| 31. |
- Bertilsson, Sara, et al.
(författare)
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Bedömning av smärta hos barn : En review
- 2005
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Ingår i: Vård i Norden. - Stavanger : Allservice AS. - 0107-4083 .- 1890-4238. ; 25:3, s. 13-18
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Tidskriftsartikel (refereegranskat)abstract
- Assessing pain in children is one of nurses’ most difficult tasks and provides the foundation for efficient pain management. Young children lack the verbal skills to describe their experience of pain and they also have problems in differentiating pain from other unpleasant experiences. The aim of this study was to review current research regarding pain assessment in children. A literature search was carried out in the CINAHL and Medline databases, using the search words «pain assessment», «pain measurement», «pain rating scales», «children» and «nursing» and was limited to the years 1997–2002. Twelve articles satisfied the inclusion criteria and were analysed. The results are highlighted in five areas: Assessment of pain in children; Assessment of pain in infants; Tools and scales for assessing pain; Factors influencing the nurse’s assessment of pain; pain assessment as a basis of efficient pain therapy. The results of the study point to problems in pain assessment and the importance of children’s pain being adequately assessed. Accordingly, it is of utmost importance when possible to be able to take into account the individual child’s experience of pain.
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| 32. |
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| 33. |
- Blegeberg, Birgitt, 1956-, et al.
(författare)
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Nurses conceptions of the professional role of operation theatre and psychiatric nursers
- 2008
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 28:3, s. 9-13
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Tidskriftsartikel (refereegranskat)abstract
- The shortage of specialist trained nurses in the operating theatre and psychiatric care is a problem in Swedish health care. There is a great needfor recruitment since in both areas nurses have a high average age and few students register in these specialties at university. The reason for thelow interest for these specialties is not clear. The purpose of the study was to investigate nurses’ and nurse students’ conceptions of the professionalrole of operating theatre and psychiatric care nurses. A qualitative approach with phenomenographic method was used. Twelve nurses andfour nurse students were interviewed. Three categories of conceptions within each specialty emerged. Operating theatre nurses’professional rolewas perceived as: Dependent assistant, Responsible monitor and Fragmented nurse. Psychiatric nurses’ professional role was perceived as:Empathetic agent, Conscious diplomat and Fragmented nurse. The informants had difficulties in understanding the professional role in bothfields. One conclusion is that the theoretical and clinical training in basic nurse education play an important role for choosing specialist trainingas operating theatre nurse or psychiatric nurse.
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| 34. |
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| 35. |
- Bonander, Kristina, et al.
(författare)
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Telefonmötets vårdrelation
- 2007
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 86:27, s. 4-8
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Tidskriftsartikel (refereegranskat)abstract
- Background: A large part of the work a nurse conducts at a Primary Care Centre consists of counselling patients over the phone. The patients are sorted and prioritised on the basis of these conversations. Aim: The aim of this study is to describe how the patients experience the caring relationship with the nurse during phone counselling at a Primary Care Centre. Method: In-dept interviews were conducted with ten adult Swedish speaking persons who contacted a nurse at two Medical Care Centres, during a two week period. Results: The patients experienced that they received a good caring relationship with the nurses. This meant to be treated friendly, be taken seriously and to be able to have a dialog about their problems with the nurse. They wanted to feel unique, empowered and treated as individuals. They could sometimes feel disappointed when an unbalance occurred between the expectations of the patients and the advice they received. Nurses that were stressed influenced the caring relationship in a negative way. Conclusions: Overall the patients experienced a good caring relationship with the nurses, but the nurses were not always aware of how they where perceived.
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| 36. |
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| 37. |
- Borstrand, Ingbritt, et al.
(författare)
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Närståendes erfarenheter av ett palliativt hemsjukvårdsteam : Next-of-kin´s experiences from a palliative home nursing team
- 2009
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Ingår i: Vård i Norden. - 0107-4083. ; 29:4, s. 15-19
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Tidskriftsartikel (refereegranskat)abstract
- The extension of advanced home-nursing has increased, and previous research shows that many persons prefer to die in their own homes. Relatives are significant in nursing, but it is emotional and demanding for the relative who needs support. The purpose of the study is to elucidate the relative’s experiences of a palliative home-nursing team. An interview-study with 13 relatives, to patients who have home-nursing until the end of their lives, supported with a palliative home-nursing team. A qualitative content analysis of content is used. The relatives were thankful for the element of security, but experienced exposedness, which appeared as an overall theme. Six categories identified: Trust in the nursing-team. To be invited to/ and get support in caring. To share the responsibility with the team. Not be in agreement with. To experience strain. To get support after the caring period. In spite of the fact that the relatives were very pleased; they experienced security and had trust to the nursing-team, it was found out that the teams resources was not always enough, which is confirmed in former research. Since patients as well as relatives are unique and therefore have different needs of palliative teams, is it important to elucidate this to facilitate security.
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| 38. |
- Bramhagen, Ann-Cathrine
(författare)
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Do nurses change a child´s peripheral intravenous catheter when clinically indicated?
- 2015
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Ingår i: Vård i Norden. - : Sage Publications. - 0107-4083 .- 1890-4238. ; 35:1-2, s. 54-56
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Tidskriftsartikel (refereegranskat)abstract
- Syfte. Syftet med studien var att undersöka om sjuksköterskor byter barns perifera venkateter vid klinisk indikation. Bakgrund. Att sätta en perifer venkateter är en vanligt förekommande procedur på sjukhus idag men detta kan vara smärtsamt och traumatiskt för barn. Det finns gudielines för när dessa ska bytas när det gäller vuxna men inga sådana riktlinjer för barn kunde identifieras. En Cochrane review från 2010 konkluderade att den perifera venkatetern ska bytas när det finns en klinisk indikation. Detta innebär vid tromboflebit men även vid smärta, rodnad, infiltration, svullnad läckage och ocklusion. Metod. Designen var prospektiv och observerande. Dagliga observationer gjordes på sjukhuset av en av forskarna och noteringar gjordes i ett protokoll. Resultat. Trettiotre barn med sammalagt 47 perifera venkatetrar deltog och 104 observationer gjordes. Sammanlagt utvecklade 42% (14/33) av barnen komplikationer. Bland de barn som fick grad 2 och 3 bytade sjuksköterskan inte den perifera venkatetern när det fanns klinisk indikation. Konklusion. Denna studie visar att tromboflebit kan utvecklas bland barn med en perifer venkateter och att den inte bytades när det fanns klinisk indikation. Det är de professionellas ansvar att reducera smärtsamma upplevelser för barn i samband med sjukhusvistelse och ytterligare forskning kring sjuksköterskors kliniska beslut behöver göras.
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| 39. |
- Burström, Marianne, et al.
(författare)
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Manliga patienter med hjärtsvikt och deras erfarenheter av att vara trygga och otrygga
- 2007
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Ingår i: Vård i Norden. - København : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 3:27, s. 24-28
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Tidskriftsartikel (refereegranskat)abstract
- To be safe is a basic human need. Although feelings of being unsafe has been identified as a common problem among persons who live with heart failure there are few qualitative studies focusing on the problem. The aim of this study was to describe what it means to be safe or unsafe for men with heart failure. Seven men with heart failure, functional class NYHA II-III, were interviewed in focus groups. The interviews were analysed with content analysis. Threat of sudden death was described as both a source of safety and unsafety, and living with a fear of drowning in their own body fluid was seen as a source of unsafety for the men. In meetings with caregivers and relatives it was of importance to be received as a unique and valuable person. The confidence to the heart specialist was almost supernatural and the specialist nurse was spoken about as valuable for the feeling of being safe. In conclusion, to be seen with respect by physicians and nurses who have good ability to listen to the men's experience of living with heart failure can probably increase the men's feelings of safety. Further, it is important that physicians and nurses have good knowledge about heart failure.
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| 40. |
- Bäckström-Siwe, Christin, et al.
(författare)
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The workload of caring in anaesthesia care : test of validity and reliability
- 2011
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 31:3, s. 9-14
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this study was to test the reliability and validity of an existing patient classification instrument in anaesthetic nursing in a new context.Background: A patient classification system has to be used by many nurses, so consistency in how it is used is important.Methods: The study was divided into three parts. The first part was intended to measure interreliability using double assessments of 150 anaesthesia cases. In the second part, the anaesthetic nurses carried out the workload and, in part three, content validity was examined using a questionnaire and meetings.Results: The result showed good to very good consistency across the board in the nurses' assessments, which also included an overall assessment of the workload (r 0,85). The workload showed the highest mean care level for the indicator preparations/surgical position and the lowest for respiration. The questionnaire replies showed that the nurses were positive about workload, but 43.3 per cent thought that the instrument only described part of their work.Conclusion: The instrument was shown to be of use in different contexts, but the reliability and validation process should continue so as to increase reliability. Clarifying the progression between the different care levels for each indicator in the instrument can be a way of increasing its usefulness in different services. In terms of clinical work, the measurement of workload has started a valuable process of reflection on anaesthetic nursing that helps to enable the nurses to show what they do and why.
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