| 31. |
- Gebru, Kerstin, et al.
(författare)
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Education to promote culturally competent nursing care : A content analysis of student responses
- 2010
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Ingår i: Nurse Education Today. - : Elsevier. - 0260-6917 .- 1532-2793. ; 30, s. 54-60
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to describe and analyse the outcome of a 3-year study program from a student perspective for the purpose of promoting culturally congruent nursing care. Students were asked to complete questionnaires that included cases with open-ended questions at the beginning and end of the 3-yesr program. Two nursing situations were described and the students had to imagine how they would act in such cases. Ninety-two students completed the two questionnaires and the result of a manifest content analysis of their answers is presented. Four categories were formulated from the content analysis: an inviting attitude, a non-inviting attitude, a knowledge driven attitude and a non-knowledge driven attitude. An inviting attitude meant that the students found different strategies for approaching the patient and his/her spouse or parent. A non-inviting attitude implied that the students became frustrated with the situation and had more difficulty finding solutions that would enhance the relationship. A knowledge-driven attitude meant that the students described how they found it important to base nursing actions on knowledge of the patient. A non-knowledge-driven attitude meant that the students´responses indicated that they did not consider knowledge to be the foundation of their nursing actions. The study demonstrated marked changes in the students´approaches to culturally sensitive issues at the end of the program.
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| 32. |
- Gebru, Kerstin, et al.
(författare)
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Nursing and medical documentation on patients´cultural background
- 2007
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Ingår i: Journal of Clinical Nursing. - : Blackwell Publishing Ltd. - 0962-1067 .- 1365-2702. ; 16:11, s. 2056-2065
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives. To investigate if, and to what extent, nursing and medical documentation in patients records include entries on cultural background. Background. Health care professionals in Sweden may have difficulties in providing satisfactory care, due to lack of knowledge about immigrants´background. According to Swedish law the information needed to garantee safe care must be specified in the patients´records. It is therefore, important to investigate what information nurses and physicians document on patients´cultural background. Design and methods. In this descriptive study, archival data concerning older and terminally ill patients were analysed retrospectively. The sample consisted of records from 121 patients 65 years or more at the time of the death, who were born abroad and died during the year 1999. Content analysis was used to interrogate data collected from patients records, which related to the patient´s cultural background. Entries (sentences or proportion of sentences) were identified, coded and categorized using Leininger´s Sunrise Model. Results. From the patient records, entries could be related to all factors in the upper part of the Sunrise Model. Some factors were found in all records, and all factors, except technological factors, could be traced across the patients´records. Information concerning folk/lay care could not be found. Conclusion. The results from this study indicate that nurses´and physicians´documentation in patient records included all factors in the Sunrise Model except technological. The overall impression is that the documentation is partly atomistic and insufficient as cultural assessment. Relevance to clinical practice. Even if the health care personnel want to reduce the amount of documentation produced, this study highlighted the importance of documentation on cultural factors. To save time the nursing documentation coukd be based on the Sunrise Model and structured according to the VIPS model.
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| 33. |
- Gebru, Kerstin, et al.
(författare)
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Outcome analysis of a research-based didactic model for education to promote culturally competent nursing care in Sweden : a questionnaire study
- 2008
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Ingår i: Scandinavian Journal of Caring Sciences. - : WileyBlackwell. - 0283-9318 .- 1471-6712. ; 22:3, s. 348-356
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives: To describe and analyse to what extent the goals of the education in promoting culturally competent nursing care have been achieved from a student perspective. B: As Sweden has transformed into a multicultural society over the past 50 years, there is a need to specify, at all levels of the nursing programme, transcultural concepts for the success of integration. A research-based didactic model was designed for the nursing programme at Malmö University and this was followed by investigations of its outcome. Method: The study is a prospective cohort study with an outcome analysis. A descriptive research study with a longitudinal design was performed, with the focus on Swedish nursing students´experiences of transcultural nursing knowledge and their attitudes before and after implementation of the didactic model. The students evaluate highly their competence to meet demands of multicultural health and medical service. Additionally, their ability to recognise and understand the consequences of international migration on health also received a high mean. Conclusions: The study revealed the knowledge and experience acquired by Swedish students in transcultural nursing. The assumption was that a visible development of knowledge should occurduring the three years of education. Interpreting the findings, such effectiveness can be found and hopefully the students will be able to give holistic nursing care based on a person's individual culture.
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| 34. |
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| 35. |
- Gebru, Kerstin, et al.
(författare)
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Sjuksköterskestudenters syn på utbildning i kulturkongruent omvårdnad. Kapitel 12
- 2010
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Ingår i: Omvårdnad i mångkulturella rum. - Lund : Studentlitteratur. - 9789144053073 ; , s. 339-358
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Kapitlet bygger på resultat av ett större pedagogiskt forskningsprojekt där det empiriska materialet samlats in från år 2000 till och med 2004. Forskningsprojektet utgick från Madeleine Leiningers omvårdnadsteori, en teori som fokuserar kulturella faktorer i mötet mellan patient och sjuksköterska. Projektets syfte var att införa en undervisningsmodell i sjuksköterskeutbildningen och att utvärdera studenternas erfarenheter av modellen. En del av forskningsreultaten återges i detta kapitel.
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| 36. |
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| 37. |
- Gunningberg, Lena, et al.
(författare)
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EPUAP-protokollet : en europeisk metod för mätning av trycksårsförekomst
- 2006
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Ingår i: Vård i Norden. - : SSN, Sjuksköterskors samarbete i Norden. - 0107-4083 .- 1890-4238. ; 26:2, s. 48-51
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The EPUAP (European Pressure Ulcer Advisory Panel) has developed a European-wide prevalence survey methodology, which has been used in several European countries. The EPUAP-protocol has been translated to Swedish and two prevalence studies have been conducted at Uppsala University and one at MalmöUniversity Hospital. The aim of this paper is to present the modified EPUAP-protocoll as well as our experience in using the methodology. Pressure ulcershave been described as a national quality indicator and the protocol could facilitate the follow up of an important nursing area.
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| 38. |
- Gustafsson, B, et al.
(författare)
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Nurses' Self-relation - Becoming Theoretically Competent by Implementation of the SAUC model for Confirming Nursing
- 2003
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Ingår i: Nursing Science Quarterly. - : Sage Publications. - 0894-3184 .- 1552-7409. ; 16:3, s. 265-271
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to acquire an understanding of how nurses' self-relation (view of themselves as nurses) was influenced in connection with implementation of a nursing theory, the sympathy-acceptance-understanding-competence model for confirming nursing. This model was developed by Gustafsson and Pörn. Twenty-two nurses' written statements evaluating mentoring during the six-month implementation process in elder care, were analyzed hermeneutically with the hypothetic-deductive method. An action-theoretic and confirmatory approach was used for facilitating theoretically specified hypotheses. The nurses increased their ability to describe nursing theoretically and gained a foundation of common nursing values. The results provided an understanding of how nurses' self-relation was strengthened by becoming theoretically competent.
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| 39. |
- Gustafsson, Markus, et al.
(författare)
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Case managers’ experiences of their everyday practice
- 2013
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Ingår i: European Geriatric Medicine. - Venice : Elsevier Masson SAS. - 1878-7649.
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Konferensbidrag (refereegranskat)abstract
- Introduction.– Today, there is an interest in how Case Management (CM) should be designed to best suit the complex needs of the older people with multi-morbidity. Current research on CM has mainly focused on health care costs and consumption, but the results have been inconsistent and ranging from positive outcomes to no effect. To improve CM, there is need to investigate what mechanisms are important for a successful intervention. To advance this knowledge, there is a necessity for studies investigating the experiences of those practicing CM i.e. Case Managers. There might be unknown factors or interpersonal factors that can contribute to a CM intervention's success or failure. Therefore, the aim of this study was to explore the Case Managers’ experiences of their everyday practice. Methods.– The study design was qualitative and descriptive utilizing an ethnographic approach, consisting of participant observations, a focus group interview and individual interviews with nine Case Managers conducted during 2012/2013. The interviews were recorded and transcribed verbatim and then subjected to content analysis. Results.– Three main themes described Case Managers’ experience of their everyday practice: navigating the older person, working to improve the health care system and being the older persons advocate. Conclusions.– Findings from this study sheds light on the complexity of CM for older people with multi-morbidity, from the experiences of Case Managers. These findings could help in the development of CM models designed for older people with complex health needs.
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| 40. |
- Gustafsson, Markus, et al.
(författare)
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Case managers for older persons with multi-morbidity and their everyday work -- a focused ethnography
- 2013
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Ingår i: BMC Health Services Research. - : Biomed Central. - 1472-6963. ; 13:496
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Tidskriftsartikel (refereegranskat)abstract
- Background Modern-day health systems are complex, making it difficult to assure continuity of care for older persons with multi-morbidity. One way of intervening in a health system that is leading to fragmented care is by utilising Case Management (CM). CM aims to improve co-ordination of healthcare and social services. To better understand and advance the development of CM, there is a need for additional research that provides rich descriptions of CM in practice. This knowledge is important as there could be unknown mechanisms, contextual or interpersonal, that contribute to the success or failure of a CM intervention. Furthermore, the CM intervention in this study is conducted in the context of the Swedish health system, which prior to this intervention was unfamiliar with this kind of coordinative service. The aim of this study was to explore the everyday work undertaken by case managers within a CM intervention, with a focus on their experiences. Methods The study design was qualitative and inductive, utilising a focused ethnographic approach. Data collection consisted of participant observations with field notes as well as a group interview and individual interviews with nine case managers, conducted in 2012/2013. The interviews were recorded, transcribed verbatim and subjected to thematic analysis. Results An overarching theme emerged from the data: Challenging current professional identity, with three sub-themes. The sub-themes were 1) Adjusting to familiar work in an unfamiliar role; 2) Striving to improve the health system through a new role; 3) Trust is vital to advocacy. Conclusions Findings from this study shed some light on the complexity of CM for older persons with multi-morbidity, as seen from the perspective of case managers. The findings illustrate how their everyday work as case managers represents a challenge to their current professional identity. These findings could help to understand and promote the development of CM models aimed at a population of older persons with complex health needs.
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