The multicultural society has impact on the nursing profession and multicultural aspects of education have impacts on international cooperation. Materials from 10 years in a Nordic network within higher education institutions within nursing was analysed in order to develop cooperation, mobility, curriculum and research. Methods of benchmarking were used in analysing political documents, memorandum, descriptions of the institutions, course programs and reports from teachers and student. The result indicated that the process from planning to realization was unclear, ambitions were higher than outcomes; experiences of mobility were mostly described in terms of personal experiences, enriching and useful, but relations to political goals instituional strategies were invisible. Effects on academic subjects or competence were not reported,nor were they asked for. Weeklong courses with more participants were succesful. However the research method implied new insights in the results: experiences became visible effects beyond an individual level exists, but they had to be named and asked for.
Background: A large part of the work a nurse conducts at a Primary Care Centre consists of counselling patients over the phone. The patients are sorted and prioritised on the basis of these conversations. Aim: The aim of this study is to describe how the patients experience the caring relationship with the nurse during phone counselling at a Primary Care Centre. Method: In-dept interviews were conducted with ten adult Swedish speaking persons who contacted a nurse at two Medical Care Centres, during a two week period. Results: The patients experienced that they received a good caring relationship with the nurses. This meant to be treated friendly, be taken seriously and to be able to have a dialog about their problems with the nurse. They wanted to feel unique, empowered and treated as individuals. They could sometimes feel disappointed when an unbalance occurred between the expectations of the patients and the advice they received. Nurses that were stressed influenced the caring relationship in a negative way. Conclusions: Overall the patients experienced a good caring relationship with the nurses, but the nurses were not always aware of how they where perceived.
ABSTRACT
Aim: The aim was to describe how a group of nurses in clinical practice perceived nursing research and research utilization.
Background: Swedish nurses are expected to implement results of nursing research in nursing action. Previous research shows however variousdifficulties in the utilization of research, due to shortcomings in education, absence of methods in clinical settings and lack of support fromsupervisors. However, the perception of clinical nurses regarding nursing research and research utilization is important to gain more understanding.
Methods: A qualitative description was adopted. Nine clinical nurses were interviewed and the transcripts analyzed according to given methodological steps.
Findings: The result shows that the nurses have a «in principle» attitude towards nursing research and research utilization. In general termsnurses perceive nursing research as important and significant, but due to anecdotic experiences it is not important just for them and in their specific nursing practice.
Conclusions: We argue that this «in principal» perception has a relevance when the question of research utilization is addressed. In nursing professions everyone
The aim of this study was to elucidate the meaning and dimensions of the concepts uncertain, control, secure and risk. The results from the concept determination were discussed in relation to the phenomenon of women’s health and illness experiences following a myocardial infarction (MI). A method of concept determination was used. The findings disclose the complexity of the women’s existential uncertainty that was experienced by women following an MI. This uncertainty is an important matter in relation to the women’s health processes and to their well-being. In these processes the concepts control, secure and risk play a central role. Western culture of today seems to be characterized by a search for greater safety. Lifestyle disorders, such as an MI, seems to make people more aware of specific risk factors that may be avoided. Women who have suffered an MI want to be as safe as possible in order to not fall ill again, but live well. The women’s ambition to achieve greater safety may lead them to feel even greater uncertainty. It is a challenging act for healthcare professionals to balance their support, to give information and to care for patients with acute coronary syndromes.
Aim: To deepen the knowledge of difficulties in registered nurses telephone advice and identify possibilities to master these.
Background: Telephone advice increases the accessibility to health care and the streamlined work at primary health care centres. The goal of telephone advice nursing is to give a correct advice, adapted to the caller’s situation, in order to reach correct care level. However, nurses’ telephone advice includes risks for misjudgement and may risk the patient safety.
Methods: A systematic and manual literature study was used in CINAHL and Pubmed. A total of 38 studies were identified and 13 articles were screened in full text.
Findings: Nurses’ had difficulties in telephone advice in following areas: computerized decision aids, non-visual communication, third-part communication, limited resources, the nurses’ vulnerability, genus and ethnicity, and also ethical questions.
Conclusion: Nurses perceived difficulties in telephone advice. They should take part in the development of computerized decision support and receive continuous training in communication skills. Nurses’ telephone advice should be facilitated by the existence of an open climate at the workplace, to discuss and to reflect on difficulties, in order to reach patient safety.
Background: Difficulties in intercultural encounters and communication in health care is well known. Swedish primary child health nurses' have daily encounter with Somali parents for health counseling of their young children. Little is known about their experiences of the intercultural understanding of the health counseling encounters.
Aim: To describe Swedish primary child health nurses' experiences of health counseling Somali parents.
Methods: A qualitative design was used. Five child health nurses were strategic selected for interviews. A content analysis was used in the analysis.
Findings: The primary child health nurses' experienced both facilitators and barriers in the encounters of health counseling, as well as within their profession and in the Somali parenting.
Conclusion: Health counseling as an educational process. Time is important in intercultural encounters with health counseling in primary child health care to identify and show an interest in the Somali family's life history and perceived needs.