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  • 1.
    Danielsson, Lena
    et al.
    Vastmanlands Sjukhus, Reg Vastmanland, Vasteras, Sweden..
    Lundstrom, Marie-Louise
    Vastmanlands Sjukhus, Reg Vastmanland, Vasteras, Sweden..
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kerstis, Birgitta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Anaesthetizing children-From a nurse anaesthetist's perspective-A qualitative study2018Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 5, nr 3, s. 393-399Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe nurse anaesthetists' experiences of encountering and caring for children in connection to anaesthesia. Design: Qualitative design. Methods: Sixteen written narratives based on eight nurse anaesthetists' experiences of meeting children was analysed using qualitative content analysis. Results: The overarching theme was: "anaesthetizing children is a complex caring situation, including interactions with the child and parents as well as ensuring patient safety, affected by the perioperative team and organizational prerequisites". The nurses stated that in their interaction with the family, their goal was to ensure that children and parents felt secure and calm. "Striving to work in confidence" underlined the team and organizational influences. Encountering children involves more than knowledge about technical equipment, procedures and drugs. Knowledge about children's development and fears and parents' needs are essential for an optimal caring situation. Organizations need to realize that extra time, skills and resources are needed to safely anaesthetize children.

  • 2.
    Hemberg, Jessica
    et al.
    Åbo Akademi, Vasa, Finland.
    Wiklund Gustin, Lena
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Caring from the heart as belonging: —The basis for mediating compassion2020Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 2, s. 660-668-Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:

    Informal coercion, that is, situations where caregivers use subtle coercive measures to impose their will on patients, is common in adult psychiatric inpatient care. It has been described as ‘a necessary evil’, confronting nurses with an ethical dilemma where they need to balance between a wish to do good, and the risk of violating patients’ dignity and autonomy.

    Aim:

    To describe nurses’ experiences of being involved in informal coercion in adult psychiatric inpatient care.

    Research design:

    The study has a qualitative, inductive design.

    Participants and research context:

    Semi-structured interviews with 10 Swedish psychiatric nurses were analysed with qualitative content analysis.

    Ethical considerations:

    The study was performed in accordance with the Declaration of Helsinki. In line with the Swedish Ethical Review Act, it was also subject to ethical procedures at the university.

    Findings:

    Four domains comprise informal coercion as a process over time. These domains contain 11 categories focusing on different experiences involved in the process: Striving to connect, involving others, adjusting to the caring culture, dealing with laws, justifying coercion, waiting for the patient, persuading the patient, negotiating with the patient, using professional power, scrutinizing one’s actions and learning together.

    Discussion:

    Informal coercion is associated with moral stress as nurses might find themselves torn between a wish to do good for the patient, general practices and ‘house rules’ in the caring culture. In addition, nurses need to be aware of the asymmetry of the caring relationship, in order to avoid compliance becoming a consequence of patients subordinating to nurse power, rather than a result of mutual understanding. Reflections are thus necessary through the process to promote mutual learning and to avoid violations of patients’ dignity and autonomy.

    Conclusion:

    If there is a need for coercion, that is, if the coercion is found to be an ‘unpleasant good’, rather than ‘necessary evil’ considering the consequences for the patient, it should be subject to reflecting and learning together with the patient

  • 3.
    Holmgren, Jessica
    et al.
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Paillard-Borg, Stéphanie
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Saaristo, Panu
    The International Federation of the Red Cross and Red Crescent Societies (IFRC), Geneva, Switzerland.
    von Strauss, Eva
    Röda Korsets Högskola, Hälsovetenskapliga institutionen, Sweden.
    Nurses’ experiences of health concerns, teamwork, leadership and knowledge transfer during an Ebola outbreak in West Africa2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 3, s. 824-833Artikel i tidskrift (Refereegranskat)
  • 4.
    Håkansson Eklund, Jakob
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Ollén Lindqvist, Anna
    Mälardalens högskola.
    Sundler, Annelie Johansson
    University of Borås, Borås, Sweden.
    Hochwälder, Jacek
    Mälardalens högskola, Akademin för ekonomi, samhälle och teknik. Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Marmstål Hammar, Lena
    Dalarna University, Falun, Sweden.
    Empathy levels among nursing students: A comparative cross-sectional study2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 3, s. 983-989Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: Empathy is a crucial component of the nurse–patient relationship, but knowledge is lacking as to when empathy develops during nursing education. The aim of the present study was to compare empathy levels at different stages of undergraduate nursing education and different master's nursing programmes. Design: The design was a comparative cross-sectional study. Methods: A total of 329 participants in Sweden, comprised of nursing students in their second and sixth semesters in an undergraduate nursing programme as well as master's nursing students, rated their own empathy using the Jefferson Scale of Physician Empathy. Results: Students in their sixth semester in an undergraduate nursing programme expressed more empathy than did students in their second semester and master's nursing students. Among the five master's programmes, public-health nursing students expressed the most empathy and intensive-care nursing students the least. 

  • 5.
    Lannerstrom, Linda
    et al.
    Uppsala Univ, Uppsala, Sweden..
    Holmström, Inger
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Uppsala, Sweden..
    Wallman, Thorne
    Uppsala Univ, Uppsala, Sweden..
    The effect of a short educational intervention in social insurance medicine: A randomized controlled trial2020Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 7, nr 2, s. 523-529Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim To evaluate the effect of an educational intervention in social insurance medicine with Registered Nurses. Design Randomized controlled trial. Methods The trial was performed in 20 primary healthcare centres in Central Sweden. The centres were randomly assigned as intervention or control. All Registered Nurses working with telephone nursing at the centres were invited (N = 114); out of these 100 agreed to participate and responded to a questionnaire at the beginning and end of the trial. Fourteen questions in the questionnaire dealt with professional background and were used as exposure variables and were analysed using nominal logistic regression. Results Registered Nurses in the centres randomly assigned for the intervention experienced handling sick leave questions as less problematic after the intervention than those in the control group. This indicated that the intervention was associated with a positive effect. However, due to the rather small study population, the effect was inconclusive.

  • 6.
    Lannerstrom, Linda
    et al.
    Uppsala Univ, Family Med & Prevent Med Sect, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.;Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden..
    Wallman, Thorne
    Uppsala Univ, Family Med & Prevent Med Sect, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.;Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden..
    Kaminsky, Elenor
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Hlth Serv Res Sect, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Hlth Serv Res Sect, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Gaining role clarity in working with sick leave questions-Registered Nurses' experiences of an educational intervention2019Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 6, nr 2, s. 236-244Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim To describe how a short educational intervention in social insurance medicine was experienced by Registered Nurses and what changes it brought to their work with sick leave questions in telephone nursing. Design Qualitative explorative interview study. Methods Interviews with 12 purposively sampled Registered Nurses were conducted and analysed using manifest content analysis. Results The intervention increased Registered Nurses' knowledge of the sick leave process and changed their work habits as they now have more of the skills needed to handle sick leave questions. In this way, they gained role clarity in their work with sick leave questions. The new knowledge included rules and regulations, actors' roles and patients' experiences. Learning from peers, reflecting and having the opportunity to ask questions were also described as increasing their knowledge. The skills following the participation were described as knowing what to say and do and knowing where to turn for support.

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