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Gustafsson, Lena-KarinORCID iD iconorcid.org/0000-0001-5670-6908
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Publications (10 of 25) Show all publications
Kumpula, E., Gustafsson, L.-K. & Ekstrand, P. (2019). Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?. Journal of Forensic Nursing, 15(1), 52-59
Open this publication in new window or tab >>Nursing Staff Talk: Resource or Obstacle for Forensic Psychiatric Patient Care?
2019 (English)In: Journal of Forensic Nursing, ISSN 1939-3938, E-ISSN 1556-3693, Vol. 15, no 1, p. 52-59Article in journal (Refereed) Published
Abstract [en]

Although forensic psychiatric care is located at the intersection of health care and the Swedish legal system, nursing research has not yet evaluated how language is context bound or its consequences for understanding patient care. The aim of this study was to explore how nursing staff talk about patient care in Swedish forensic psychiatric care and the implications for the care given to patients. The theoretical framework is based on social constructionism and sheds light on how language use can be understood as a social action. Twelve interviews were conducted with nursing staff working in forensic psychiatric settings. The questions focused on patient care in relation to activities, security, relationships with patients, and rules and routines. The results show that nursing staff assignments are encouraging them to use various interpretative repertoires to make meaning about their practice. The three interpretative repertoires were "taking responsibility for correcting patients' behavior," "justifying patient care as contradictory practice," and "patients as unpredictable." However, although forensic psychiatric care emphasizes both security and care, nursing staff's use of these interpretative repertoires provided multiple interpretations that lead to contradictory ways of understanding patient care. These findings show that talk itself can be understood as problematic in various situations. A possible implication for clinical forensic nursing practice might be that the nurse-patient relationship does not support patients' best interests. For example, when language endows the patient with certain characteristics, this talk is justified and given meaning by its context and thus has an influence on a patient's individual need for care.

Place, publisher, year, edition, pages
Lippincott Williams and Wilkins, 2019
Keywords
Forensic psychiatric care, interpretative repertoires, nursing staff, patient care, talk, adult, article, conceptual framework, forensic nursing, human, interview, language, mental health care, mental patient, nurse patient relationship, responsibility, aged, female, health personnel attitude, male, mental hospital, middle aged, Sweden, young adult, Attitude of Health Personnel, Hospitals, Psychiatric, Humans, Interviews as Topic, Nurse-Patient Relations, Nursing Staff, Hospital
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-43057 (URN)10.1097/JFN.0000000000000227 (DOI)000480698100009 ()30640200 (PubMedID)2-s2.0-85061968513 (Scopus ID)
Available from: 2019-04-10 Created: 2019-04-10 Last updated: 2019-08-28Bibliographically approved
Snögren, A. & Gustafsson, L.-K. (2019). Physiotherapy: How to work with evidence in daily practice. Journal of Evaluation In Clinical Practice, 25(2), 216-223
Open this publication in new window or tab >>Physiotherapy: How to work with evidence in daily practice
2019 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 25, no 2, p. 216-223Article in journal (Refereed) Published
Abstract [en]

Rationale, aims, and objectives The concept of evidence-based health care has gained increasing currency over the past decades; however, questions persist regarding how to overcome the gap between research and health care practice. The question arises whether this gap derives from a true knowledge deficit or from physiotherapists' perception of working with evidence. The aim of the current study was to illuminate changes to the meaning of working with evidence experienced by a cohort of physiotherapists following an education program. Methods A phenomenological hermeneutic design with open-ended group interviews was carried out with physiotherapists who had participated in an education program about evidence and how to implement evidence-based practice (EBP) in day-to-day practice. Findings The interviews provided descriptions of working with evidence according to three major themes: "Confidence with the concept of evidence in relation to a way of working"; "Experience of EBP as a duty to seek evidence for individual patients"; and "EBP experienced as an integrated and patient-oriented activity". Conclusions The physiotherapists' lived experiences demonstrated that the participants' perception of the concept of evidence mainly concerned a broadening of the definition of evidence, and this altered perception of evidence could interpreted as the physiotherapists viewing EBP as a more integrated and patient-oriented activity than before.

Place, publisher, year, edition, pages
WILEY, 2019
Keywords
education, elder care, evidence-based practice, physiotherapy, primary care, professional development
National Category
Physiotherapy
Identifiers
urn:nbn:se:mdh:diva-43021 (URN)10.1111/jep.13035 (DOI)000461883800007 ()30259604 (PubMedID)2-s2.0-85053862849 (Scopus ID)
Available from: 2019-04-04 Created: 2019-04-04 Last updated: 2019-04-10Bibliographically approved
Östlund, G., Zander, V., Elfström, M. L., Gustafsson, L.-K. & Anbäcken, E.-M. (2018). ´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention. In: : . Paper presented at European Conference for Social Work Research 2018.
Open this publication in new window or tab >>´Nothing to do about it, simply hang on´ - Older women´s experiences of social and existential health after a reablement intervention
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2018 (English)Conference paper, Oral presentation only (Other academic)
National Category
Social Sciences Other Social Sciences
Identifiers
urn:nbn:se:mdh:diva-41519 (URN)
Conference
European Conference for Social Work Research 2018
Available from: 2018-12-09 Created: 2018-12-09 Last updated: 2018-12-10Bibliographically approved
Gustafsson, L.-K. & Stenberg, M. (2017). Crucial contextual attributes of nursing leadership towards a care ethics. Nursing Ethics, 24(4), 419-429
Open this publication in new window or tab >>Crucial contextual attributes of nursing leadership towards a care ethics
2017 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, no 4, p. 419-429Article in journal (Refereed) Published
Abstract [en]

Background: It is of importance to understand and communicate caring ethics as a ground for qualitative caring environments. Research is needed on nursing attributes that are visible in nursing leadership since it may give bases for reflections related to the patterns of specific contexts. Aim: The aim of this study was to illuminate the meaning of crucial attributes in nursing leadership toward an ethical care of patients in psychiatric in-patient settings. Research design: The design of the study was descriptive and qualitative with a phenomenological hermeneutical approach. Participants and research context: The study comprised focus group interviews with nurses working in indoor psychiatric care who participated after giving informed consent. Ethical considerations: Since the topic and informants are not labeled as sensitive and subject to ethical approval, it is not covered by the ethics committee’s aim and purpose according to Swedish law. However, careful procedures have been followed according to ethics expressed in the Declaration of Helsinki. Findings: When identifying the thematic structures, analysis resulted in three major themes: To supply, including the following aspects: to supply evidence, to supply common space, and to supply good structures; To support, including the following aspects: to be a role model, to show appreciation and care, and to harbor; To shield, including the following aspects: to advocate, to emit non-tolerance of unethical behavior, and to reprove. Discussion: Leadership is challenging for nurses and plays an important role in ethical qualitative care. These findings should not be understood as a description about nurse manager’s role, which probably has different attributes and more focus on an organizational level. Conclusion: Making the understanding about crucial attributes explicit, the nurse may receive confirmation and recognition of crucial attributes for ethical care in order to move toward an ethical care. 

Place, publisher, year, edition, pages
SAGE Publications Ltd, 2017
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-35987 (URN)10.1177/0969733015614879 (DOI)000403451300004 ()26643484 (PubMedID)2-s2.0-85020550157 (Scopus ID)
Available from: 2017-06-29 Created: 2017-06-29 Last updated: 2018-10-16Bibliographically approved
Östlund, G., Zander, V., Elfström, M., Gustafsson, L.-K. & Anbäcken, E.-M. (2017). “It gets easier when the sun is shining”: a follow-up study after a reablement intervention. In: : . Paper presented at Nationell forskarkonferens i socialt arbete, Umeå, 2017.
Open this publication in new window or tab >>“It gets easier when the sun is shining”: a follow-up study after a reablement intervention
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2017 (English)Conference paper, Oral presentation only (Refereed)
National Category
Social Sciences Health Sciences
Research subject
Social Work
Identifiers
urn:nbn:se:mdh:diva-36091 (URN)
Conference
Nationell forskarkonferens i socialt arbete, Umeå, 2017
Available from: 2017-07-10 Created: 2017-07-10 Last updated: 2017-10-16Bibliographically approved
Johansson-Pajala, R.-M., Gustafsson, L.-K., Jorsäter Blomgren, K., Fastbom, J. & Martin, L. (2017). Nurses' use of computerised decision support systems affects drug monitoring in nursing homes. Journal of Nursing Management, 25(1), 56-64
Open this publication in new window or tab >>Nurses' use of computerised decision support systems affects drug monitoring in nursing homes
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2017 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 25, no 1, p. 56-64Article in journal (Refereed) Published
Abstract [en]

Aim: To describe variations in nurses' perceptions of using a computerised decision support system (CDSS) in drug monitoring. Background: There is an increasing focus on incorporating informatics into registered nurses' (RNs) clinical practice. Insight into RNs’ perceptions of using a CDSS in drug monitoring can provide a basis for further development of safer practices in drug management. Method: A qualitative interview study of 16 RNs. Data were analysed using a phenomenographic approach. Results: The RNs perceived a variety of aspects of using a CDSS indrug monitoring. Aspects of ‘time’ were evident, as was giving a ‘standardisation’ to the clinical work. There were perceptions of effects of obtained knowledge and ‘evidence’ and the division of ‘responsibilities’ between RNs and physicians of using the CDSS. Conclusion: The RNs perceived a CDSS as supportive in drug monitoring, in terms of promoting standardised routines, team-collaboration and providing possibilities for evidence-based clinical practice. Implications: Implementing a CDSS seems to be one feasible strategy to improve RNs’ preconditions for safe drug management. Nurse managers’ engagement and support in this process are vital for a successful result.

National Category
Medical and Health Sciences Health Sciences
Identifiers
urn:nbn:se:mdh:diva-34691 (URN)10.1111/jonm.12430 (DOI)000393687500007 ()27620980 (PubMedID)2-s2.0-84994045637 (Scopus ID)
Available from: 2017-01-23 Created: 2017-01-23 Last updated: 2018-10-16Bibliographically approved
Jonasson, K. & Gustafsson, L.-K. (2017). You Live as Much as You Have Time To: The Experience of Patients Living with Hemodialysis. Nephrology Nursing Journal : Journal of The American Nephrology Nurses Association, 44(1), 35-41
Open this publication in new window or tab >>You Live as Much as You Have Time To: The Experience of Patients Living with Hemodialysis
2017 (English)In: Nephrology Nursing Journal : Journal of The American Nephrology Nurses Association, ISSN 1526-744X, E-ISSN 2163-5390, Vol. 44, no 1, p. 35-41Article in journal (Refereed) Published
Abstract [en]

Changes in their daily lives that patients endure because of hemodialysis are major and also essential so they can stay alive. The aim of this study was to describe changes in life for patients with renal failure undergoing hemodialysis. The study has a qualitative descriptive approach with a qualitative content analysis based on in-depth interviews with patients undergoing hemodialysis. Results show that life in hemodialysis is experienced as a transition from liberty to captivity, adjusting to the new life, and the new life moving towards reconciliation. This study shows that support towards reconciliation is crucial for patient health.

Place, publisher, year, edition, pages
JANNETTI PUBLICATIONS, INC, 2017
Keywords
Hemodialysis, interviews, life changes, qualitative content analysis, kidney failure, transition
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-40306 (URN)000394729900006 ()2-s2.0-85051689464 (Scopus ID)
Available from: 2018-08-22 Created: 2018-08-22 Last updated: 2018-08-30Bibliographically approved
Anbäcken, E.-M., Gustafsson, L.-K., Elfström, M., Zander, V. & Östlund, G. (2016). A holistic way ofworking interprofessionally in home care with and for older people. In: : . Paper presented at Joint Conference of Home Care & Gerontology, Tokyo, 2016.
Open this publication in new window or tab >>A holistic way ofworking interprofessionally in home care with and for older people
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2016 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-36092 (URN)
Conference
Joint Conference of Home Care & Gerontology, Tokyo, 2016
Projects
Intensiv hemrehabilitering
Available from: 2017-07-10 Created: 2017-07-10 Last updated: 2017-10-17Bibliographically approved
Gustafsson, C., Snellman, I. & Gustafsson, L.-K. (2015). Betydelsefulla möten i vården: Du kan göra skillnad (1ed.). Eskilstuna: Betydelsefulla möten 2act
Open this publication in new window or tab >>Betydelsefulla möten i vården: Du kan göra skillnad
2015 (Swedish)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Eskilstuna: Betydelsefulla möten 2act, 2015. p. 115 Edition: 1
National Category
Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-28683 (URN)978-91-981664-0-8 (ISBN)
Available from: 2015-08-06 Created: 2015-08-06 Last updated: 2015-10-28Bibliographically approved
Gustafsson, L.-K., Mattsson, K., Dubbelman, K. & Snöljung, Å. (2014). Aspects of nursing with evidence-base when nursing frail older adults: a phenomenographic analysis of interviews with nurses in municipal care. Scandinavian Journal of Caring Sciences, 28(4), 793-801
Open this publication in new window or tab >>Aspects of nursing with evidence-base when nursing frail older adults: a phenomenographic analysis of interviews with nurses in municipal care
2014 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, ISSN 0283-9318, Vol. 28, no 4, p. 793-801Article in journal (Refereed) Published
Abstract [en]

In earlier research as well as in political discussion and documents, the topic of evidence has been highlighted as one of the most important concerns in nursing care. This study focuses on understanding what lies behind nurses' ways of acting regarding evidence-based nursing through an illumination of the way they perceive the phenomena.AIM: The aim was to identify and describe the different ways municipal care nurses perceive aspects of working with evidence when nursing frail older adults.METHODS: An explorative design with a phenomenographic approach based on interviews with nurses working with home-based care within the municipality was used in order to gain understanding of nurse's perceptions of the phenomena.RESULTS: Findings revealed that the nurses perceived a variety of aspects when working with evidence when nursing frail older people. Aspects with a spectra of different perceptions shown in the analysis were as follows: Evidence-based nursing as a desired intention/mission, lack of practical supporting structures to apply evidence, lack of confidence in own capacity to apply evidence and a belief that it will work anyway.CONCLUSIONS: Findings reveal that it is a challenge to implement research both on an individual as well as on an organisational level. Understanding the contextual perceptions of evidence by nurses can cast light on the barriers as well as the prerequisites of working with evidence while caring for frail older adults in municipal care.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2014
Keywords
evidence, frail older adults, municipal care, nursing, phenomenographic analysis., evidens, sköra äldre, kommunal hemsjukvård, fenomenografi
National Category
Health Sciences
Identifiers
urn:nbn:se:mdh:diva-26732 (URN)10.1111/scs.12112 (DOI)000345314000020 ()24433250 (PubMedID)2-s2.0-84892468316 (Scopus ID)
Projects
EKUAHLs
Available from: 2014-12-01 Created: 2014-12-01 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-5670-6908

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