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Aspects of nursing with evidence-base when nursing frail older adults: a phenomenographic analysis of interviews with nurses in municipal care
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (Vårdvetenskap)ORCID iD: 0000-0001-5670-6908
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. (Fysioterapi)ORCID iD: 0000-0002-1023-2046
2014 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, ISSN 0283-9318, Vol. 28, no 4, 793-801 p.Article 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. Vol. 28, no 4, 793-801 p.
Keyword [en]
evidence, frail older adults, municipal care, nursing, phenomenographic analysis.
Keyword [sv]
evidens, sköra äldre, kommunal hemsjukvård, fenomenografi
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:mdh:diva-26732DOI: 10.1111/scs.12112ISI: 000345314000020PubMedID: 24433250Scopus ID: 2-s2.0-84892468316OAI: oai:DiVA.org:mdh-26732DiVA: diva2:767185
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Available from: 2014-12-01 Created: 2014-12-01 Last updated: 2014-12-19Bibliographically approved

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Gustafsson, Lena-KarinMattsson, KarinSnöljung, Åsa
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Citation style
  • apa
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More styles
Language
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Output format
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