| 501. |
- Laursen, Else, et al.
(författare)
-
Yrkeskunnande och kompetensutveckling i arbetet med vuxna individer med utvecklingsstörning – ett vårdarperspektiv
- 2009
-
Ingår i: Vård i Norden. - 0107-4083. ; 29:1, s. 19-23
-
Tidskriftsartikel (refereegranskat)abstract
- Since the law of support and service for people with certain disabilities (LSS) was implemented 1994, the carers’ role has changed from «taking care of» to «giving support to» people with intellectual disabilities/autism, but the requirements of knowledge hasn’t been altered. In order to provide appropriate support, carers need both theoretical knowledge and experience of how people with intellectual disabilities understand their surrounding environment. The purpose was to describe the knowledge and development of competence needed in caring for adults with intellectual disabilities/autism as viewed from a carer’s perspective. Ten carers at different group dwellings in Sweden were interviewed. A qualitative content analysis was performed. The result demonstrated two main categories: The carer’s competence described personal qualities, theoretical knowledge, experience, communication abilities as well as co-working and problem solving abilities. Possibilities of development of competence described interest and commitment, support and acknowledgement as well as organization and resources. In conclusion, the carers’ competence of creating a good life and a confident relationship between themselves and adults with intellectual disabilities/autism can be described as multifaceted with elements of tacit knowledge. To develop the individual competence, a personal interest, support and time for reflection is needed but not always offered.
|
|
| 502. |
- Nyström, Maria
(författare)
-
Att arbeta med psykiskt funktionshindrade personer : Professionella vårdgivares uppfattningar
- 2002
-
Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 22:3, s. 32-38
-
Tidskriftsartikel (refereegranskat)abstract
- Different ideological standpoints shape the understanding of severe mental illness and the actions taken in psychiatric care and social services. Decentralised and community-based care is today, after the psychiatric reform in Sweden 1995, replacing the mental hospitals. Deinstitutionalisation has thus caused a larger interest in the issue of knowledge and competence when caring for people with severe mental illness. This study focuses on similarities and differences of opinions and attitudes among professional caregivers. A questionnaire was distributed to 162 professional caregivers, 65 from psychiatric care and 97 from social welfare services. The results indicated that professionals within social welfare service did neither consider their knowledge of severe mental illness adequate, nor did they find their options to get further education and supervision satisfactory. Furthermore they felt they did not receive enough information when taking over responsibility from psychiatric care. When the participants were asked what personal characteristic they find most important in their work with people with severe mental illness, none of the questioned, either within psychiatric care or within social welfare service, made a priority to ”believe what a person with severe mental illness says”. Hence, booth organizations appear to put their confidence in professional knowledge, in favor of experiences expressed by people with severe mental illness.Different ideological standpoints shape the understanding of severe mental illness and the actions taken in psychiatric care and social services. Decentralised and community-based care is today, after the psychiatric reform in Sweden 1995, replacing the mental hospitals. Deinstitutionalisation has thus caused a larger interest in the issue of knowledge and competence when caring for people with severe mental illness. This study focuses on similarities and differences of opinions and attitudes among professional caregivers. A questionnaire was distributed to 162 professional caregivers, 65 from psychiatric care and 97 from social welfare services. The results indicated that professionals within social welfare service did neither consider their knowledge of severe mental illness adequate, nor did they find their options to get further education and supervision satisfactory. Furthermore they felt they did not receive enough information when taking over responsibility from psychiatric care. When the participants were asked what personal characteristic they find most important in their work with people with severe mental illness, none of the questioned, either within psychiatric care or within social welfare service, made a priority to ”believe what a person with severe mental illness says”. Hence, booth organizations appear to put their confidence in professional knowledge, in favor of experiences expressed by people with severe mental illness.
|
|
| 503. |
- Nyström, Maria, et al.
(författare)
-
Att dra sig tillbaka från omgivningen : en ond cirkel vid svår psykisk ohälsa
- 2007
-
Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden. - 0107-4083 .- 1890-4238. ; 27:1, s. 31-36
-
Tidskriftsartikel (refereegranskat)abstract
- To withdraw – a viscous circle in severe mental illness. The aim of this study has been to analyse and describe circumstances behind and experiences of severely mentally ill persons’ withdrawal. Six persons, two women and four men, aged 31–57, with experiences of withdrawal due to psychosis, were interviewed. Manifest and latent meanings were described. Factors that led to withdrawals were insufficient medication, alcohol and sleeplessness. The meaning of withdrawal was characterized by a viscous circle. The process starts with the necessesity to avoid external and internal stressors. It continues with changed reality and brooding. Senses of being an outsider are enlarged and the viscous circle is completed with further withdrawal. Psychiatric care is reflected upon as an opportunity for the caregivers to step in early and break up the viscous circle.
|
|
| 504. |
- Nyström, Maria
(författare)
-
Daily experiences of the long-term mentally ill after de-institutionalization
- 2002
-
Ingår i: Vård i Norden. - : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 22:63, s. 31-36
-
Tidskriftsartikel (refereegranskat)abstract
- The first aim of this study was to investigate how long-term mentally ill persons adjusted to life after de-institutionalisation. The second aim was to estimate the relevance of interpretations made previously in a qualitative study, concerning long term mentally ill person’s incapability to benefit from new experiences. A survey was conducted in 1996 and a follow- up was made in 1998. A randomly chosen sample of longterm mentally ill persons replied to questions about their living conditions as well as interpersonal relations, personal experiences and self-esteem. Most of the participants in the study were living alone and their everyday lives seemed lonely and inactive. In spite of decreased psychiatric consultations after the psychiatric de-institutionalisation, they changed neither their external nor their internal world during the two years covered by this study.
|
|
| 505. |
- Nyström, Maria
(författare)
-
Vilka önskemål har psykiskt funktionshindrade människor? Professionella vårdgivares skattningar av patienters, vårdtagares och klienters önskemål gällande boende sysselsättning samt vård och omsorg : en jämförande studie
- 2003
-
Ingår i: Vård i Norden. - : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 23:67, s. 10-15
-
Tidskriftsartikel (refereegranskat)abstract
- In this study eleven items concerning wants and needs of severely mentally ill persons were compared with estimations of the same items made by professional caregivers in psychiatric care and social welfare services. A questionnaire with ten-point Likert scales was distributed to 205 participants, 65 professionals within psychiatric care, 97 professionals within social welfare services and 43 severely mentally ill persons. The Likert scales dealt with living conditions, daily activities, nursing interventions and social welfare services. The severely mentally ill persons scored their wants and needs and professional caregivers estimated the importance of every item concerning the same issues. Professional caregivers made quite similar estimations irrespective of their professional or organizational belonging. They did, however, differ quite a lot from the wants and needs made by the severe mentally ill persons themselves.
|
|
| 506. |
- Rantala, Andreas, et al.
(författare)
-
Acute abdominal pain; prehospital evaluation of Ketobemidone administration
- 2010
-
Ingår i: Nordic Journal of Nursing Research. ; 30:3, s. 35-37
-
Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT Abdominal pain is a frequent condition among patients in ambulance care and, each patient should receive optimal doses for pain relief. The aim of this study was to evaluate pain scores at admission to hospital and relationship to age, in pre-hospital patients with treated acute abdominal pain. Pain was scored with a Numeric Rating Scale (NRS) by each patient at the rescue scene (NRSs). Ketobemidone was then administered intravenously in incremental doses to achieve NRS-values of four or less, and then NRS was re-evaluated at admission to hospital (NRSh). The results from 64 patients demonstrated statistical significant differences between median NRSs and NRSh scores; 7.0 and 3.5 respectively (p<0.05). Mean ketobedmidone doses were 3.7±1.9 mg. There was a negative correlation between age and pain scores (p<0.01), and NRSs correlated with NRSh which means that patients with high scores for initial pain also scored higher on arrival in the emergency room (p<0.05). This study describes that the general dose of pain-relieving medications with ketobemidone seems to be adequate since the patients’ subjective assessments of pain achieve a NRS value less than four at admission to hospital. The study also demonstrate that older the patients, less pain was reported both on the rescue scene and on admission at the hospital.
|
|
| 507. |
- Westlander, Gunnela
(författare)
-
Recension av Belle Rose Ragins och Kathy E Kram (red), The handbook of mentoring at work. Theory, research and practice (Sage Publications, Thousand Oaks, CA 2007) och av Bob Garvey, Paul Stokes och David Megginson, Coaching and mentoring: Theory and practice (SAGE Publications, London 2009).
- 2009
-
Ingår i: Arbetsmarknad & Arbetsliv. - Karlstad : Karlstads universitet. - 1400-9692 .- 2002-343X. ; 15:3, s. 87-93
-
Tidskriftsartikel (populärvet., debatt m.m.)
|
|
| 508. |
- Wijk, Helle, 1958, et al.
(författare)
-
Verksamhetsförlagd utbildning på avancerad nivå : ny utmaning för specialistutbildningar för sjuksköterskor
- 2009
-
Ingår i: Vård i Norden. - København : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 29:94, s. 41-43
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher EducationReform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursingprogrammes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree witha masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbasedknowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions andclinics. Specific didactical issues are raised.
|
|
| 509. |
- Yates, Max, et al.
(författare)
-
Validation of the EULAR/ERA-EDTA recommendations for the management of ANCA-associated vasculitis by disease content experts
- 2017
-
Ingår i: RMD Open. - : BMJ. - 2056-5933. ; 3:1
-
Tidskriftsartikel (refereegranskat)abstract
- The European League Against Rheumatism recommendations for the management of antineutrophil cytoplasmic antibody-associated vasculitis have been recently published. Unique to recommendation development, they were also voted on by members of a learned society. This paper explores the wider validity of the recommendations among people who self-identify as clinicians caring for patients with vasculitis. In addition to the task force, a learned society (European Vasculitis Society - EUVAS) was invited, through online survey, to rate independently the strength of evidence of each recommendation to obtain an indication of the agreement among the final target audience and ultimate end-users of the recommendations. The survey took place in June 2015. Of the 158 EUVAS members surveyed, there were 88 responses (55.7%). There was a large degree of agreement in the voting patterns between EUVAS survey participants and task force members. Notable exceptions were lower grades for the recommendation of the use of rituximab for remission induction in patients with eosinophilic granulomatosis with polyangiitis and for methotrexate and mycophenolate mofetil as remission maintenance agents in patients with granulomatosis with polyangiitis/microscopic polyangiitis by EUVAS members. These results are encouraging and suggest that the voting patterns of the task force are representative of the wider vasculitis community. We recommend future recommendations adopt this approach for data/expert-based treatment guidelines, especially for multisystem diseases.
|
|
| 510. |
|
|
