| 7651. |
- Holmgren, Jessica
(författare)
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A Visual Analysis on How the Physical Environment Conditions Relatives' Involvement in Nursing Homes
- 2017
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Ingår i: SAGE Open. - : SAGE Publications. - 2158-2440. ; 7:4, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- This study seeks to describe how the composition of the physical care environment conditions relatives' involvement in nursing home institutions. It is well known that the physical care environment in institutions has a significant impact on the well-being of residents and the work satisfaction of nursing staff. Less explored is how physical care environmental factors are related to the involvement of relatives in nursing homes. A visual analysis of 52 photographs from three nursing homes in Sweden shows how the physical environment acts to condition the involvement of relatives through the use of design, information displays, and cultural symbols. Although various aspects of the physical environment promoted participation of relatives, that engagement was based on certain limited concepts of involvement. This suggests that other conceptual frameworks of involvement in nursing homes are possible, and that these might encourage other aspects of involvement from the relatives of nursing home residents.
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| 7652. |
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| 7653. |
- Holmgren, Jessica, et al.
(författare)
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Being perceived as a ‘visitor’ in the nursing staff’s working arena : the involvement of relatives in daily caring activities in nursing homes in an urban community in Sweden
- 2013
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Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 27:3, s. 677-685
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundIt is both complex and difficult for relatives when a loved one moves into a nursing home and many relatives are not prepared for the realities these new situations entail. Little attention has been paid to scrutinising the involvement of relatives in patient care, particularly in relation to the structures and routines of nursing homes or to the staff's reasoning concerning their involvement.AimTo describe, from a gender perspective, how nursing staff's routines and reasoning act to condition the involvement of relatives in nursing homes.MethodsFocused ethnographic fieldwork was conducted in a medium-sized urban community in central Sweden in three different nursing homes.ResultsThe nursing staff assigns a certain code of conduct to all relatives they perceived as ‘visitors’ in their working arena. This code of conduct was related to the routines and subcultures existing among the nursing staff and stemmed from a division of labour; the underlying concept of ‘visitor’ predetermined the potential for relatives' involvement. This involvement is explicitly related to the general gendered characteristics that exist in the nursing staff's perception of the relatives.DiscussionThe study's limitations are primarily concerned with shortcomings associated with a research presence during the fieldwork. The discussion focuses on the dimensions of power structures observed in the nursing home routines and the staff's reasoning based on their gendered assumptions. We argue that it is important to develop mechanisms that provide opportunities for nursing staff in elderly care to reflect on these structures without downplaying the excellent care they provide. We stress the importance of further exploring these issues concerning relatives and their involvement in nursing homes to facilitate the transition from informal caregiver to ‘visitor’.
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| 7654. |
- Holmgren, Jessica, associate professor, senior lecturer
(författare)
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Conditions for relatives' involvement in nursing homes
- 2015
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this thesis was to describe and analyse how the involvement of relatives is conditioned in nursing homes from different critical perspectives. Gender perspectives, discourse analysis and intersectional theory are applied, based on social constructionist ontology. The thesis comprises three qualitative papers and data are based on ethnographically-focused fieldwork in three municipal nursing homes in the form of formal/informal interviews, participating observations and the analysis of documents.Based on gender perspectives, the routines and reasonings among nursing staff were studied and thematically analysed in relation to how these conditioned the involvement of relatives in the daily caring activities (I). In the second study (II), the nursing staff were interviewed in groups to describe, discursively analyse and identify the biopolitical meaning in the "involvement discourse" that was collectively constructed in the speech of the nursing staff concerning the involvement of relatives. In the last study (III), interviews with relatives were thematically analysed in the context of intersectional theory about their involvement in the nursing homes.The findings show that the conditions for relatives’ involvement were dynamic and constantly in re-negotiation, but also conservative and inflexible. This placed relatives in both privileged and unprivileged social positions in the nursing homes, which were relevant for their involvement. The relatives were considered to be "visitors", which conditioned the characteristics and levels of involvement in the care of the residents and was linked to gendered notions of the division of labor, both within the groups of relatives and between nursing staff and relatives (I). The involvement of relatives was conditioned by the biopolitics of an "involvement discourse" that prevailed in the nursing homes. This built upon family-oriented rhetorics and metaphors that upheld and legitimised notions about relatives. The relatives were considered to be members of the "old" family in relation to the "new" family represented by the nursing staff (II). The relatives described how they were positioned in a betweenship, squeezed between different competing social musts from the older family members, the nursing homes as institutions and the nursing staff (III).Inverting the prevailing picture of the involvement of relatives would make it possible to consider the nursing staff as pedagogical, professional and caring "visitors" in the nursing homes for the benefit of the residents and their relatives. This could be achieved through a constructive change management which emphasises the learning of nursing staff, their responsibility and the emotions of relatives, along with a focus on alternative notions of involvement, where relatives are included in the development of quality of care in Swedish nursing homes.
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| 7655. |
- Holmgren, Jessica, et al.
(författare)
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Frivillighetens arena : Frivilligas erfarenheter av mångfald, identitet och glokala utmaningar inom svensk frivilligverksamhet
- 2019
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Bakgrund I mitten på 2010-talet befann sig runt 65 miljoner människor på flykt runt om i världen på grund av krig, katastrofer och väpnade konflikter. Många människor flydde för sina liv och sökte skydd och fristad i Europa och Sverige. På lokal nivå anlitades ofta rödakorskretsar i det humanitära bemötandet och omhändertagandet av dessa människor. Delvis var detta en ny situation och erfarenhet för frivilligarbetare. Syfte Syftet med forskningsprojektet var att undersöka hur frivilliga beskriver och resonerar kring lokala och globala utmaningar relaterade till demografiska förändringar, med fokus på personer som är på flykt och är i behov av humanitära frivilliginsatser. Metod Data har samlats in via fokusgruppsintervjuer i tre olika kretsar i Mellansverige. Intervjuerna genomfördes på tre olika nivåer i varje krets, med frivilliga, frivilligledare och kretsstyrelse. Resultat De transkriberade intervjuerna analyserades tematiskt och följande teman identifierades; Erfarenheter från flyktingströmmen 2015, Kärnan i frivilligt arbete inom Svenska Röda Korset, Förvalta och bevara, men också tänka nytt, Tredje sektorns betydelse och frivillighet under ansvar, Tankar framåt och fortsatt arbete i rödakorskretsarna. Slutsatser och framåtblickar Några paradoxer och framtida utmaningar identifierades. Utmaningarna tycks ligga i att kunna överbrygga och tänka ”både och” i stället för ”antingen eller” vad gäller frivilligas traditionella villkor i relation till vad som kan utvecklas, i en tid där frivilligverksamhet kommer att få en alltmer betydande roll i det svenska samhället.
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| 7656. |
- Holmgren, Jessica
(författare)
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Global Nursing : Educating future nurses for tomorrow’s nursing care needs
- 2017
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Ingår i: Nordic journal of nursing research. - : SAGE Publications. - 2057-1585 .- 2057-1593. ; 37:3, s. 172-174
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The world has witnessed the most comprehensive refugee diaspora of modern history. Sweden has been one of the countriesthat has welcomed people and given them refuge. Refugees are in need of quality nursing care that is provided by professionaland knowledgeable registered nurses. However, taking into account this global mobility and the resulting shift in demographiccharacteristics, nurses need to be particularly competent in relation to addressing global issues. The question is, are futurenurses educated with enough relevant knowledge and skills to be able to meet tomorrow’s nursing care needs? The SwedishRed Cross University College (SRCUC) has contributed to the global discourse in several aspects, not least those elementsrelated to the International Red Cross tradition and its basic humanitarian principles. We would like to share the stipulateddefinition that guides our subject profile area: global nursing. To answer the question that first concerned the SRCUC, wepreviously had conducted a traditional undergraduate nursing education that needed to be updated in relation to what is nowhappening globally. By developing and promoting the relevant knowledge and skills in global nursing, we believe that futurenurses will be prepared to accommodate tomorrow’s nursing care needs.
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| 7657. |
- Holmgren, Jessica, et al.
(författare)
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Global nursing as visualised on the internet : a netnographic analysis of the emerging global paradigm in nursing
- 2018
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Ingår i: Contemporary Nurse. - : Routledge. - 1037-6178 .- 1839-3535. ; 54:4-5, s. 443-455
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Tidskriftsartikel (refereegranskat)abstract
- Background: Positioned to face increasing issues relating to the growing and aging population, ill health, climate change, natural disasters, and humanitarian crises, nurses play a crucial role in responding to the challenges of globalisation. With nurses rising to meet these challenges, the term ‘global nursing’ has been coined. Given the ongoing proliferation of the term, it seems relevant to explore the key relationship of the concepts of ‘global’ and ‘nursing’ within the milieus provided through the internet.Aim: To describe how global nursing as a concept is visualised in images on the internet.Method: A cross-sectional observational design based on netnographic methodology was conducted. By searching the term ‘global nursing’ in the Google search engine, a total of 973 images illustrating ‘global nursing’ were collected and stored on one specific search occasion. The inclusion of data covered all regions but no other search limits.Results: The results show that global nursing, first and foremost, is visualised as an academic discourse, as a nursing activity, and as an approach to target sustainability. Further, the results also highlight that global nursing has manifested as a Western discourse, targeting students with access to resources and a humanitarian interest. Conclusion: By paying attention to global nursing as it is presented in this study, it has been possible to provide valuable insights about colonial boundaries in the nursing discourse relating to globality. Based on these results, we stress that the nursing paradigm would benefit from a greater postcolonial awareness and some reflexivity connected with the global issues that nurses are facing.Impact statement: Global nursing is paradoxically visualised as something distant, connected to ideas of ‘otherness’, and of not belonging to the Western nursing community
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| 7658. |
- Holmgren, Jessica
(författare)
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Humanitarian nursing in an EBOLA viral haemorrhagic fever outbreak : Before, during and after deployment
- 2016
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Konferensbidrag (refereegranskat)abstract
- Background: In February 2014, the first Ebola Virus Disease (EVD) case in West Africa was confirmed in the Republic of Guinea. It then quickly spread to neighbouring countries, and became the largest Ebola outbreak ever. By March 2016, there was reported 28,639 cases of EVD and 11,316 deaths worldwide. As the largest humanitarian network in the world, the International Federation of Red Cross and Red Crescent Societies (IFRC) played an active role in stopping the spread of the deadly virus. IFRC also provided psychosocial support to affected families, and assisted in the management of dead bodies. Previous research concerning the Ebola outbreak has focused on practical guidance, such as protective equipment, protective behaviours infection control and emergency management. Very few studies have focused on health care staff’s own experiences from caring for these patients under very extreme conditions. Nurses play a key role in global disaster response at disaster centers, nevertheless, they are often not prepared for the challenges they are facing and what nursing skills that are required by nurses who are first responders to a disaster situation.Objectives: To investigate how returnee nursing staff experienced their deployment before, during and after having worked at an Ebola Treatment Center (ETC) during an acute viral haemorrhagic fever (VHF) outbreak, and to supply knowledge on how to better prepare health care staff for future VHF outbreaks.Design: A cross-sectional approach.Participants: Nurses having returned after working with Ebola patients at an ETC in Kenema, Sierra Leone, during 2014 and 2015.Measurements: Data were collected through a self-administered questionnaire via mail covering aspects of pre-deployment training, personal health and stress management, leadership styles and knowledge transfer, socio-cultural exposure, and attitudes from others when returning home.Results: Before employment, there is a need for practical exercises specific for the task, and information adapted to the mission. Further, information to family and colleagues can be deepen. During employment, the participants are in need of interpersonal contacts, team work and strong dynamics. After deployment there is a need for mental health support and hands-on coping strategies.Conclusions: Participants stressed the importance of mental health support combined with psychosocial care after deployment. There is also a need for more specific practical training. An active dialogue and communication with colleagues were perceived as primordial, and information given to family and colleagues was relevant but not sufficient.
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| 7659. |
- Holmgren, Jessica, et al.
(författare)
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I princip men aldrig mer... : Sjuksköterskors resonemang kring omvårdnadsforskning och forskningsanvädning
- 2009
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 29:3, s. 4-7
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACTAim: The aim was to describe how a group of nurses in clinical practice perceived nursing research and research utilization.Background: Swedish nurses are expected to implement results of nursing research in nursing action. Previous research shows however variousdifficulties in the utilization of research, due to shortcomings in education, absence of methods in clinical settings and lack of support fromsupervisors. However, the perception of clinical nurses regarding nursing research and research utilization is important to gain more understanding.Methods: A qualitative description was adopted. Nine clinical nurses were interviewed and the transcripts analyzed according to given methodological steps.Findings: The result shows that the nurses have a «in principle» attitude towards nursing research and research utilization. In general termsnurses perceive nursing research as important and significant, but due to anecdotic experiences it is not important just for them and in their specific nursing practice.Conclusions: We argue that this «in principal» perception has a relevance when the question of research utilization is addressed. In nursing professions everyone
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| 7660. |
- Holmgren, Jessica, et al.
(författare)
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Intersectional perspectives on family involvement in nursing home care : rethinking relatives' position as a betweenship
- 2014
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Ingår i: Nursing Inquiry. - : John Wiley & Sons. - 1320-7881 .- 1440-1800. ; 21:3, s. 227-237
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Tidskriftsartikel (refereegranskat)abstract
- This study seeks to understand, in the context of intersectional theory, the roles of family members in nursing home care. The unique social locus at which each person sits is the result of the intersection of gender, status, ethnicity and class; it is situational, shifting with the context of every encounter. A content analysis of 15 qualitative interviews with relatives of nursing home residents in Sweden was used to gain a perspective on the relationships between relatives and residents, relatives and the nursing home as an institution, and relatives and the nursing home staff. We sought to understand these relationships in terms of gendered notions of the family and the residents, which are handed down from generation to generation and thus condition who and how relatives should be involved in care, and the ways in which relationships change as care moves from home to nursing home. It requires knowledge and awareness that the nursing home culture is based on intersectional power structures in order for relatives to be involved in nursing home care in alternative and individual ways.
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