https://www.mdu.se/

mdu.sePublikationer
Ändra sökning
Avgränsa sökresultatet
1 - 22 av 22
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Blomberg, Helena
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Stier, Jonas
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Metaphorical expression used in Swedish news media narratives to portray the shortage of nurses and their working conditions2016Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 2, s. 382-395Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of the study is to uncover and reveal how nurses as a profession and their working conditions are dramatized and portrayed inSwedish media narratives about the shortage of nurses. Background: The media is an arena where stakeholders can air their views of the healthcare sector in general and the situation for nurses in particular. The focus in this study is the debate in Sweden on the shortage of nurses. Design: Qualitative discursive study. Method: A discourse analysis of media narratives about nurses and their working conditions published in several Swedish newspapers from 2009-2014. 1779 articles were included in the study. A selection (113 articles) of these articles was further analysed using a qualitative discursive psychological approach. Findings: Nurses are portrayed as being good, concerned about and critical of healthcare managers and politicians for not taking action. The accused actors justify their actions by partially accepting or displacing responsibility. The shortage of nurses is framed as a social problem - a threat to patients' safety. Seven different types of metaphorical expression frame the problem as inevitable, beyond control, abstract, an individual and collegial problem and nurses as replaceable. In addition, nurses and patients are dehumanized and no-one is held responsible. Conclusions: This study analyses the role of the media in emphasizing the seriousness or obscurity of the problem and possible solutions to it. Alternative narratives are needed to re-frame the nursing shortage and to find sustainable solutions. 

  • 2.
    Carnesten, Hillewi
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wiklund Gustin, Lena
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. The Arctic University of Norway Narvik Norway.
    Toivanen, Susanna
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Skoglund, Karin
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Jaarsma, Tiny
    Department of Health, Medicine and Caring Sciences Linköping University Linköping Sweden;Julius Center University Medical Center Utrecht Utrecht Netherlands.
    Andreae, Christina
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Centre for Clinical Research Sörmland Uppsala University Eskilstuna Sweden.
    Struggling in the dehumanized world of COVID—An exploratory mixed‐methods study of frontline healthcare workers' experiences2024Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, s. 1-15Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    To explore healthcare workers' experiences of the changed caring reality during the COVID-19 pandemic in Sweden.DesignAn online fully mixed-methods design.MethodsA web-based self-reported questionnaire with fixed and open-ended answers collected data from March to April 2021, analysed in three steps. First, free-text questions were analysed by qualitative content analysis. Then quantitative linear regression analyses using models covering stress and coping mechanisms were conducted. Finally, a meta-inference of qualitative and quantitative data emerged a new comprehensive understanding. The COREQ guidelines were used for reporting.

    Results

    Meta-inferenced results of quantitative and qualitative findings show the pandemic was a traumatic experience for healthcare workers. Main theme; When work became a frightening experience in a dehumanized reality, comprised four themes: Entering unprepared into a frightful, incomprehensible world; Sacrificing moral values and harbouring dilemmas in isolation; Lack of clear management; and Reorient in togetherness and find meaning in a changed reality. Qualitative results comprised four categories; Working in a dehumanized world; Living in betrayal of ones' own conscience; Lack of structure in a chaotic time and Regaining vitality together. Subdimensions comprehensibility and meaningfulness were associated significantly with post-traumatic stress disorder in multiple regression analysis. In multiple regression analysis, sense of coherence was the most prominent coping strategy.

    Conclusions

    Forcing oneself to perform beyond one's limit, sacrificing moral values and lacking management was a traumatic experience to healthcare workers during the pandemic. Reorienting as a way of coping was possible in togetherness with colleagues. There is an urgency of interventions to meet the needs among healthcare workers who took on a frontline role during the COVID-19 pandemic and to prevent mental health illness in future crisis.

  • 3.
    Carnesten, Hillewi
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Wiklund Gustin, Lena
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Department of Health and Care Sciences, UiT/The Arctic University of Norway, Narvik, Norway.
    Skoglund, Karin
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Heideken Wågert, Petra
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID-19 pandemic2023Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 79, nr 6, s. 2269-2279Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To illuminate the meaning of newly graduated registered nurses' experiences of caring for patients in emergency departments during the COVID-19 pandemic. Design: A phenomenological hermeneutical study guided by Lindseth and Norberg. Methods: In-depth one-on-one interviews with 14 nurses from five hospitals were conducted from March to November 2020 and analysed using thematic analysis. The consolidated criteria for reporting qualitative research (COREQ) were used as the reporting guideline. Results: The findings comprise one main theme Caring through barriers and three themes with sub-themes. In the first theme, having intention to care, participants revealed their dedication to care for patients during the pandemic despite extensive stress, little experience and skills. The second theme, with tied hands in human suffering, illuminates experiences of being disconnected from the patient, overwhelmed by responsibility and unable to relieve suffering. The third theme, feeling inadequate, reveals experiences of lack of support and doubts meaning less space to develop into the nurse one wants to be. Conclusion: Findings reveal a new understanding of new nurses' experiences during times of crisis. The essence of caring in the emergency department during the pandemic can be explained as mediated through spatial, temporal and emotional barriers preventing new nurses from providing holistic care. Impact: The results may be used as anticipatory guidance for new nurses and inform targeted support interventions to support new nurses entering the profession in crisis conditions. Public Contribution: This study involved new nurses in semi-structured interviews. 

  • 4.
    Darbyshire, Philip
    et al.
    Monash University Victoria Australia.
    Gustafsson, Christine
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Müllersdorf, Maria
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    External scrutiny, faculty research culture and the changing university2016Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 11, s. 2571-2575Artikel i tidskrift (Övrigt vetenskapligt)
  • 5.
    Ernesäter, Annica
    et al.
    Högskolan i Gävle, Ämnesavdelningen för vårdvetenskap.
    Holmström, Inger
    Folkhälso- och vårdvetenskap Uppsala Universitet.
    Engström, Maria
    Högskolan i Gävle, Ämnesavdelningen för vårdvetenskap.
    Telenurses’ experiences of working with computerized decisionsupport: supporting, inhibiting and quality improving2009Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 65, nr 5, s. 1074-1083Artikel i tidskrift (Refereegranskat)
    Ladda ner fulltext (pdf)
    fulltext
  • 6.
    Fagerberg, Ingegerd
    et al.
    Mälardalens högskola, Institutionen för vård- och folkhälsovetenskap. Karolinska Institute, Stockholm, Sweden.
    Kihlgren, Mona
    Karolinska Institute, Stockholm, Sweden .
    Experiencing a nurse identity: the meaning of identity to Swedish registered nurses 2 years after graduation2001Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 34, nr 1, s. 137-145Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Rationale. The professional identity and experiences of nurses have been focused upon in different studies Aim. This is a longitudinal study whose aim was to understand how nurses experience the meaning of their identity as nurses, when they are students and nurses 2 years after graduation. Design. Data were collected through interviews once a year during education and two years after graduation, and were analysed using a phenomenological hermeneutic method, inspired by the philosophy of Paul Ricoeur. Findings. The analyses of the narratives resulted in four perspectives: 'Having the patient in focus', 'Being a team leader', 'Preceptorship' and 'Task orientation'. The nurses did not change perspectives but the perspective showed a transition over time. Conclusion. The nurses' not changing perspective over time is understood as being a life paradigm, remaining throughout the years.

  • 7.
    Frank, Catharina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Asp, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Fridlund, Bengt
    Hälsohögskolan, Jönköping.
    Baigi, Amir
    Halland County Council, Falkenberg, Sweden.
    Questionnarie for patient participation in emergency departments: development and psychometric testing2011Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, nr 3, s. 643-651Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim The aim of the study was to develop and test the psychometric properties of a patient participation questionnaire in emergency departments.

     

    Background Patient participation is an important indicator of quality of healthcare. International and national health care policy guidelines promote patient participation. While patients cared for in emergency departments generally express dissatisfaction with their care, a review of the literature fails to reveal any scientifically tested research instruments for assessing patient participation from the perspective of patients.

     

    Methods A methodological study was conducted involving a convenience sample of 356 patients recently cared for in emergency departments in Sweden. Data was collected in 2008 and the analyses performed were tested for construct and criterion validity and also homogeneity and stability reliability.

     

    Results A 17- item questionnaire was developed. Two separate factor analyses revealed a distinct four- factor solution which was labelled: fight for participation, requirement for participation, mutual participation and participating in getting basic needs satisfied. Criterion validity presented showed 9 out of 20 correlations above 0.30 and of those 3 moderate correlations of 0.62, 0.63 and 0.70. Cronbach’s alpha coefficient ranged from 0.63 - 0.84 and test- retest varied between 0.59 and 0.93.

     

    Conclusion The results signify evidence of acceptable validity and reliability and the questionnaire makes it possible to evaluate patient participation in ED caring situations. In addition it produces data which is useable by a diverse range of healthcare professionals.

     

    Ladda ner fulltext (pdf)
    fulltext
  • 8.
    Frank, Catharina
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Fridlund, Bengt
    Hälsohögskolan Jönköping.
    Baigi, Amir
    General Practice and Public Health, Halland County Council, Falkenberg, Sweden.
    Asp, Margareta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Patient participation in the emergency department: an evaluation using a specific instrument to measure patient participation (PPED2011Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 67, nr 4, s. 728-735Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim:  This study aimed at evaluating patient participation from the perspective of patients who received care in emergency departments, with a separate examination of the relationship between participation and age, sex, education and priority level.

    Background: International and national guidelines encourage patient participation. High patient participation is required to ensure a high quality of care. No studies evaluating patient participation at an emergency department have been published.

    Methods: An evaluating study, with the Patient Participation Emergency Department questionnaire, was conducted at emergency departments in Sweden. A consecutive sample of 356 patients participated. Data was collected in 2008: participants were 49% women and with an average age of 56 years. The statistical methods used were Student’s t-test, one-way ANOVA and Spearman correlation.

    Results: The results revealed that patients experienced good requirement such as time and information for participation. Mutual participation demonstrated a reasonable level but patient participation is low in two dimensions (Fight for participation, Participation in getting basic needs satisfied). Young and well‑educated patients fought more to participate in their care and gained less attention for basic needs than older and less well‑educated patients.

    Conclusions: Patient participation in a mutual care situation between patients and healthcare professionals requires further improvement to ensure that patients are satisfied and do not have to struggle and fight in order to participate in their care.

    Ladda ner fulltext (pdf)
    fulltext
  • 9.
    Holmström, Inger K.
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Krantz, Anna
    Ängens Vårdcent, Örebro, Sweden..
    Karacagil, Lena
    Västeras Sjukhus, Västerås, Sweden..
    Sundler, Annelie J.
    Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden..
    Frequent callers in primary health care - a qualitative study with a nursing perspective2017Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, nr 3, s. 622-632Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. To: (a) describe how telephone nurses define a frequent caller; and (b) describe their experiences with calls from frequent callers to primary healthcare centres. Background. Telephone nursing has been noted to be a cost-effective method to enhance access to and use of health care. Some patients use these services extensively and are called 'frequent callers'. Little is known about this group of callers, the reasons behind these calls and telephone nurses' experiences and strategies to manage the calls. Design. Descriptive design with a qualitative inductive approach. Methods. Interviews were conducted with ten telephone nurses in Sweden in 2015. Qualitative content analysis was conducted. Results. A main theme was established, called 'Balancing between the experienced and assessed needs', which described the telephone nurses' experiences with calls made by frequent callers to primary healthcare centres and was further described in five categories with 15 subcategories. The categories described telephone nurses' definitions of frequent callers, telephone nurses' views of the underlying reasons for the calls, challenges related to frequent callers, experiences with an increased work load and strategies used to manage and help frequent callers. Conclusion. Frequent callers were commonly encountered by telephone nurses' in this study. Their calls were experienced as complex and demanding to manage. The findings point to needs for guidelines and routines to improve the care of frequent callers. In addition, support and training in communication skills to encounter this group of callers in an optimal and safe way may be required.

  • 10.
    Holmström, Inger
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Kaminsky, Elenor
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Lindberg, Ylva
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Spangler, Douglas
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.;Uppsala Univ, Dept Surg Sci Anesthesia & Intens Care, Uppsala Ctr Prehospital Res, Uppsala, Sweden..
    Winblad, Ulrika
    Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Registered Nurses' experiences of using a clinical decision support system for triage of emergency calls: A qualitative interview study2020Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, nr 11, s. 3104-3112Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives To describe how Registered Nurses make use of a Clinical Decision Support System to triage calls to emergency medical dispatch centres, from the perspective of professional autonomy. Design The study had a descriptive design with a qualitative inductive approach. Methods Interviews were done with 24 Registered Nurses during 2018-2019. Thematic analysis was conducted. Results Five themes and 16 subthemes were established: (a) Using the CDSS as a general support to professional competence in emergency calls, including subthemes:Support for professional competence,an aid to reflection,a compulsory support; (b) A specific support useful in difficult situations and calls, with subthemes:RN being tired or stressed out;vague and unclear symptoms,rare situations,aggressive and agitated callers; (c) Using the CDSS but changing triage recommendations/priority, including subthemes:Recommending a higher priority than the CDSSandrecommending a lower priority than the CDSS; (d) Development areas for better use of the CDSS in collaboration with other services, with subthemes:Request for common documentation system with ambulancesandcloser collaboration with the national telephone nursing helpline; and (e) Possible technical development areas in the CDSS for optimal use, including subthemes:image transfer,medical records,development of certain areas in the CDSS,update of maps,a need for more knowledge. Conclusion The CDSS was not perceived as a restriction on professional autonomy. It was particularly useful in rare situations. Technical improvements as well as education and training should be done in close collaboration with registered nurses. Impact The study contributes with knowledge about how registered nurses triaging emergency calls use a decision support system. The system was a support for professional competence and did not seem to restrict them. The findings could be useful for clinicians and researchers in development of telephone triage and decision support systems.

  • 11.
    Holmström, Inger
    et al.
    Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Rosenqvist, Urban
    Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Misunderstandings about illness and treatment among patients with type 2 diabetes2005Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 49, nr 2, s. 146-154Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims. This paper reports a study whose aim was to describe the misunderstandings that Swedish patients with type 2 diabetes have about their illness and treatment. Background. It is well known that patients with type 2 diabetes need extensive support and education to learn to manage and live with their illness. However, a Swedish survey has shown that only 34% of these patients had good metabolic control. Despite intensive education and support, misunderstandings about both the illness and treatment seem to be common. Furthermore, patients are currently complaining that health care services sometimes obstruct rather than support self-care and learning. Methods. We videotaped 18 authentic encounters between a patient with diabetes and a physician, or a diabetes nurse. Patients then viewed the video and reflected on what took place during the consultation. Video-recordings and transcribed reflections were analysed thematically. Results. Five themes emerged from the analysis: (a) Type 2 diabetes is not 'real diabetes'; (b) Complications - horror visions or suppression; (c) Self-monitoring of blood glucose and medication is a routine, not a learning tool; (d) Diet - the important thing is to reduce fat and (e) 'Physical exercise is good, they tell us'. Four of the 18 patients showed no misunderstandings. Misunderstandings of diabetes and its treatment were thus common and numerous, despite regular checkups and good access to care. The patients adhered to prescribed regimens but did not know why they performed many routines or how they could benefit from them. Conclusion. The results show that misunderstandings of illness and treatment were common. We suggest that diabetes educators should base their education on this variation of understanding, using a phenomenological approach to learning. Reflecting on this kind of varied experiences can be a powerful tool to help people to move from 'novice to expert' and apply basic routines to new situations.

  • 12.
    Höglander, Jessica
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Holmström, Inger K.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden..
    Lövenmark [Åberg] [Engström], Annica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Van Dulmen, Sandra
    Netherlands Inst Hlth Serv Res, Utrecht, Netherlands.;Radboud Univ Nijmegen Med Ctr, Radboud Inst Hlth Sci, Dept Primary & Commun Care, Nijmegen, Netherlands.;Univ Borås, Fac Caring Sci, Work Life & Social Welf, Borås, Sweden..
    Eide, Hilde
    Univ South Eastern Norway, Fac Hlth & Social Sci, Ctr Hlth & Technol, Drammen, Norway..
    Sundler, Annelie J.
    Univ Borås, Fac Caring Sci, Work Life & Social Welf, Borås, Sweden..
    Registered nurse-patient communication research: An integrative review for future directions in nursing research2023Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    AimTo explore communication research in nursing by investigating the theoretical approaches, methods, content and perspectives in research on real-time registered nurse (RN)-patient communication. DesignAn integrative review of real-time communication between RNs and patients. Data SourcesEmpirical research papers were searched in PubMed, CINAHL Plus and Medline. The results from the database searches were supplemented with results from manual searches in reference lists. Review MethodsA total of 1369 articles published between January 1996 and December 2021 were screened, which resulted in the inclusion of 52 articles. ResultsThe integration of various theories, such as nursing or communication theories, is weak in most of the included studies. RN-patient communication appears to influence relationship building. Even when nurses strive to meet patients' needs, they often focus primarily on nursing routines and physical care. The topic of the communication varies depending on the situation and different communication styles are used. When a patient-centred approach is adopted, the interpersonal communication becomes quite symmetrical, with complementary roles of nurses and patients. Within a more asymmetric communication context, nurses dominate communication, choose topics and function as instructors. How the nurses communicated subsequently influenced the patients' communication styles and strategies. ConclusionCommunication is multifaceted, contains different strategies and is important for building trust and facilitating patient-centred care. The importance of RNs' communication for interaction and relationship-building seems to be well established within research, but few studies focused on patients' communication with RNs. ImpactThis integrative review gives an overview of the width and depth of observational studies on RN-patient communication research. The variety of studies indicates that this area is a less well-grounded field of research. Future research is warranted to support nurses in their communication, especially regarding the exploration of patients' communication and desired communication skills in nurse-patient interactions. Patient or Public ContributionNo patient or public contribution was included in this integrative review.

  • 13.
    Höglander, Jessica
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Håkansson Eklund, Jakob
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Eide, Hilde
    Univ Coll Southeast Norway, Drammen, Norway.
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala University, Sweden.
    Sundler, Annelie Johansson
    Univ Borås, Sweden.
    Registered Nurses' and nurse assistants' responses to older persons' expressions of emotional needs in home care2017Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 73, nr 12, s. 2923-2932Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aims to explore nurse assistants' and Registered Nurses' responses to older persons' expressions of emotional needs during home care visits. Background: Communication is a central aspect of care. Older persons might express different emotions and needs during home care visits and such expressions can be challenging to respond to. Little is known about communication in home care or nursing staff responses to older persons' expressed emotional needs. Design: Descriptive, cross-sectional design on nursing staff responses to older persons' negative emotions in home care. Methods: Collected data consisted of audio recordings of home care visits between older persons and nursing staff. Data were collected between August 2014-November 2015. The nursing staff responses to older persons' negative emotions in the communication were analysed with the Verona Coding Definitions of Emotional Sequences (VR-CoDES). Results: The nursing staff most often give non-explicit responses, providing space for further disclosure of older persons' expressed negative emotions. Such responses were more frequent if the nursing staff had elicited the older persons' expressions of a negative emotion than if such expressions were elicited by the older persons themselves. Most frequent types of responses were backchannel, active invitation or information advice. Conclusion: The nursing staff responses were mainly non-explicit responses providing space for older persons to tell more about their experiences. Such responses can be discussed in terms of person-centred communication and is important for the comfort of emotional concerns.

  • 14.
    Kaminsky, Elenor
    et al.
    Uppsala universitet, Hälso- och sjukvårdsforskning.
    Rosenqvist, Urban
    Uppsala universitet, Hälso- och sjukvårdsforskning.
    Holmström, Inger
    Uppsala universitet, Hälso- och sjukvårdsforskning.
    Telenurses' understanding of work: detective or educator?2009Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 65, nr 2, s. 382-390Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM This paper is a report of a study to describe the different ways of understanding work among a group of Swedish telenurses.

    BACKGROUND Telenursing is an expanding service in many western countries and telenursing work is likely to be understood in a variety of ways. The way in which a person understands work influences how work is performed. Telenursing demands high levels of competence.

    METHOD A qualitative interview study was conducted during 2004-2005. Twelve of the 20 telenurses working at a call centre in Sweden were interviewed, five of them twice because of organizational changes. The 17 interviews were analysed using a phenomenographic approach.

    FINDINGS Five different categories were identified in the data: (1) Assess, refer and give advice to the caller (2) Support the caller (3) Strengthen the caller (4) Teach the caller and (5) Facilitate the caller's learning. The first category can be seen as a base for telenursing work and was the only category used by some telenurses. The second category has components of traditional caring and the third is a coaching function. The fourth category contains a teaching component, but the fifth is the only category where the caller's learning is in focus. Telenurses who reported the fifth way also included all other ways of understanding work. Hence, this seems to be the most comprehensive way of understanding work.

    CONCLUSION The categories together constitute a telenursing 'workmap'. This 'workmap' can be used for reflection to expand telenurses' current understanding of work, and hence promote competence development. Telenurses need to be aware of their role in public health education.

  • 15.
    Letterstål, Anna
    et al.
    Karolinska Institute, Sweden; Karolinska University Hospital, Sweden.
    Sandström, Veronica
    Karolinska Institute, Sweden; Quality ServiceExecutive, Quintiles OY, Espoo, Finland.
    Olofsson, Pär
    Karolinska Institute, Sweden; Karolinska University Hospital, Sweden.
    Forsberg, Christina
    Röda Korsets Högskola, Sweden.
    Postoperative mobilization of patients with abdominal aortic aneurysm2004Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 48, nr 6, s. 560-568Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim.  This paper reports on a study which aimed to evaluate the effects of structured written preoperative information on patients’ postoperative psychological and physical wellbeing after surgery for abdominal aortic aneurysm (AAA).

    Background.  The possible benefits of current booklets written by professionals on postoperative psychological and physical wellbeing in patients with AAA are unknown. Previous studies have shown that preoperative information has a favourable effect on both mood state and physical mobilization.

    Method.  Fifty-two patients admitted for elective repair of AAA were selected consecutively and randomized to receive only verbal (control group), or verbal and written information in booklet form (experimental group). The booklet contained procedural and sensory information about the disease and its treatment. Two questionnaires were used to establish whether the booklet had any effect on perceived health, psychological and physical wellbeing postoperatively.

    Results.  The two groups were similar regarding their perceived health but differed significantly regarding psychological wellbeing pre- and postoperatively. Patients in the experimental group were significantly sadder both pre- and postoperatively compared with those in the control group. Both groups were similar in postoperative physical wellbeing.

    Conclusion.  This group of patients often has asymptomatic disease, with a short interval between diagnosis and major surgery. When patients receive an information booklet during this period, this seems to cause more worries than anticipated. Hence, a more supportive educational programme might benefit this patient group, both pre- and postoperatively.

  • 16.
    Lugina, Helen I
    et al.
    School of Nursing, Muhimbili Univ. Coll. of Hlth. Sci., Dar es Salaam, Tanzania .
    Nyström, Lennarth
    Umeå University, Umeå, Sweden .
    Christensson, Kyllike
    Karolinska Institute, Stockholm, Sweden.
    Lindmark, Gunilla
    Uppsala University, Uppsala, Sweden.
    Assessing mothers' concerns in the postpartum period: methodological issues.2004Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 48, nr 3, s. 279-290Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: This paper reports a study evaluating the sensitivity of a semi-structured interview schedule and card sort methods in assessing postpartum concerns of women. BACKGROUND: Several methods have been used to assess postpartum maternal concerns and the process of becoming a mother, but few studies have evaluated the methods with respect to their sensitivity for obtaining information. METHOD: A cohort of mothers was followed-up at one (n = 110) and 6 weeks (n = 83) after childbirth in Dar es Salaam, Tanzania. Women with a minimum of 7 years of primary education were interviewed and they also sorted cards. Those with less fewer than 7 years of primary education were interviewed only. The methods were used in alternate order to assess method interaction. RESULTS: In the interviews at 1 week, mothers more often expressed worry and interest related to the baby or themselves when they had sorted cards first. The extent to which women expressed worry and interest about specific baby- and mother-related topics was generally higher for women who had sorted cards before the interview at both 1 and 6 weeks. Independent of whether they were interviewed only, interviewed after sorting cards or before, mothers more often expressed a higher degree of interest than of worry about the baby and self at both 1 and 6 weeks. The order of the data collection methods did not influence the way women sorted cards as being worries and interests. CONCLUSION: Compared to interview using a semi-structured interview schedule, our findings suggest that the card sort is more sensitive in obtaining information about women's concerns. Although the interview method has the advantage of reaching less educated people, the card sort is a technique that is associated with fewer barriers and is a more participatory method for those who can use it.

  • 17.
    Lööf, Helena
    et al.
    Sophiahemmet Högskola.
    Johansson, Unn-Britt
    Sophiahemmet Högskola.
    Welin Henriksson, Elisabet
    Lindblad, Staffan
    Saboonchi, Fredrik
    Sophiahemmet Högskola.
    Development and psychometric testing of the Swedish version of the Body Awareness Questionnaire2013Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 69, nr 7, s. 1643-1651Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    This paper is a report of the development and psychometric testing of the Swedish version of the Body Awareness Questionnaire to measure bodily focus of attention.

    Background

    The Body Awareness Questionnaire has been identified as an instrument with excellent psychometric properties within the concept of body awareness. It has been used in both research and clinical settings in different contexts. However, a validated Swedish version is not available.

    Method

    A cross-sectional design was applied for adaptation of the Body Awareness Questionnaire and psychometric validation. Data were collected between autumn 2009 and spring 2011 from 120 patients diagnosed with rheumatoid arthritis, and from 120 students. The ‘concurrent think aloud’ method was used in a pre-test to determine the usability of the questionnaire. Cronbach's alpha was used to test the internal consistency, and confirmatory factor analysis was performed to test the construct validity.

    Results

    According to the confirmatory factor analysis, neither the one-factor model nor the four-factor model tested in this study fulfilled the pre-specified criteria in accordance with the Comparative Fit Index, Standardized Root Mean Squared Residual and the Root Mean Square Error of Approximation. The value of Cronbach's alpha for the Swedish version of the Body Awareness Questionnaire was satisfactory.

    Conclusion

    Our results indicate that the two models tested in this study do not provide a good fit to the observed data. Further refinement and testing of the Swedish version of the Body Awareness Questionnaire is therefore required. The concept of body awareness may

  • 18.
    Olsson, Annakarin
    et al.
    Univ Gavle, Fac Hlth & Occupat Studies, Dept Caring Sci, Gavle, Sweden..
    Thunborg, Charlotta
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Clin Geriatr, Stockholm, Sweden.;Malardalen Univ, Sch Hlth Care & Social Welf, Vasteras, Sweden..
    Bjorkman, Annica
    Univ Gavle, Fac Hlth & Occupat Studies, Dept Caring Sci, Gavle, Sweden.;Uppsala Univ, Dept Publ Hlth & Caring Sci, Hlth Serv Res, Uppsala, Sweden..
    Blom, Anneli
    Vastmanland Cty Hosp, Ctr Clin Res, Vasteras, Sweden..
    Sjoberg, Fredric
    Karolinska Inst, Sodersjukhuset, Unit Anaesthesiol & Intens Care, Stockholm, Sweden..
    Salzmann-Erikson, Martin
    Univ Gavle, Fac Hlth & Occupat Studies, Dept Caring Sci, Gavle, Sweden..
    A scoping review of complexity science in nursing2020Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, nr 8, s. 1961-1976Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim To describe how complexity science has been integrated into nursing. Design A scoping review. Data source/review method Academic Search Elite, Scopus, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, PubMed and Web of Science were searched November 2016, updated in October 2017 and January 2020. The working process included: problem identification, literature search, data evaluation, synthesizing and presentation. Results Four categories were found in the included 89 articles: (a) how complexity science is integrated into the nursing literature in relation to nursing education and teaching; (b) patients' symptoms, illness outcome and safety as characteristics of complexity science in nursing; (c) that leaders and managers should see organizations as complex and adaptive systems, rather than as linear machines; and (d) the need for a novel approach to studying complex phenomena such as healthcare organizations. Lastly, the literature explains how complexity science has been incorporated into the discourse in nursing and its development. Conclusion The review provided strong support for use in complexity science in the contemporary nursing literature. Complexity science is also highly applicable and relevant to clinical nursing practice and nursing management from an organizational perspective. The application of complexity science as a tool in the analysis of complex nursing systems could improve our understanding of effective interactions among patients, families, physicians and hospital and skilled nursing facility staff as well as of education. Impact Understanding complexity science in relation to the key role of nurses in the healthcare environment can improve nursing work and nursing theory development. The use of complexity science provides nurses with a language that liberates them from the reductionist view on nursing education, practice and management.

  • 19.
    Pavedahl, Veronica
    et al.
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Muntlin, Åsa
    Uppsala Univ Hosp, Dept Emergency Care & Internal Med, Uppsala, Sweden.
    Summer Meranius, Martina
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    von Thiele Schwarz, Ulrica
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Karolinska Inst, Med Management Ctr, LIME, Stockholm, Sweden.
    Holmström, Inger
    Mälardalens universitet, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.
    Prioritizing and meeting life-threateningly ill patients' fundamental care needs in the emergency room: An interview study with registered nurses2022Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 78, nr 7, s. 2165-2174Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim To explore how registered nurses in the emergency room describe their work approach and prerequisites for meeting life-threateningly ill patients' care needs from the perspective of a person-centred fundamental care framework. Design A descriptive, qualitative interview study. Method Individual interviews were carried out with 14 registered nurses with experience of working in an emergency room in Sweden, during 2019. Data were analysed using thematic analysis, according to Braun and Clarke. The COREQ checklist was used for reporting the findings. Results Three themes were identified: Task-oriented nursing care based on structured guidelines and checklists; Fundamental care not being promoted or prioritized in the emergency room; and The organization and responsibilities for providing person-centred fundamental care are unclear. Results showed that registered nurses structure their work approach based on prevailing organizational prerequisites as well as personal ones. Meeting patients' fundamental care needs was not always prioritized; their physical needs were met to a greater extent than their relational and psychosocial needs. Registered nurses did not prioritize fundamental care when the organization did not. Conclusion From the registered nurses' perspective, they structured their work based on the prevailing conditions for meeting patients' fundamental care needs. The organizational structure does not clearly state that fundamental care should be performed in the emergency room, and the registered nurses' work approach there for meeting patients' fundamental care needs is not adapted to provide patients with person-centred care. Impact To date, little is known about registered nurses' work approach and prerequisites in meeting life-threateningly ill patients' fundamental care needs in the emergency room. Our findings indicate that the organizational structure is pivotal in supporting registered nurses to provide person-centred fundamental care. The knowledge from this study can be used in emergency care settings to facilitate person-centred fundamental care and thereby avoid fundamental care being missed.

  • 20.
    Saarnio, Lotta
    et al.
    Karolinska Inst.
    Arman, Maria
    Karolinska Inst.
    Ekstrand, Per
    Mälardalens högskola, Akademin för hälsa, vård och välfärd.
    Power relations in patient's experiences of suffering during treatment for cancer2012Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, nr 2, s. 271-279Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. This paper is a report of how patients who have cancer experience suffering in the context of power relations. Background. Many studies in Sweden and in other countries have detected inequality in healthcare use and resources, including unseen influences that can be connected to gender and distribution of resources. Few studies have examined how multiple relations of power such as gender, ethnicity, age and education influence how people with cancer experience suffering during treatment. Method. A hermeneutic design was used. Qualitative interviews were conducted with 12 women and 14 men receiving treatment for a variety of cancer diagnoses. The data collection was done at two hospitals in Sweden during 20082009. The interpretation of data was based on two theoretical perspectives suffering and intersectionality. Results. The results highlight patients suffering where two or more positions of power relations interacted with each other. Three main themes were identified: the complexity of control, the vulnerable effects of body changes, and the internal battle of survival. Conclusion. A vulnerable social situation for people with cancer concretely increased their suffering. Social inequalities, seemingly linked to social hierarchy, increased the suffering of people with cancer. For example, women with cancer with a low education belonging to an ethnic minority suffered more than highly educated patients belonging to the ethnic majority.

  • 21.
    Skogevall, Sofia
    et al.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    Holmström, Inger
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Uppsala, Sweden..
    Kaminsky, Elenor
    Uppsala Univ, Uppsala, Sweden..
    Håkansson Eklund, Jakob
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd.
    A survey of telephone nurses' experiences in their encounters with frequent callers2020Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 76, nr 4, s. 1019-1026Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim The aim of this study was to describe telephone nurses' experiences of their encounters with frequent callers to Swedish Healthcare Direct. Design A descriptive inductive design with qualitative approach. Methods Data collection was performed during the period of September 2017 - June 2018. A total of 199 telephone nurses working at 10 Swedish Healthcare Direct sites with different geographical locations in Sweden answered a survey containing seven open-ended questions. Data analysis was performed during the period of September 2018 - June 2019. The answers were analysed using content analysis. Results The telephone nurses perceived that the encounters with frequent callers were sometimes frustrating as they felt unable to help. According to the telephone nurses, the frequent callers called about the same issues several times and the calls were often about loneliness and psychiatric problems. The telephone nurses were worried about missing something urgent; one of the aspects leading to this was the perception of knowing the caller. They expressed a wish to know more about frequent callers and strategies for helping them. A common care plan for frequent callers' calls was suggested. Conclusion Telephone nurses often found it difficult to handle calls from frequent callers. However, they had a will to care for frequent callers and to learn more about them. Therefore, a common strategy, education and training for telephone nurses in answering calls from frequent callers could be beneficial for both callers and telephone nurses. Impact statement This study offers insights to researchers, telephone nurses and managers of telephone nursing, regarding telephone nurses' experiences in handling frequent caller calls. These findings can offer direction for the content of a possible intervention.

  • 22.
    Sundler, Annelie J.
    et al.
    Univ Boras, Fac Caring Sci Work Life & Social Welf, Boras, Sweden..
    Eide, Hilde
    Univ Coll Southeast Norway, Fac Hlth Sci, Drammen, Norway..
    van Dulmen, Sandra
    Univ Coll Southeast Norway, Fac Hlth Sci, Drammen, Norway.;NIVEL Netherlands Inst Hlth Serv Res, Utrecht, Netherlands.;Radboud Univ Nijmegen, Med Ctr, Dept Primary & Community Care, Nijmegen, Netherlands..
    Holmström, Inger K.
    Mälardalens högskola, Akademin för hälsa, vård och välfärd, Hälsa och välfärd. Uppsala Univ, Dept Publ Hlth & Caring Sci, Uppsala, Sweden.
    Communicative challenges in the home care of older persons - a qualitative exploration2016Ingår i: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 72, nr 10, s. 2435-2444Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim. To explore communicative challenges in encounters between nurse assistants and older persons during home care visits. Background. The older population is increasing worldwide. Currently, there is a shift in care for older people from institutional care to home care. Providing home care in a person's home involves several challenges, including the complexity of communication. Design. A descriptive observational design with a qualitative approach was used. Methods. The data consisted of audio recordings of real-life encounters during home care visits between nurse assistants and older persons, collected in 2014. A hermeneutic phenomenological analysis was conducted. Results. Communicative challenges were identified: (a) in situations where the older persons had a different view than the nurse assistants on the care task and its content; and (b) when unexpected actions or turns occurred in the communication. Challenges included older person's existential issues, fragility and worries and concerns, which often appeared to be only vaguely expressed and difficult to verbally detect and tackle. This engendered a risk of misinterpretation or ignorance of these challenges. Conclusion. The findings point to the importance of communication as the key to facilitate person-centred home care. Communication training should focus more on addressing needs and existential issues in older persons. Person-centred home care for older persons needs to be addressed at both an individual and an organizational level.

1 - 22 av 22
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf