| 21. |
- Persson, Lena, 1951-, et al.
(författare)
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A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care : a pilot study
- 2014
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Ingår i: International Journal of Nursing & Clinical Practices. ; 1, s. 103-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Patients who repeatedly seek care directly at hospital based somatic emergencydepartments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model.Methods: A mixed method convergent parallel design was used.Results: The development of the model began as a top-down process and later on into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 73 visits (55%).Conclusion: The inference quality description is that a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. Increased communication between different professionals within the hospital and between different caregivers such as ED, primary health care and community social- and health-care, increases the possibility for the patients to be cared for in a sustainable and non-fragmented way.
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| 22. |
- Persson, Lena, 1951-, et al.
(författare)
-
A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care : a pilot study
- 2014
-
Konferensbidrag (refereegranskat)abstract
- Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model. A mixed method convergent parallel design was used. The development of the model began as a top-down process and later on in the process into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 55%. The inference quality description is that such a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. The freedom of being able to structure the model led to steps being taken that were beyond the project’s original limitations.
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| 23. |
- Persson, Lena, 1951-, et al.
(författare)
-
A new model for dealing with patients who frequently arrive spontaneously at hospital emergency departments requiring health care : A pilot study
- 2014
-
Ingår i: International Journal of Nursing & Clinical Practices. - : Graphyonline Publications PVT, Ltd.. - 2394-4978. ; 1
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Patients who repeatedly seek care directly at hospital based somatic emergency departments take up a large proportion of health care resources, at the same time they appear to experience low satisfaction with the care they receive. The purposes of this pilot study were to describe: I) the development of a team model for taking care of frequent visitors to a somatic hospital based ED; II) Eventual changes, over six months, in costs and patients’ health care utilization related to pilot testing the model and III), the team’s experiences of implementing the model.Methods: A mixed method convergent parallel design was used.Results: The development of the model began as a top-down process and later on into a bottom-up approach once the inter-professional team became involved. The new model functioned as a support for all 12 patients included in the study and collectively their visits decreased by a total of 73 visits (55%).Conclusion: The inference quality description is that a management induced project may be accepted and actively applied when those involved experience freedom to structure the project. Increased communication between different professionals within the hospital and between different caregivers such as ED, primary health care and community social- and health-care, increases the possibility for the patients to be cared for in a sustainable and non-fragmented way.
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| 24. |
- Persson, Lena, 1951-, et al.
(författare)
-
Acute leukaemia or highly malignant lymphoma patients' quality of life over two years : a pilote study
- 2001
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Ingår i: European Journal of Cancer Care. - 0961-5423 .- 1365-2354. ; 10:1, s. 36-47
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to investigate quality of life and sense of coherence for acute leukaemia and malignant lymphoma patients at the start of treatment and throughout two years. A further purpose was to compare questionnaire responses with patients’ statements in open-ended interviews. A consecutive sample of 16 patients responded to the Quality of Life Questionnaire (QLQ C-30), Lund Gerontological Centre questionnaire and the Sense of Coherence Scale at the start of treatment and after 12 and 24 months. The QLQ C-30 questionnaire was administered after 4, 8, 16 and 20 months. Tape-recorded open-ended interviews were conducted every four months before the patients responded to the questionnaires. Quality of life and sense of coherence were higher scored at the start of treatment for patients without relapse, than for those with relapse. The recovery pattern, however, throughout the two years was similar for both relapsers and non-relapsers, thus the former had not recovered to the same extent as the latter. Relapsers may have had different prerequisites or a worse position at the debut of the disease and reasonably they need more compensatory nursing care. The long lasting nature of the disease makes it important not to withdraw the nursing care too soon after remission, and to develop strategies to empower the patients in handling the consequences of the disease and treatment.
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| 25. |
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| 26. |
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| 27. |
- Persson, Lena, 1951-
(författare)
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Att vara anhörig till den som drabbas av akut leukemi
- 1997
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Konferensbidrag (refereegranskat)abstract
- Syftet med studien var att beskriva den anhöriges syn på sin egen situation i samband med att deras partner drabbats av AL eller HML, genom behandlingen och efter det att sjukdomen gått i remission. Syftet var vidare att undersöka hur den anhöriges egna behov möttes och deras upplevelse av sjukvården.
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| 28. |
- Persson, Lena, 1951-, et al.
(författare)
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Framväxt av en forskningsplattform
- 2013
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Ingår i: Aktionsforskning i vård och omsorg. - Malmö : Gleerups Utbildning AB. - 9789140685643 ; , s. 173-180
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Bokkapitel (populärvet., debatt m.m.)
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| 29. |
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| 30. |
- Persson, Lena, 1951-
(författare)
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Life stories narrated by people who have had acute leukemia or highly malignant lymphoma
- 1999
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Konferensbidrag (refereegranskat)abstract
- Eighteen former patients in remission after acute leukemia or highly malignant lymphoma were interviewed about their daily life experiences prior to the diagnosis, during treatment and in their current life. The transcribed texts were analyzed from a phenomenological-hermeneutic perspective, expanded by their medical and social history as related in interviews. Living through the disease and treatment meant having been through a severe traumatic crisis that implied an overwhelming threat to their lives physically and existentially. The analysis revealed three groups, according to their evaluation of the entire experiences; Believed in life, fought for it and came through with increased strength; Life goes on, adapted to it and found a balance in existence; Life was over, felt out of control and lost the belief in life. The two first groups ascribed meaning to the experience they had been through, and evaluated it as something inevitable part of life. The third group was not through the crisis and evaluated their situation with bitterness. Their situation had similarities with post-traumatic stress syndromes. This shows the importance of offering long-term help in crisis management.
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