| 51. |
- Carlsson, Eva, et al.
(författare)
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Stroke and eating difficulties : long-term experiences
- 2004
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 13:7, s. 825-834
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Previous studies have shown that eating difficulties after stroke are common and often associated with communication problems. These difficulties, however, have mainly been studied from a professional perspective. Although numerous aspects of dysfunction have been identified, little knowledge exists about the experiences of living with eating difficulties. AIM: To explore how people affected by stroke experience living with eating difficulties, during a prolonged period. DESIGN: Explorative, qualitative case study. METHODS: Repeated interviews and participant observations with three persons 1.5-2 years after their last stroke. Data were analysed using qualitative analysis. RESULTS: Eating difficulties after stroke were experienced as Striving to live a normal life, with the subthemes Abandoned to learn on one's own, Experiences of losses and Feeling dependent. The process of getting back to a life that resembled life before the stroke was experienced as long-lasting and hard work. The informants felt that they were abandoned to manage eating training on their own. The informants experienced a loss of functional eating ability and the ability to perform activities related to food and meals. Feelings of dependence were experienced in mealtime situations. CONCLUSION: Living with eating difficulties after stroke is a complex phenomenon. The informants felt abandoned because of lack of support from the nursing staff. They were left on their own to deal with the difficult process of adjusting to a new way of eating and losses regarding mealtime activities. The combination of repeated interviews and participant observations seemed to be an approach that should be tested in larger studies. RELEVANCE TO CLINICAL PRACTICE: This case study indicates a need for nurses to develop and use evidence-based guidelines for eating training during the continuum of care. Nurses need to assess patient's habits and desires related to eating, and to adjust environment according to patient preferences.
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| 53. |
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| 55. |
- Ehnfors, Margareta, 1941-, et al.
(författare)
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Applicability of the International Classification of Nursing Practice (ICNP) in the areas of nutrition and skin care
- 2003
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Ingår i: International Journal of Nursing Terminologies and Classifications. - Hoboken, USA : Wiley-Blackwell. - 2047-3087 .- 2047-3095. ; 14:1, s. 5-18
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To evaluate completeness, granularity, multiple axial content, and clinical utility of the beta version of the ICNP in the context of standardized nursing care planning in a clinical setting.Methods: An 35-bed acute care ward for infectious diseases at a Swedish university hospital was selected for clinical testing. A convenience sample of 56 patient records with data on nutrition and skin care was analyzed and mapped to the ICNP.Findings: Using the ICNP terminology, 59%-62% of the record content describing nursing phenomena and 30%-44% of the nursing interventions in the areas of nutrition and skin care could be expressed satisfactorily. For about a quarter of the content describing nursing phenomena and interventions, no corresponding ICNP term was found.Conclusions: The ICNP needs to be further developed to allow representation of the entire range of nursing care. Terms need to be developed to express patient participation and preferences, normal conditions, qualitative dimensions and characteristics, nonhuman focus, and duration.Practice implications: The practical usefulness of the ICNP needs further testing before conclusions about its clinical benefits can be determined.
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| 56. |
- Ehnfors, Margareta, et al.
(författare)
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Development of electronic health records to support nursing care in Sweden
- 2010
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Ingår i: Nursing and informatics for the 21th century: An international look at practice, education and EHR trends.. - Chicago, USA : The Healthcare Information and Management Systems Society. - 9780982107041 ; , s. 404-411
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 57. |
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| 58. |
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| 59. |
- Ehnfors, Margareta, 1941-, et al.
(författare)
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Mapping VIPS concepts for nursing interventions to the ISO reference terminology model for nursing actions : A collaborative Scandinavian analysis
- 2006
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Ingår i: Consumer-Centered Computer-Suppported Care for Healthy People. - Amsterdam, Netherlands : IOS Press. - 9781586036225 ; , s. 401-5, s. 401-5
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Konferensbidrag (refereegranskat)abstract
- The aims of this study were to analyze the coherence between the concepts for nursing interventions in the Swedish VIPS model for nursing recording and the ISO Reference Terminology Model for Nursing Actions and to identify areas in the two models for further development. Seven Scandinavian experts analyzed the VIPS model's concepts for nursing interventions using prototypical examples of nursing actions, involving 233 units of analyses, and collaborated in mapping the two models. All nursing interventions in the VIPS model comprise actions and targets, but a few lack explicit expressions of means. In most cases, the recipient of care is implicit. Expressions for the aim of an action are absent from the ISO model. By this mapping we identified areas for future development of the VIPS model and the experience from nursing terminology work in Scandinavia can contribute to the international standardization efforts.
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| 60. |
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