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  • 101.
    Wiklund Gustin, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Lindwall, Lillemor
    Karlstads Universitet.
    Omvårdnadsteori i klinisk praxis2012 (ed. 1)Book (Other academic)
    Abstract [sv]

    Trots att såväl vårdpersonal som utbildningsanordnare och lagstiftare talar om att vården ska utgå från en helhetssyn på patienten tycks detta perspektiv ofta falla bort då man talar om evidens- eller kunskapsbaserad vård. Detta vill författarna till Omvårdnadsteorieri klinisk praxis råda bot på. I boken visar de huromvårdnad kan kunskapsbaseras utifrån fokus på vårdandet av människor och sjuksköterskans självständiga professionsansvar.

    De teorier som tas upp har utvecklats av Phil Barker, Katie Eriksson, Virginia Henderson, Madeleine Leininger, Dorothea Orem, Sister Calista Roy, Rosie-Marie R. Parse och Jean Watson. Teorierna relateras till olika åldersgrupper och vårdkontexter, till exempel perioperativ vård, primärvård, palliativ vård, kirurgisk vård, medicinsk vård och psykiatrisk vård, liksom till olika aspekter av vård: patientens perspektiv, vårdande relationer, hälsa och lidande, etik, behov, adaption, egenvård och kultur

  • 102.
    Wiklund Gustin, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Nordin, Anette
    Att utforska sina resurser2019In: Vårdande vid psykisk ohälsa - på avancerad nivå / [ed] Wiklund Gustin, Lena, Lund: Studentlitteratur AB, 2019, 3, p. 197-219Chapter in book (Other academic)
  • 103.
    Wiklund Gustin, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Nordin, Anette
    Glädje, kreativitet och nyfikenhet - resurser i patietnens hälsoprocesser2014In: Vårdande vid psykisk ohälsa: På avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur AB, 2014, 2, p. 100-115Chapter in book (Other academic)
  • 104.
    Wiklund Gustin, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Nordin, Anette
    Glädje, kreativitet och nyfikenhet: resurser i patientens hälsoprocesser2010In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur , 2010, 1, p. 103-120Chapter in book (Other academic)
  • 105.
    Wiklund Gustin, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Rydenlund, Kenneth
    Landstinget i Östergötland/Åbo Akademi, Vasa.
    Kulzer, Sonja
    Mälardalen University, School of Health, Care and Social Welfare.
    Att vara specialistsjuksköterska inom psykiatrisk vård2010In: Vårdande vid psykisk ohälsa: på avancerad nivå / [ed] Lena Wiklund Gustin, Lund: Studentlitteratur , 2010, 1, p. 395-421Chapter in book (Other academic)
  • 106.
    Wiklund Gustin, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Wagner, Lynne
    Watson Caring Science Institute, Chelmsford, MA, USA.
    The butterfly effect of caring: clinical nursing teachers’ understanding of self-compassion as a source to compassionate care2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 1, p. 175-183Article in journal (Refereed)
    Abstract [en]

    This study has its roots in a clinical application project, focusing on the development of a teaching–learning model enabling participants to understand compassion. During that project four clinical nursing teachers met for a total of 12 hours of experiential and reflective work. This study aimed at exploring participants’ understanding of self-compassion as a source to compassionate care. It was carried out as a phenomenological and hermeneutic interpretation of participants’ written and oral reflections on the topic. Data were interpreted in the light of Watson’s Theory of Human Caring. Five themes were identified: Being there, with self and others; respect for human vulnerability; being nonjudgmental; giving voice to things needed to be said and heard; and being able to accept the gift of compassion from others. A main metaphorical theme, ‘the Butterfly effect of Caring’, was identified, addressing interdependency and the ethics of the face and hand when caring for Other – the ethical stance where the Other’s vulnerable face elicits a call for compassionate actions. The findings reveal that the development of a compassionate self and the ability to be sensitive, nonjudgmental and respectful towards oneself contributes to a compassionate approach towards others. It is concluded that compassionate care is not only something the caregiver does, nor is compassion reduced to a way of being with another person or a feeling. Rather, it is a way of becoming and belonging together with another person where both are mutually engaged and where the caregiver compassionately is able to acknowledge both self and Other’s vulnerability and dignity.

  • 107.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    "A cognitive perspective on frequent attenders health and suffering"2005Conference paper (Refereed)
  • 108.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Att samtala om psykisk ohälsa2022In: Professionella möten på distans. Bedömning och vård om råd. / [ed] Spante, M., & Almgren Eriksson, E., Stockholm: Liber, 2022, 1, p. 241-262Chapter in book (Other academic)
  • 109.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Att våga möta livet som sig själv – vårdandet vid missbruk2008In: Rättspsykiatriskt vårdande: – vårdande av lagöverträdare med psykisk ohälsa / [ed] Reet Sjögren, Lund: Studentlitteratur , 2008, p. 89-128Chapter in book (Other (popular science, discussion, etc.))
  • 110.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Different levels of interpretation in hermeneutic understanding2007Conference paper (Refereed)
    Abstract [en]

    This paper will focus a hermeneutic approach considering different levels of interpretations. The approach has its roots in Gadamer’s philosophy of understanding and is developed by Ödman and Söderlund. Within this tradition questions of meaning are central and linked to persons reciprocal interplay with the situation. Interpretations are made on three different levels; 1) rational interpretation, aiming at understanding persons’ motive for acting 2) structural interpretation focusing the contextual structure of which the research object is a part, 3) existential interpretation which focuses the existential world as the world of the text. Finally a synthesis of the whole is made which could be described in terms of appropriation of the texts meaning. Then the researcher’s and the object of interpretation’s horizons of meaning are merged in terms of a new understanding. The method will be illustrated using results from a study on experiences of living with addiction.

  • 111.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Existential aspects of living with addiction - Part I: meeting challenges2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 18, p. 2426-2434Article in journal (Refereed)
    Abstract [en]

    AIM: This paper aims to explore the existential aspects of living with addiction.

    BACKGROUND: This study arises from data from a previous research project carried out by the author and takes as its point of departure the patient's perspective. Addiction is described as being related to traumatic experience and to loss of control, shame, guilt and low self-esteem, but also to spirituality. This causes profound suffering and drugs are used as a means of handling this suffering.

    DESIGN: Hermeneutic inquiry was used to explore peoples experiences of living with addiction.

    METHOD: The first study was based on interviews with people with rich, personal experience of addiction. This study constitutes a secondary analysis of the same data and was conducted using a hermeneutic approach.

    RESULTS: On an existential level the experiences of living with addiction can be understood as a striving to meet and resolve challenges associated with spirituality caused by a person's suffering and, paradoxically, also by his/her efforts to relieve that suffering through the use of drugs. These challenges are presented as themes focusing on the conflict that must be met; meaning - meaninglessness, connectedness - loneliness, life - death, freedom - adjustment, responsibility - guilt, control - chaos.

    CONCLUSION: Living with addiction appears as being in the midst of a struggle with existential challenges. Furthermore, the use of drugs is paradoxical as it momentarily relieves suffering but at the same time increases it.

    RELEVANCE TO CLINICAL PRACTICE: Addressing the challenges will facilitate nurses interaction with addicted persons. When facing challenges, including the motivational aspects, instead of focusing on problems, health can be promoted and suffering relieved.

  • 112.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Existential aspects of living with addiction - Part II: caring needs.: A hermeneutic expansion of qualitative findings2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 18, p. 2435-2443Article in journal (Refereed)
    Abstract [en]

    AIM: This paper aims to describe caring needs associated with existential aspects of living with addiction.

    BACKGROUND: Spirituality is considered a driving force within and the concept relates to self, others and God and the relationships between them. The spiritual dimension is of great importance in both the addiction itself as well as in recovery and addressing caring needs relating to spirituality is important in nursing.

    DESIGN: Hermeneutic inquiry was used to explore caring needs related to peoples experiences of living with addiction.

    METHOD: This paper is a hermeneutic expansion of findings presented in Part I. Existential themes in the form of spiritual challenges and caring needs are reflected upon as a process between figure and background.

    RESULTS: The themes presented are: meaning - meaninglessness, connectedness - loneliness, life - death, freedom - adjustment, responsibility - guilt, control - chaos. Caring needs associated with them are identified as; the need to create a new frame of reference for interpreting of life, the need to experience coherence in life, a restored dignity as well as the need for a sense of community and attachment, confirmation and acceptance. The caring need for forgiveness and reconciliation is also identified as well as the need for continuity, comprehensibility and manageability.

    CONCLUSIONS: When caring for patients suffering from addiction nurses should address patients' spirituality. The caring communion is vital, as it is the foundation for meeting the patients' needs. Intervention by nurses should focus on aspects that will help patients feel alive and in communion with others.

    RELEVANCE TO CLINICAL PRACTICE: Understanding and being able to identify patients' caring needs associated with existential aspects of living with addiction will enable nurses to provide professional care and promote patient's recovery.

  • 113.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Kognitiv terapi med patienter som lider av personlighetsstörningar2006In: Psyche, ISSN 0283-3468, no 4, p. 6-10Article in journal (Other (popular science, discussion, etc.))
  • 114.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Kognitivt förhållningssätt och vårdvetenskap – går de att förena?2005In: Psyche, ISSN 0283-3468, no 2,, p. 14-18.Article in journal (Other (popular science, discussion, etc.))
  • 115.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Kognitivt förhållningssätt och vårdvetenskap -går de att förena?2005In: Journal of Nursing Theory, ISSN 1400-8033, Vol. 14, no 3, p. 11-17Article in journal (Refereed)
  • 116.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Lidandet som kamp och drama2000Doctoral thesis, monograph (Other scientific)
    Abstract [en]

    Denna studie syftar till att via utformandet av en teoretisk modell nå ökad förståelse för hur människan erfar lidandet. Studien, som har en hermeneutisk ansats, fokuserar lidandet som drama och kamp, vilka beskrivs som lidandets form och substans.

    Data insamlades genom samtal med informanter från två kontext. Den ena informantgruppen som utgjordes av nio personer med drogrelaterade problem valdes med utgångspunkt i ett antagande om att missbruket härrör från ett livslidande. De övriga informanterna (nio stycken) söktes inom ett till det yttre kontrasterande kontext, de hjärtopererade patienternas. De texter dessa samtal genererade tolkades sedan med utgångspunkt i en hermeneutisk ansats, som hämtat metodologisk inspiration av Ricoeur och Helenius. Tolkningen ägde rum i flera steg och det meningsbärande söktes genom naiv tolkning, analys av textens struktur samt genom ett sökande efter alternativa tolkningar. Tolkningsprocessen resulterade en uppsättning teser vilka relaterades till undersökningens teoretiska perspektiv samt till en begreppsanalys av ’kamp’.

    Den teoretiska modellen tar fasta på lidandets kamp som en kamp mellan värdighet och skam, lust och olust. Denna kamp kan gestaltas i lidandets drama där människan på olika sätt söker lindring i lidandet. Detta kan ske genom att man försöker besegra lidandet, avtäcka det eller försonas med det. Ytterligare ett sätt att söka lindring är att ge upp lidandets kamp och resignera. I den teoretiska modellen gestaltas även hur människan kan förhålla sig till kampen på olika sätt beroende på vilket perspektiv hon har inför framtiden. Då människan uppfattar att framtiden präglas av ett hot om avskurenhet och död förhåller hon sig till livet på ett sådant sätt att lidandet dominerar. Om uppfattningen om framtiden präglas av liv och gemenskap kan hon förhålla sig till kampen som hälsa.

    När lidandet blir outhärdligt förlorar människan sin förankring i tiden. I och med att människan isoleras i nuet kan lidandet bemästras och begränsas till en konkret situation. För att en rörelse i hälsoprocesserna skall äga rum måste människan emellertid relatera till tiden. Relationen till en annan människa och skapandet av en lidandeberättelse innebär en möjlighet till förankring i tiden och därmed också till helande.

  • 117.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Lidandets kamp2003In: Gryning II: Klinisk vårdvetenskap / [ed] Eriksson, K. & Lindström, U.Å., Vasa: Åbo Akademi, Institutionen för vårdvetenskap, Samhälls- och vårdvetenskapliga fakulteten , 2003, p. 133-145Chapter in book (Other (popular science, discussion, etc.))
  • 118.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Medlidande och närliggande begrepp2022In: Vårdvetenskapliga begrepp i teori och praktik / [ed] Wiklund Gustin, L., & Asp, M., Lund: Studentlitteratur AB, 2022, 3, p. 179-193Chapter in book (Other academic)
  • 119.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Meeting existential needs in caring for patients suffering from addiction. Muntlig presentation2006Conference paper (Other (popular science, discussion, etc.))
  • 120.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Metaphors – A Path to Narrative Understanding2010In: International Journal for Human Caring, ISSN 1091-5710, Vol. 14, no 2, p. 60-69Article in journal (Refereed)
    Abstract [en]

    This article illustrates the process of narrative hermeneutic interpretation. Narratives could be analyzed and understood as text on different levels of interpretation. Analyzing narrative structure by means of emplotment focuses on how the story is narrated. Further understanding is promoted by analyses of narrative content – what the text talks about – and could be revealed by metaphors used by participants or constructed by the researcher. I will argue in favor of metaphors not only as analytic tools but also as means to communicate findings. Through their ability to make connections between language and body metaphors can facilitate appropriation of new understandings.

  • 121.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    "New" knowledge for "old" nursing leaders2008In: 4th International Nursing Management Conference: Toward a new world: Challenges for Nursing Leadership, Belek, Turkiet, 2008Conference paper (Refereed)
    Abstract [en]

    During the last decades nurse-education has become more oriented towards scientific knowledge. Nursing-theories are taught at school and new nurses are prepared to use them in their clinical practice. However, when graduated and entering the clinical reality the nurses describe that this kind of knowledge are not always appreciated while experienced nursing leaders describes that the new nurses have a kind of knowledge that doesn’t always fit into the existing system. Thus, it is a problem when to different paradigms – one that is more practical and skill-oriented and one where actions are theory-driven – meets. What usually happens is that the new nurses either quit their work or adapt to the old system, thus preserving old knowledge and old routines instead of contributing to the development of nursing care in their units.

    In order to deal with this the county hospital and the university arranged an education for nursing leaders. The education, “Leadership on Good Caring” took place on advanced level during a five-month period. The nursing leaders was simultaneously working and given 8 credits when passing the examination seminars. In the course the leaders was given an introduction to the content in today’s nurse-education. The main parts of the course consisted in three integrated parts; caring science and nursing theories, building good teams, and approaches to care-development. During the first part focus was on the Finish nurse-theorist Eriksson’s theory of caritative caring, focusing issues relating to the importance of a basic value-system for the development of a caring culture. In their exams the leaders presented plans for how to implement nursing theory at their units in order not only to improve care but also to engage their teams in this process. This paper will not only describe the education but also what kind of projects it resulted in.

  • 122.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    När begreppen tar gestalt – hermeneutisk tillägnelse genom språk och metaforer2007In: Gryning III: Vårdvetenskap och hermeneutik / [ed] Eriksson, K., Lindström, UÅ., Matilainen, D. & Lindholm, L., Åbo Akademi, Vasa: Enheten för vårdvetenskap , 2007, p. 45-57Chapter in book (Other academic)
  • 123.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    "Och aldrig mötas de två" -en studie av 'vana patienters' lidande och deras möte med vården", Muntlig presentation2006Conference paper (Other (popular science, discussion, etc.))
  • 124.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Omsorgsvidenskab i klinisk praksis2005Book (Other academic)
  • 125.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Perspektiv på lidande2009In: Omvårdnadens grunder: Perspektiv och förhållningssätt / [ed] Febe Friberg & Joakim Öhlén, Lund: Studentlitteratur , 2009, p. 295-325Chapter in book (Other academic)
  • 126.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Resolving spiritual challenges in recovery from addiction2008Conference paper (Refereed)
    Abstract [en]

    Aim: This paper aims to explore the existential aspects of living with addiction.

    Background: The study focuses on research into addiction conducted within nursing science and takes as its point of departure the patient’s perspective. Addiction is described as being related to traumatic experience and to loss of control, shame, guilt and low self-esteem, but also to spirituality. This causes profound suffering, and drugs are used as a means of handling this suffering.

    Method: The study constitutes a secondary analysis of data derived from a study in 2000. It is based on interviews with people with rich, personal experience of addiction. Analysis was conducted using a hermeneutic approach.

    Findings: On an existential level the experiences of living with addiction can be understood as a striving to resolve the spiritual challenges caused by a person’s suffering and, paradoxically, also by his/her efforts to relieve that suffering through the use of drugs. These challenges are presented as existential themes focusing on the conflict that must be resolved; meaning – meaninglessness, connectedness – loneliness, life – death, freedom – adjustment, responsibility – guilt, control – chaos.

    Conclusion: Living with addiction appears as being in the midst of a struggle with existential challenges. Further more the use of drugs is paradoxical as it momentarily relieves suffering but at the same time increases it. To understand an addicted person’s health and suffering nurses must be aware of the existential aspects of being addicted and the spiritual challenges that must be addressed.

  • 127.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Supporting Students’ Understanding of Caring Science as a Meaningful Basis for Practice2021In: International journal for human caring, ISSN 1091-5710, Vol. 25, no 3, p. 194-202Article in journal (Refereed)
    Abstract [en]

    Caring science has been described as abstract, difficult to apply, or unscientific common sense. An alternative view is that caring science knowledge does not pose a greater challenge because it is abstract, but because it challenges caregivers’ existence. No matter how nursing faculty perceive these challenges, it is crucial to create a context where students are supported in the integration of theoretical knowledge. This article addresses teachers’ responsibility for creating a caring learning environment. It further proposes how reflections on perspectives and concepts can be linked to experiential learning to contribute to students’ embodied understanding of caring science.

  • 128.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    "The Anchor" - a treatment approach using cognitive psychotherapy from a caring perspective2003In: Building excellence through evidence, 2003Conference paper (Refereed)
    Abstract [en]

    During the last few years there has been increasing demands on changes and higher effectiveness in mental health care. As a result, the Psychiatric Clinic in Gävle, Sweden, has made great effort to provide qualified psychiatric care outside the hospital. One step in this process was the opening of the day-care unit ”The Anchor” in May 2001. “The Anchor” is situated in the town centre (not at the hospital), and next doors to the community’s activity centre. As a consequence, the co-operation between different caregivers is strengthened, resulting in an increased possibility to provide care close to the patient’s home and every-day-living.

    The unit provides individual care as well as group-treatment for different kinds of mental suffering. The staff is all nurses or mental health assistants and the theoretical foundations are rooted in caring science. An approach inspired by cognitive therapy is used within the caring framework. The patient’s functional level and symptoms was estimated before and after treatment by the means of GAF and SCL-90, and shows significant improvements on the patients’ well-being.  Patient satisfaction was studied after treatment by means of a questionnaire, QPP (Quality from the Patient's Perspective).

    This way of organising the mental health care, and of using therapeutic methods from a caring perspective thus seams fruitful. The paper will give a brief presentation on the results, but focus on how the staff were prepared and the work organised.

  • 129.
    Wiklund, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Utvärdering Team Vågen2005Report (Other academic)
  • 130.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Vilken typ av kunskap kännetecknar den skicklige terapeuten?2006In: Sokraten, no 1, p. 2-4Article in journal (Other (popular science, discussion, etc.))
  • 131.
    Wiklund, Lena
    Mälardalen University, Department of Caring and Public Health Sciences.
    Vårdvetenskap i klinisk praxis2003Book (Other academic)
  • 132.
    Wiklund, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, Margareta
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Från begrepp till handling2022In: Vårdvetenskapliga begrepp i teori och praktik, Lund: Studentlitteratur AB, 2022, 3, p. 21-26Chapter in book (Other academic)
  • 133.
    Wiklund, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Asp, MargaretaMälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Vårdvetenskapliga begrepp i  teori och praktik2022Collection (editor) (Other academic)
    Abstract [sv]

    En vetenskap och dess teorier byggs upp av begrepp som på olika sätt relaterar till varandra och beskriver vetenskapens sätt att se på den egna verksamheten. Tillsammans formar begreppen en syn på verkligheten som kan te sig mer eller mindre abstrakt, samtidigt som abstraktionsnivån också bidrar till att teorier kan ha såväl djup som omfång. Boken introducerar varför begreppsutveckling är viktigt inom vårdvetenskap, ett par metoder för begreppsutveckling samt hur reflektion och forskning om begrepp kan bidra till att vårdandet evidensbaseras. I huvuddelen av boken beskriver forskare från Sverige, Finland och Norge övergripande begrepp som exempelvis hälsa, miljö och personcentrerad vård, samt mer avgränsade begrepp som vila, vårdande kommunikation och tröst. Boken vänder sig till studerande i sjuksköterskeprogrammet och olika specialistsjuksköterskeprogram, men passar också andra yrkesgrupper i vårdande verksamheter och de som är intresserade av att förstå mer om vårdvetenskap i allmänhet, och om dess begrepp och språkanvändning i synnerhet

  • 134.
    Wiklund, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Fredriksson, Lennart
    Region Gävleborg, Sweden.
    Rakovshik, Sarah G
    University of Oxford and Oxford Cognitive Therapy Centre, UK.
    Nursing teachers’ experiences of the process of recovery while participating in a group programme for reducing work-related stress: A qualitative content analysis2020In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 48, article id 102870Article in journal (Refereed)
    Abstract [en]

    Work-related stress is an increasing health problem among nursing teachers, contributing to health problems, disengagement and poor job satisfaction. Negative coping strategies impact on both teachers' and students' teaching-learning experiences. Several interventions have been developed to address work-related stress. There has been less focus on how nursing teachers can learn to recover from work-related stress before it has severe consequences for their health, and to understand it from a nursing perspective. The aim of this study was to explore how nursing teachers who participated in a cognitive relational group programme experienced the process of recovery from work-related stress. Data were collected by means of three focus groups and subjected to qualitative content analysis, resulting in three categories: relatedness, evoking the inner caregiver, and re-orientation in life. These categories were reflected on in relation to Benner and Wrubel's “primacy of caring and synthesised into a metaphorical theme: “finding one's footings”. The findings imply that the development of positive coping strategies as well as knowledge and understanding about psychological processes are vehicles in the process of recovery. We conclude that interventions also need to account for the process of recovery as related to an ontological level and the persons Being-in-the-World.

  • 135.
    Wiklund, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Hedin, Elisabeth
    Stortorps Rehab.
    Pettersson, Gun
    Åbo Akademi, Vasa.
    Andersson, Marie
    Åbo Akademi.
    Någon har rört vid mitt hjärta. Ur livskris och lidande till nya livsmöjligheter och hälsa: Slutrapport från en studie för ökad förståelse av lidande och hälsa hos hjärtopererade patienter. Ett Dagmar-projekt1999Report (Other academic)
  • 136.
    Wiklund, Lena
    et al.
    Uppsala University.
    Lindholm, Lisbet
    University of Åbo Akademi, Finland.
    Lindström, Unni Å
    Hermeneutics and narration: a way to deal with qualitative data2002In: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 9, no 2, p. 114-125Article in journal (Refereed)
    Abstract [en]

    This article focuses a hermeneutic approach to the interpretation of narratives. It is based on the French philosopher Paul Ricoeur’s theory of interpretation but modified and used within a caring science paradigm. The article begins with a presentation of the theoretical underpinnings of hermeneutic philosophy and narration, as well as Ricoeur’s theory of interpretation, before going on to describe the interpretationprocess as modified by the authors. The interpretationprocess which consists of several stages is exemplified and discussed using a single case from a larger study on suffering. The results of that study indicate that the struggle of suffering is perceived as a struggle formed between shame and dignity, and that nurses must engage in the process of preserving and restoring the dignity of their suffering patients. The authors suggest that Ricoeur’s theory of interpretation is useful when trying to understand narrative data if the researcher realises that the process of distanciation, although central in Ricoeur’s thinking, is not the goal of the process but rather it is a means to deal with the researcher’s pre-understandings. According to Ricoeur, distanciation is accomplished by putting the context aside and dealing with the text “as text” and thereby explaining its meaning. Explanation thus becomes the dialectic counterpart to understanding in the interpretationprocess. The researchers further argue that distanciation must be followed by reflection where the interpretations are linked back to the empirical context.

  • 137.
    Wiklund, Lena
    et al.
    Mälardalen University, Department of Caring and Public Health Sciences.
    Lindström,, U.Å
    Lindholm, L
    Suffering in addiction: a struggle with life2006In: Theoria Journal of Nursing Theory, ISSN 1400-8033, Vol. 15, no 2, p. 7-16Article in journal (Refereed)
    Abstract [en]

    This study aims at describing how the struggle of suffering, theorised in Eriksson's writings, is experienced within the context of drug addiction, and how the drama of suffering is expressed in this context. Narratives from nine participants were interpreted by means of a hermeneutic approach. The struggle of suffering could be conceived as a struggle with life, a struggle between shame and dignity threatening the person's experience of his/herself as authentic and whole. The conclusions are that addiction is not only the cause of suffering, but also means to handle it. Nurses thus must realise that suffering could be expressed and handled in unexpected ways, otherwise there is a risk for violating the patient's dignity and cause suffering instead of alleviate it

  • 138.
    Wiklund-Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Att erhålla vetenskaplig kunskap genom berättelser: Datainsamling i narrativa studier2010Conference paper (Refereed)
    Abstract [sv]

    Bakgrund: Som människor lever vi i en värld av berättelser. Att berätta är ett sätt att skapa mening genom att ordna och strukturera händelser, och berättelsen anses också ha en identitetsskapande natur. Detta sätt att se på världen får också konsekvenser för forskningen, då det ställer forskaren inför utmaningen att på bästa sätt återspegla denna subjektiva och konstruerade verklighet i forskningen. Inom vårdvetenskaplig forskning har olika narrativa metoder blivit allt vanligare för att utforska vårdverkligheten. Samtidigt kan man konstatera att litteraturen i hög grad fokuserar olika typer av narrativ analys. Mer sällan diskuteras narrativa data, och vad som kännetecknar dem.

    Frågeställning: Vilka överväganden bör göras i samband med datainsamling vid narrativa studier?

    Metod och resultat: Med utgångspunkt i en reflektion över den narrativa studien som ett hermeneutiskt projekt där olika förståelsehorisonter samspelar lyfts berättelsen fram som något som skapas i dialogen mellan forskaren och forskningspersonen och hur forskaren redan här måste göra vissa överväganden för att erhålla data som håller för en narrativ analys. Narrativa data är inte vilka kvalitativa data som helst, utan har vissa särdrag, och forskaren måste vara medvetna om dessa för att i samtalet kunna stödja berättelsen. Genom att berätta kan vi bringa ordning och sortera våra upplevelser, men berättandet medför också en risk för att de reduceras. Berättandet sker alltid i efterhand, och en narrativ intervju är inte bara ett åter-berättande av en händelse, utan en ny-gestaltning av den med utgångspunkt i personens aktuella förståelse av det som hände, vilket forskaren måste beakta såväl i samtalssituationen som vid analys av data.

    Slutsatser: Att berätta sträcker sig utöver informationsöverföring, det är ett sätt att relatera till en annan människa, något som också får etiska implikationer. Likaså kan konstateras att tillförlitligheten och kvalitén hos berättelserna framför allt är beroende av forskarens hållning, inte av forskningspersonens egenskaper.

  • 139.
    Wiklund-Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    Narrative Hermeneutics: In search of narrative data2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no Suppl 1, p. 32-37Article in journal (Refereed)
    Abstract [en]

    As human beings, we live in a storied world. This worldview requires us to think about how to re-present it in research. My purpose with this article is to reflect upon narratives from an ontological and epistemological point of view, taking Ricoeur's writings on narrative identity as a starting point. From this perspective, narration is an aspect of self-interpretation and self-understanding. Furthermore, self-understanding is not only achieved within our own narratives, but depends upon the regard, words and actions of others. This must be accounted for in our search for narrative data. Researchers would benefit from being alert to this and also aware of how narratives are co-authored in a dialogue with participants. Reflections on narration from this perspective could guide ethical considerations - and also methodological - as they could support questions that would create space for the narrative. Furthermore, the researcher must be aware that the quality and trustworthiness of narratives to a high degree depend on the researcher and not only on the participant.

  • 140.
    Wiklund-Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. UiT-Norges ARktiske Universitet, Norway.
    Psykologi for sykepleiere2016 (ed. 1)Book (Other academic)
    Abstract [no]

    Psykologi for sykepleiere introduserer psykologiske teorier og begreper som er viktige for å forstå mennesket som pasient, pårørende og sykepleier. Boken tar for seg kunnskap som er relevant for sykepleierens yrkesutførelse, og er dermed noe mer og noe annet enn en lightversjon av en grunnbok i psykologi.

    Forfatteren begynner med å presentere de viktigste psykologiske retningene og omsorgspsykologien som et delområde innenfor omsorgsforskningen og et støttefag i sykepleien. Utover i boken tar hun opp forskjellige temaer med utgangspunkt i konsensusbegrepene som er utviklet innenfor helse- og omsorgsvitenskapen (menneske, miljø, helse, pleie og omsorg). Dermed kommer fragmenter fra én og samme psykologiske teori igjen flere steder i boken, der de er aktuelle i sammenheng med tematikken. Hele veien viser forfatteren til sykepleieforskere som har latt seg inspirere av psykologien, og forklarer hvordan psykologien og sykepleieteoriene henger sammen. Noen av temaene hun behandler, er helheten kropp og sjel, følelser, hukommelsen og det meningsskapende i tilværelsen. Videre skriver hun om mellommenneskelige prosesser som relasjoner, kommunikasjon og medfølelse. Sykepleierens helsefremmende arbeid og psykologiske aspekter på god og dårlig helse beskrives også, og leseren får råd om veiledning, informasjonsarbeid, problem- og konfliktløsning.

    Sykepleierens grunnlagsverdier er bokens røde tråd. Hovedformålet med boken er å gi leseren bedre innsikt i hvordan mennesker fungerer på et psykologisk plan, og vise hvordan denne innsikten kan være med og danne grunnlag for de vurderingene en sykepleier må gjøre daglig i sitt virke.Målgruppen er først og fremst bachelorstudenter i sykepleie, men boken vil også være nyttig for andre helsefagstudenter og yrkesaktive sykepleiere.

  • 141.
    Wiklund-Gustin, Lena
    Mälardalen University, School of Health, Care and Social Welfare.
    To intend but not being able to: frequent attenders' experiences of suffering and of their encounter with the health care system2011In: Journal of Holistic Nursing, ISSN 0898-0101, E-ISSN 1552-5724, Vol. 29, no 3, p. 211-220Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Patients who frequently consult the health care system are supposed to      cause great economic costs, and they also trouble the health care staff, as it      seems as if there are no interventions that will help and keep them healthy. The       researcher assumes that these patients attend for a reason and that they attend      frequently because they, from a holistic point of view, do not get their health      care needs fulfilled. This article aims to describe how frequent attenders      experience their suffering and their encounter with the health care system.      DESIGN AND METHOD: The study has an inductive hermeneutic design. Interviews with      persons identified as frequent attenders were analyzed by means of a hermeneutic       inquiry with three interpretive steps: naive reading, structural analysis, and      critical reflection. FINDINGS: Patients are constantly striving to be and become       healthy, to be of use, and to please others. The patients do not attend until      suffering is experienced as unbearable. The patients experience, however, that      health care staff do not understand their situation. Patients experience feelings      of mistrust and rejection, which increases suffering. CONCLUSION: Holistic care      could be a means to relieve suffering and, as a consequence, reduce attendance.

  • 142.
    Östlund, Lena
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Fredriksson, Lennart
    Landstinget Gävleborg.
    Hur ser du på din vård vid psykiatriska kliniken1996Report (Other academic)
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