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  • 1.
    Josefsson, Karin
    Mälardalen University, School of Health, Care and Social Welfare.
    Registered nurses' health in community elderly care in Sweden2012In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 59, no 3, p. 409-415Article in journal (Refereed)
    Abstract [en]

    JOSEFSSON K. (2012) Registered nurses' health in community elderly care in Sweden. International Nursing Review59, 409415 Aim: To describe registered nurses' (RNs) ratings of their work-related health problems, sickness presence and sickness absence in community care of older people. To describe RNs' perceptions of time, competence and emotional pressure at work. To describe associations between time, knowledge and emotional pressure with RNs' perceptions of work-related health problems, sickness presence and sickness absence. Background: There is a global nursing shortage. It is a challenge to provide working conditions that enable RNs to deliver quality nursing care. Method: A descriptive design and a structured questionnaire were used. 213 RNs in 60 care homes for older people participated, with a response rate of 62%. Findings: RNs' reported work-related health problems, such as neck/back disorders, dry skin/dry mucous membranes, muscles/joints disorders, sleep disorders and headache. They had periods of fatigue/unhappiness/sadness because of their work (37%). Most of the RNs felt at times psychologically exhausted after work, with difficulties leaving their thoughts of work behind. RNs stated high sickness presence (68%) and high sickness absence (63%). They perceived high time pressure, adequate competence and emotional pressure at work. There was a weak to moderate correlation between RNs' health problems and time pressure. Discussion: We cannot afford a greater shortage of RNs in community care of older people. Politicians and employers need to develop a coordinated package of policies that provide a long-term and sustainable solution with healthy workplaces. Conclusion: It is important to prevent RNs' work-related health problems and time pressure at work.

  • 2.
    Rasjö Wrååk, G.
    et al.
    Storvretens Primary Health Care Centre, Stockholm County, Sweden.
    Törnkvist, L.
    Karolinska Institutet, Stockholm, Sweden .
    Hasselström, J.
    Karolinska Institutet, Stockholm, Sweden .
    Wändell, P. E.
    Karolinska Institutet, Stockholm, Sweden .
    Josefsson, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nurse-led empowerment strategies for patients with hypertension: A questionnaire survey2015In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 62, no 2, p. 187-195Article in journal (Refereed)
    Abstract [en]

    Background: Hypertension is common and may lead to cerebrovascular and cardiovascular events and mortality. District nurses frequently encounter patients requiring blood pressure monitoring, lifestyle counsel and support. Empowerment as a method enables patients to both increase their control over their health and improve it. Aim: This study aims to describe the effects of the counsel and support from district nurses to patients with hypertension. Methods: A randomized controlled intervention trial. Questionnaires were answered by patients with hypertension before and after the intervention comprising district nurses' counsel and support based upon empowerment. A specially developed card for blood pressure monitoring was also used. Results: Blood pressure decreased in intervention and the control groups. The intervention group experienced significantly improved health, with better emotional and physical health, and reduced stress. Living habits did not change significantly in either group. Satisfaction with knowledge of hypertension increased significantly in both groups. The intervention group reported that their care was based upon their health needs. Limitations: Conducting large multi-centre studies with long follow-ups is complicated and results sometimes have a tendency to decline with time. A shorter follow-up might have shown a greater difference between the groups. Conclusion: Nursing interventions through district nurses' counsel and support with empowerment improved patients' health. More research is needed to evaluate nursing interventions' effect on hypertension. Implications for nursing and health policy: This study highlighted that district nurses' counsel and support increased patients' health and decreased stress by focusing on empowerment.

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