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  • 1.
    Bjurling-Sjöberg, P.
    et al.
    Department of Anesthesiology, Mälar Hospital, Eskilstuna, Sweden.
    Engström, Gabriella
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL, United States.
    Lyckner, S.
    Department of Anesthesiology, Mälar Hospital, Eskilstuna, Sweden.
    Rydlo, Cecilia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Intensive care nurses' conceptions of a critical pathway in caring for aortic-surgery patients: A phenomenographic study2013In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, no 3, p. 166-173Article in journal (Refereed)
    Abstract [en]

    The aim of the present study was to identify and describe intensive care nurses' different conceptions of a critical pathway in caring for patients that have undergone aortic-surgery. Individual semi-structured interviews with eight specialist registered nurses at a Swedish intensive care unit were conducted and phenomenographically analysed. Three descriptive categories, with a total of five sub-categories, constituted the outcome-space of how the pathway was conceived of in caring: as a guide open to individual patients needs (clinical judgement governs caring and patient autonomy governs caring), as an instrument to promote patient safety (a source of knowledge, a planning tool and a reference standard) and as a source of support for professional confidence. In accordance with current literature, the nurses in the present study identified a number of advantages in applying the pathway in caring even if they were also conscious that the use of a pathway can give rise to unreflective standardisation. The nurses' conceptions indicate that the pathway prescribed for managing patients who have undergone aortic surgery is supportive and facilitates patient safety without jeopardising respect for the patient's individual care needs. This insight may be used to influence a thoughtful dialogue about the practice of pathways in intensive care.

  • 2.
    Engström, Gabriella
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Rydlo, Cecilia
    Mälardalen University, School of Health, Care and Social Welfare.
    Bjurling Sjöberg, Petronella
    Lyckner, Sara
    Intensive care nurses conceptions of critical pathway in caring for aortic-surgery patientsManuscript (preprint) (Other (popular science, discussion, etc.))
  • 3.
    Rydlo, Cecilia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Bredenhof Heijkenskjöld, Katarina
    The patient as a source: learning strategies for student nurses in caring and nursing2012Conference paper (Refereed)
  • 4.
    Salzmann-Erikson, M.
    et al.
    University of Gävle, Gävle, Sweden.
    Rydlo, Cecilia
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Wiklund Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT-Norges Arktiske Univesitet, Norway.
    Getting to know the person behind the illness - the significance of interacting with patients hospitalised in forensic psychiatric settings2016In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 9-10, p. 1426-1434Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To describe what nurses want to accomplish in relationships with patients who are hospitalised in forensic psychiatric settings. Background: Relationships between staff and patients in forensic psychiatric settings should be grounded in trust and confidence, and the patients need opportunities for emotional reconciliation. However, relationships can be challenging for nurses, who sometimes distance themselves from patients' expressions of suffering. The role of forensic mental health nurses is nebulous, as are the prescriptives and the implementation of nursing practices. Design: Qualitative descriptive design. Methods: In-depth interviews with five nurses who all work in forensic psychiatric settings. Results: We present a descriptive analysis of what nurses want to accomplish in relationships with patients who are hospitalised in forensic psychiatric settings. The results are presented in two main categories: (1) getting to know the person behind the illness and (2) making a difference. Conclusion: Care in forensic psychiatry needs to shift towards a more long-term view of the role of nursing, focusing less on the traditional and stereotypical identity of the productive nurse and more on the care given when nurses slow down and take the time to see the patients as individuals. Establishing trusting relationships with patients in forensic psychiatric settings is viewed as a less oppressive way to control patients and guide them in directions that are preferable for the nurses and for the society. Relevance to clinical practice: Nurses may use simple strategies in their daily practice such as sitting on the sofa with patients to establish trust. We stress that nurses should abandon policing roles and custodial activities in favour of guiding principles that promote individual recovery, treatment and health-promoting care.

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