation Kristoffer Årestedt gave an inspiring presentation where he let us rethink about logistic regression analyses, how to interpret results and the use of the statistical program R. After lunch we discussed the future of our network and the project we planned together. It was great to meet everyone again after such a long time, to connect, to learn more about the iCARE research group, to discuss ongoing project and planned projects. Thank you Kristoffer, Anders & Johan!

CESAR receives ’Network grant’ from FORTE

In the yearly round of applications of the Swedish Research Council for Health, Working life and Welfare (FORTE) CESAR received a 500.000 SEK grant to the project ‘Expanding and developing an interdisciplinary research network to improve cardiovascular care.’ The coming three years we would like to broaden and further develop our network and would like to use FORTE funding to extend the network. We also plan to intensify the career development of junior researchers, intensify the output and increase the interdisciplinary research funding opportunities. Finally, we plan to increase implementation and utilization of research.

Refractory angina – thesis to be defended

Enhanced external counterpulsation (EECP) treatment has shown to be a potential treatment for patients with RAP, and it is recommended in the European guidelines for symptom relief in patients with debilitating angina refractory to optimal medical and revascularisation strategies. In Sweden, only two ongoing EECP clinics have been established, and the awareness of EECP as a treatment option for patients with RAP is insufficient among healthcare professionals in general. The treatment can be an attractive option since it is non-invasive and can be conducted by nurses at an outpatient clinic. Therefore, it is important to increase and deepen the knowledge of EECP treatment and increase the evidence of its applicability and effects.

Eline Wu works as a cardiac nurse at the Heart and Vascular Theme at Karolinska University in Stockholm. Eline has had professor Anders Broström and professor Jan Mårtensson as her supervisors since her master’s degree. On Friday, November 19th, 2021, she will defend her doctoral thesis focusing on Enhanced external counterpulsation treatment in patients with refractory angina pectoris.

The research was conducted through qualitative and quantitative methods. The findings presented in this thesis provide insight into how patients with RAP experienced the situation before, during, between sessions, and after an EECP treatment. The thesis also demonstrates that patients received several beneficial effects from treatment. Moreover, patients with more significant functional impairment, evidence of systolic left ventricular dysfunction, and exposure to fewer types of revascularizations, had three-fold higher odds to receive treatment benefit. Finally, it also demonstrates that the treatment completion rate was high, and the occurrence of adverse events was low. Thus, the treatment can be considered safe and well-tolerated in patients with RAP.

Cesars with impact

One is usually very revealed and happy ones the manuscript is accepted – and published, then we move on to other projects on our lists. But what happens to our published work is also worth to celebrate, ones we get that feed-back. EJCN now in a HeartBeat article celebrates the papers who received most attention (altmetric score) and most downloads during 2020. And Cesars were attributable in 1 of 4 with best altmetric score, and in 4 of the 5 most dowloaded articles.

Informal care and family life

Frida Andréasson and the co-authors Tina Mattsson (Lund University) and Elizabeth Hanson (Linnaeus University) recently published an article based on ethnographic research. Data was collected through observations and interviews with older couples in an informal care situation. The article shows how the process of becoming a carer/care recipient creates a new life situation for couples. The findings reveal changes that happen to family roles, the social isolation that can appear and the strategies used to enable couples to find balance and a sense of autonomy in their lives as a family.

Carer’s week in Eskilstuna

Between the 4th and 8th of October Carer´s week is taking place in Eskilstuna, Sweden. The focus is on informal care and carers, and different activities are being arranged targeting carers and the public. 

On the 5th of October Cesar member Frida Andréasson presented about a research project in which an online support programme for carers of people with heart failure has been developed. Frida talked about the development of the programme and the ongoing RCT study to measure effects. She was also able to show the now finished online support programme and it´s content for the audience. Several Cesar members are involved in the research project in different ways.