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- Antonsson, Ann-Christin, et al.
(författare)
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Reflektion : kärnan i omvårdnadshandledning
- 2000
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Ingår i: Vård i Norden. - Oslo : Sykepleiernes Samarbeid i Norden (SSN). - 0107-4083 .- 1890-4238. ; 20:4, s. 38-41
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Tidskriftsartikel (refereegranskat)abstract
- The nursingprofession is demanding and variable; nurses must have knowledge and proficiency practically, technically and be able to teamwork in the relation with all kinds of patients. At the same time they should perform nursing according to science and tried practice. One way to develop the engagement in patients and bring new knowledge into nursing is to participate in clinical supervision. The aim of the present study was to find out how nurses in somatic care describes what they learn and how knowledge integrates and develops in clinical supervision. Eight nurses were interviewed and their responses were taped, written down word for word and analysed according to a qualitative approach. The results shows that practically all knowledge were integrated by reflection. With the help of reflection the nurses could be taught by each others experiences, develop nursing and become skilful nurses.
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| 2. |
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| 3. |
- Hedman, Ann-Marie, et al.
(författare)
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Dementia, delirium and other comorbid conditions in acute hip fracture care : Traditions, attitudes and local policies rather than actual state guide diagnose making?
- 2005
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Ingår i: Vård i Norden. - Oslo : Nordic Journal of Nursing Research & Clinical Studies. - 0107-4083 .- 1890-4238. ; 25:4, s. 25-29
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Tidskriftsartikel (refereegranskat)abstract
- In the elderly, hip fracture is a common disease. Previous studies show that more than half of these patients has a co-existing dementia and/or delirium diagnose. We found a cognitive disorder diagnose code registered in only 11% of 14,993 hip fracture patients, 65 years or older, in Stockholm, Sweden during 1994–1999. Although most common in the clinical setting, acute confusional state (delirium) was hardly ever diagnose-coded (1%). Furthermore, the share of dementia/delirium registrations ranged from 6 to 17% between hospitals and within a single hospital from 1 to 20 %. The lack of pattern in diagnosis coding became even more evident in the patients who were transferred from acute care to geriatric rehabilitation – it was unusual that the diagnosis was given at both specialities. Also regarding secondary diagnoses on the whole, large differences on hospital level was found (range 0.4 – 2.2/patient). The over all impression of the findings was that recording of comorbid conditions in acute somatic care depends on other factors than the patient’s actual state such as traditions, attitudes and local policies (or the lack thereof). In conclusion, significant conditions crucial for planning, treatment and prognosis in the hip fracture population are virtually invisible in this administrative database.
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| 5. |
- Perseius, Kent-Inge, et al.
(författare)
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Does dialectical behavioural therapy reduce treatment cost for patients with borderline personality disorder : A pilot study
- 2004
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Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden,Northern Nurses Federation. - 0107-4083 .- 1890-4238. ; 24:2, s. 27-30
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Tidskriftsartikel (refereegranskat)abstract
- Objective: In order to assess costs - consequences of dialectal behavioural therapy (DBT) in suicidal women with borderline personality disorder (BPD), the present study takes advantage of pilot data collected during a training phase, in relation to a large scale randomised controlled trail (RCT). Method: Under a 18 month period, 22 suicidal women with BPD were treated with outpatient DBT, with focus on reducing parasuicidal behaviour. Outcome data collected retrospectively 12 months before therapy start, were compared to prospective data collected up to 18 months in therapy. The cost - analysis included direct health care costs only. Results & Conclusions: The results suggest that DBT may have a positive impact on treatment costs, which decreased significantly during the last 12 months in a 18 month therapy period. The reduction of costs is due to decrease in the number of psychiatric inpatient days. The conclusions that can be drawn from the results are, however, limited as the study was not made in RCT conditions and indirect costs to society were not assessed.
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