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Publications (10 of 18) Show all publications
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
Breitholtz, A., Snellman, I. & Fagerberg, I. (2013). Carers’ ambivalence in conflict situations with older persons. Nursing Ethics, 20(2), 226-237
Open this publication in new window or tab >>Carers’ ambivalence in conflict situations with older persons
2013 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, no 2, p. 226-237Article in journal (Other academic) Published
Abstract [en]

The aim of this study was to illuminate the meaning of professional carers’ experiences in caring situations when a conflict of interest arises with the older person receiving care. The findings reveal the complexity of the carers’ ambivalence when facing a conflict of interest, weighing between the older persons’ right to self-determination and external demands. The carers are alone in their ambivalence and the conclusion is that they need help and support to be more present in the encounter. The implication for this study is a person-centred practice, and to focus on people as interdependent on support carers to maintain older people’s right to self-determination in the relationship.

Keywords
carers, ethics, narrative, home care, older people, phenomenological hermeneutics
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-16352 (URN)10.1177/0969733012455566 (DOI)000317069800012 ()23329777 (PubMedID)2-s2.0-84874780554 (Scopus ID)
Available from: 2012-11-30 Created: 2012-11-30 Last updated: 2018-10-16Bibliographically approved
Breitholtz, A., Snellman, I. & Fagerberg, I. (2013). Older people’s dependence on caregivers’ help in their own homes and their lived experiences of their opportunity to make independent decisions. International Journal of Older People Nursing, 8(2), 139-148
Open this publication in new window or tab >>Older people’s dependence on caregivers’ help in their own homes and their lived experiences of their opportunity to make independent decisions
2013 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 8, no 2, p. 139-148Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to illuminate the meaning of older people’s dependence on caregivers’ help, and of their opportunity to make independent decisions.

Background. Throughout the world, the older population is growing, and in Sweden, the system of care for older people is currently undergoing change. Older people in the need of care are expected to live at home for as long as possible.

Design.A qualitative and life world approach was used.

Methods. Audio-taped interviews were conducted with twelve older persons living at home, dependent on daily municipal home help service. A phenomenological hermeneutic method was utilised to disclose the meanings of lived experiences.

Finding. The findings revealed three themes : being facilitated to make one’s own decisions, being hindered from making one’s own decisions, struggling for vs. resigning oneself to losing the opportunity to make one’s own decisions.

The comprehensive understanding revealed that as older people become more dependent on caregivers’ help, their opportunity to self-determine is challenged and this is stressful for them.

Conclusion. The older persons assess their opportunity to self-determine differently, depending on who they are as a person. The caregivers need an awareness of this, and further research is needed to gain knowledge and understanding of how caregivers can improve the way they support and enhance older people’s opportunity to decide for themselves.

Implications for practice. The findings revealed older persons need to exercise more self-determination and caregivers’ need for knowledge to enable this. Further, it indicates a move towards a person-centred approach to focus on persons as individuals and see them as interdependent. The findings contribute to improvements in similar contexts worldwide.

Keywords
decision-making, home care, narrative, nursing, phenomenological
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-16329 (URN)10.1111/j.1748-3743.2012.00338.x (DOI)22823527 (PubMedID)2-s2.0-84876085331 (Scopus ID)
Available from: 2012-11-29 Created: 2012-11-29 Last updated: 2018-10-16Bibliographically approved
Gustafsson, L.-K., Snellman, I. & Gustafsson, C. (2013). The meaningful encounter: Patient and next of kin stories about their experience of meaningful encounters in health care. Nursing Inquiry, 20(4), 363-371
Open this publication in new window or tab >>The meaningful encounter: Patient and next of kin stories about their experience of meaningful encounters in health care
2013 (English)In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 20, no 4, p. 363-371Article in journal (Refereed) Published
Abstract [en]

This study focuses on the meaningful encounters of patients and next of kin, seen from their perspective. Identifying the attributes within meaningful encounters is important for increased understanding of caring and to expand and develop earlier formulated knowledge about caring relationships. Caring theory about the caring relationship and provided a point of departure for the study. The aim of this study was to illuminate the meaningful encounter in health care contexts narrated by patients and next of kin. A qualitative explorative design with a hermeneutic narrative approach was used to analyze and interpret the written narratives. Phases were: Naïve interpretation, structure analysis on two different levels a) analysis of narrative structure b) analysis of deep structure through metaphors and finally a dialectic interpretation. In the narratives the meaning of the meaningful encounter was sharing, a nourishing fellowship, common responsibility and coming together experienced as safety and warmth and gives, by extension, life changing moments, a healing force and dissipated insight. The meaningful encounter can be seen as a complex phenomenon that has different attributes. Understanding the meaningful encounter will enable nurses to plan and provide professional care, based on caring science focusing on patient and next of kin experience.

Keywords
caring, encounters, ethics, healthcare, hermeneutic, narrative analysis, vårdande, möten, etik, vård, hermeneutik, narrativ analys
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-16152 (URN)10.1111/nin.12013 (DOI)000326885000009 ()23181930 (PubMedID)2-s2.0-84887591970 (Scopus ID)
Available from: 2012-11-16 Created: 2012-11-16 Last updated: 2019-06-18Bibliographically approved
Gustafsson, C., Gustafsson, L.-K. & Snellman, I. (2013). Trust leading to hope - the signification of meaningful encounters in Swedish healthcare. The narratives of patients, relatives and healthcare staff. International Practice Development Journal, 3(1), 1-13
Open this publication in new window or tab >>Trust leading to hope - the signification of meaningful encounters in Swedish healthcare. The narratives of patients, relatives and healthcare staff
2013 (English)In: International Practice Development Journal, ISSN 2046-9292, Vol. 3, no 1, p. 1-13Article in journal (Refereed) Published
Abstract [en]

Background: The fact that patients and relatives experience poor healthcare encounters is evident in the number of complaints to patients’ advisory committees, and from studies and statistics. Looking at ‘the other side of the coin’, research into good caring encounters experienced as meaningful encounters in healthcare is scarce.

Aim: To illuminate the signification of meaningful encounters in healthcare. 124 narratives from patients, relatives and healthcare staff regarding experiences of meaningful encounters in Swedish healthcare were analysed using a phenomenological hermeneutic research method.

Conclusions: The results indicate that a meaningful encounter means gratefulness, is founded on trust, cooperation and courage, and results in self-trust through wellbeing, increased understanding and life-changing insights. The encounters have given insight into, and increased understanding of, the patient’s own life, the families’ lives, and/or healthcare professionals’ lives. With this, and awareness of the importance and power of meaningful encounters, healthcare staff might use a meaningful encounter as a powerful instrument in caring.

Implications for practice:

  • For patients and relatives, trust derived from meaningful encounters in healthcare leads to self-trust
  • Caring within healthcare consisting of meaningful encounters, ‘the other side of the coin’ gives important knowledge that could facilitate improvements in healthcare staff’s encounters with patients and relatives, and also enrichment in their own professional development
  • Increased understanding and awareness of the power of meaningful encounters can be discussed in terms of patient safety

Keywords
Meaningful encounters, caring, patients, relatives, healthcare staff, narratives, phenomenological hermeneutics
National Category
Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-19301 (URN)
Available from: 2013-06-19 Created: 2013-06-19 Last updated: 2015-11-13Bibliographically approved
Snellman, I. (2012). Autonomi och delat beslutsfattande i diabetesvården (2:1ed.). In: Karin Wikblad (Ed.), Omvårdnad vid diabetes (pp. 193-203). Lund: Studentlitteratur
Open this publication in new window or tab >>Autonomi och delat beslutsfattande i diabetesvården
2012 (Swedish)In: Omvårdnad vid diabetes / [ed] Karin Wikblad, Lund: Studentlitteratur, 2012, 2:1, p. 193-203Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2012 Edition: 2:1
National Category
Medical and Health Sciences
Research subject
vårdvetenskap
Identifiers
urn:nbn:se:mdh:diva-16330 (URN)978-91-44-08315-5 (ISBN)
Available from: 2012-11-29 Created: 2012-11-29 Last updated: 2013-12-19Bibliographically approved
Snellman, I., Gustafsson, L.-K. & Gustafsson, C. (2012). Patients’ and Caregivers’ Attributes in a Meaningful Care Encounter: Similarities and Notable Differences. In: Aging in a Changing World: . Paper presented at Aging in a Changing. World 41st Annual Scientific and Educational Meeting. Vancouver.
Open this publication in new window or tab >>Patients’ and Caregivers’ Attributes in a Meaningful Care Encounter: Similarities and Notable Differences
2012 (English)In: Aging in a Changing World, 2012Conference paper, Oral presentation with published abstract (Other academic)
Abstract [en]

In today’s healthcare system, there is an imbalance between what patients expect of caregivers’ care and their perception of the care they get. How is it possible to reduce this imbalance? The aim of this paper was to describe attributes associated with meaningful encounters in the Swedish healthcare system based on patients’ and caregivers’ written narratives and to note the differences and similarities between the attributes identified by the two groups. This paper is a qualitative descriptive study. The analysis was guided by qualitative content analyses. Based on patients’ narratives, attributes associated with a meaningful encounter fell into four categories: the kind-hearted caregiver, the thoughtful caregiver, the mutually oriented caregiver, and the helpful caregiver. Based on caregivers’ narratives, the attributes were categorized as being humane, caring through physical contact, caring by nurturing communication, joy and laughter in care, and a sense of mutuality. The results show that there are both similarities and differences in patients’ and caregivers’ opinions about the attributes of ameaningful encounter. Knowing more about the attributes associated with meaningful encounters makes it possible for caregivers to individualize care for patients and makes it easier to help and support patients in what they most need support with.

National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-16353 (URN)
Conference
Aging in a Changing. World 41st Annual Scientific and Educational Meeting. Vancouver
Available from: 2012-11-30 Created: 2012-11-30 Last updated: 2017-02-08Bibliographically approved
Snellman, I., Gustafsson, C. & Gustafsson, L.-K. (2012). Patients' and Caregivers' Attributes in a Meaningful Care Encounter: Similarities and Notable Differences. ISRN Nursing, 2012(Article ID 320145)
Open this publication in new window or tab >>Patients' and Caregivers' Attributes in a Meaningful Care Encounter: Similarities and Notable Differences
2012 (English)In: ISRN Nursing, ISSN 2090-5483, Vol. 2012, no Article ID 320145Article in journal (Refereed) Published
Abstract [en]

In today's healthcare system, there is an imbalance between what patients expect of caregivers' care and their perception of the care they get. How is it possible to reduce this imbalance? The aim of this paper was to describe attributes associated with meaningful encounters in the Swedish healthcare system based on patients' and caregivers' written narratives and to note the differences and similarities between the attributes identified by the two groups. This paper is a qualitative descriptive study. The analysis was guided by qualitative content analyses. Based on patients' narratives, attributes associated with a meaningful encounter fell into four categories: the kind-hearted caregiver, the thoughtful caregiver, the mutually oriented caregiver, and the helpful caregiver. Based on caregivers' narratives, the attributes were categorized as being humane, caring through physical contact, caring by nurturing communication, joy and laughter in care, and a sense of mutuality. The results show that there are both similarities and differences in patients' and caregivers' opinions about the attributes of a meaningful encounter. Knowing more about the attributes associated with meaningful encounters makes it possible for caregivers to individualize care for patients and makes it easier to help and support patients in what they most need support with.

National Category
Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-15099 (URN)10.5402/2012/320145 (DOI)22701802 (PubMedID)
Available from: 2012-08-27 Created: 2012-08-07 Last updated: 2021-06-21Bibliographically approved
Snellman, I. & M Gedda, K. (2012). The value ground of nursing. Nursing Ethics, 19(6), 714-726
Open this publication in new window or tab >>The value ground of nursing
2012 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 19, no 6, p. 714-726Article in journal (Refereed) Published
Abstract [en]

The aim of this literature study was to suggest a value ground for nursing anchored in two ethical principles:

the principle of human value and the right to experience a meaningful life. Previous nursing research

between the years 2000 and 2009 was analysed. Presented values suggested in this value ground are

thus in line with the nursing context and science of today. Statements within ethical literature have been

used in order to formulate arguments aimed at supporting the values that were found in the study. In

the literature study six values were found: trust, nearness, sympathy, support, knowledge and

responsibility. These values hold equal status and are not presented in hierarchical order. They vary due

to the persons involved, nursing situations and cultural surroundings, but have the common requirement

of being non-excluding. In order to implement the values within the value ground, two prerequisites are

discussed and claimed as essential: ethical dialogue and a caring encounter between care provider and

patients.

Keywords
Caring values, literature study, nursing values, professional values, value ground
National Category
Medical and Health Sciences
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-16327 (URN)10.1177/0969733011420195 (DOI)000311221600002 ()22547487 (PubMedID)2-s2.0-84869483893 (Scopus ID)
Available from: 2012-11-29 Created: 2012-11-29 Last updated: 2019-06-18Bibliographically approved
Snellman, I., Jonsson, B. & Wikblad, K. (2012). Validation and Test-Retest Reliability of a Health Measure, Health as Ability of Acting, Based on the Welfare Theory of Health. Evaluation & the Health Professions, 35(1), 87-103
Open this publication in new window or tab >>Validation and Test-Retest Reliability of a Health Measure, Health as Ability of Acting, Based on the Welfare Theory of Health
2012 (English)In: Evaluation & the Health Professions, ISSN 0163-2787, Vol. 35, no 1, p. 87-103Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to conduct a validation and assess the test–retest reliability of the health questionnaire based on Nordenfelt’s Welfare Theory of Health (WTH). The study used a questionnaire on health together with the Short Form 12-Item Health Survey (SF-12) questionnaire, and 490 pupils at colleges for adult education participated. The results of the study are in accordance with Nordenfelt’s WTH. Three hypotheses were stated, and the first was confirmed: People who were satisfied with life rated higher levels than those who were dissatisfied with life concerning both mental and physical health, measured with the SF-12. The second hypothesis was partially confirmed: People with high education were more often satisfied with life than those with low education, but they were not healthier. The third hypothesis, that women are unhealthy more often than men, was not confirmed. The questionnaire on health showed acceptable stability.

Keywords
health, questionnaire on health, reliability, validity
National Category
Nursing
Research subject
Care Sciences
Identifiers
urn:nbn:se:mdh:diva-14313 (URN)10.1177/0163278711414049 (DOI)000300417400006 ()21930655 (PubMedID)2-s2.0-84857086694 (Scopus ID)
Available from: 2012-03-06 Created: 2012-03-06 Last updated: 2019-06-18Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-1085-0872

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