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| 2. |
- Ebbeskog, B, et al.
(författare)
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Elderly persons' experiences of living with venous leg ulcer : living in a dialectal relationship between freedom and imprisonment
- 2001
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Ingår i: Scandinavian Journal of Caring Sciences. - OSLO : TAYLOR & FRANCIS AS. - 0283-9318 .- 1471-6712. ; 15:3, s. 235-243
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to illuminate elderly persons' experiences of living with venous leg ulcer. Fifteen persons 74-89 years of age with active leg ulcer were interviewed. Data were analysed utilizing a phenomenological-hermeneutic approach inspired by Ricoeur. The analysis includes dialectic movement between understanding and explanation of the text as a whole and its parts, In the structural analysis four themes were identified: emotional consequences of altered body image, living a restricted life, achievement of well-being in connection with a painful wound and bandage, and struggle between hope and despair with regard to a lengthy healing process. The comprehensive understanding indicated that the meaning of living with venous leg ulcer can be understood as a dialectal relationship between, on the one hand the feeling of being imprisoned in the body, the bandage and the home, and on the other hand, hope of freedom from a burdensome body. The results indicate that the concept, body of image, is vitally relevant to the caring, of elderly people with venous leg ulcer. The study shows the importance of recognizing the persons' perceptions of their leg ulcers and the impact of these perceptions on well-being. Nurses can thereby anticipate problems and provide more sensitive care.
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| 3. |
- Emami, A, et al.
(författare)
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An ethnographic study of a day care center for Iranian immigrant seniors
- 2000
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Ingår i: Western Journal of Nursing Research. - THOUSAND OAKS : SAGE PUBLICATIONS INC. - 0193-9459 .- 1552-8456. ; 22:2, s. 169-188
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Tidskriftsartikel (refereegranskat)abstract
- Late-in-life immigrants are often at risk for psychological stress and social isolation because of language problems, small social networks, and cultural differences from the host society. Community intervention programs can reduce such stress and isolation. In this article, the authors describe a Swedish municipality's culturally appropriate intervention program for elderly Iranian immigrants based on ethnographic data gathered during a 12 month period The description includes the activities provided by the program and the experiences of the elderly Iranian immigrants who participate regularly in these activities. The findings document the positive impact of regular participation in the center's activities on the elders' well-being and health.
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| 4. |
- Emami, A, et al.
(författare)
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Health as continuity and balance in life
- 2000
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Ingår i: Western Journal of Nursing Research. - THOUSAND OAKS : SAGE PUBLICATIONS INC. - 0193-9459 .- 1552-8456. ; 22:7, s. 812-825
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Tidskriftsartikel (refereegranskat)abstract
- Research on immigrant health emphasizes that the elderly are more vulnerable than other age groups in many immigrant populations. This study describes the meanings of health, illness, and disease for Iranian elderly immigrants in Sweden and their relationships with life disruptions. Analysis of interviews using an interprerive-phenomenological method illustrates that the participants experience health as continuity and balance in life. Any disruption of this balance creates a sense of illness that is only partially related to the emergence of disease. Participants did nor view health and disease as polarized. Rather disease is just one component among many that may disrupt the experience of health. Health is perceived as a sense of well-being, can be achieved in spite of disease, and can be disrupted even in the absence of disease. This description of the meaning of health, disease, and illness contrasts with the Western biomedical perspective and is similar in its holism to various non-Western medical systems and complementary approaches. This knowledge can foster more culturally sensitive care.
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| 5. |
- Gotell, E, et al.
(författare)
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Caregiver singing and background music in dementia care
- 2002
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Ingår i: Western Journal of Nursing Research. - THOUSAND OAKS : SAGE PUBLICATIONS INC. - 0193-9459 .- 1552-8456. ; 24:2, s. 195-216
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Tidskriftsartikel (refereegranskat)abstract
- Caregiver singing and background music were incorporated into the interaction between caregiver and patient, the aim being to illuminate the meaning of verbal communication between persons with severe dementia and their caregivers. In the absence of music, patients communicated with cognitive and behavioral symptoms associated with dementia. In these situations, caregivers devoted their verbal communication to narrating and explaining their caring activities to the patient. The patient and caregiver. however had difficulties understanding one another. In the presence of background music, caregivers decreased their verbal instructing rind narrating while the patient communicated with an increased understanding of the situation, both verbally and behaviorally. During caregiver singing, a paradoxical effect was observed such that despite an evident reduction in the amount of verbal narration and description by the caregiver. the patient implicitly understood what was happening.
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| 6. |
- Gotell, E, et al.
(författare)
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Influence of caregiver singing and background music on posture, movement, and sensory awareness in dementia care
- 2003
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Ingår i: International psychogeriatrics. - NEW YORK : SPRINGER PUBLISHING CO. - 1041-6102 .- 1741-203X. ; 15:4, s. 411-430
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Tidskriftsartikel (refereegranskat)abstract
- Background and Aim: Previous research suggested caregiver singing could influence persons with severe dementia to communicate with increased competence, to cease aggression, and to cease disruptive screaming, while at the same time they seemed to understand what was going on when being cared for during morning care sessions. The aim of this study was to illuminate the posture, body movements, and sensory awareness of patients with dementia during three types of morning care sessions with professional caregivers: (a) the usual morning care situation, (b) a caring session in which familiar background music was played, and (c) a caring session in which the caregiver sang to and/or with the patient throughout. Nine patients with late-stage dementia and 5 professional caregivers participated in this study, and 27 sessions were videotaped (9 patients x 3 caring situations). Data Collection and Method: Data collection was done by means of video recording and the data were analyzed using qualitative content analysis. Results: During the usual caring situation, patients demonstrated slumped posture, sluggish and asymmetric motion, listlessness, minimal awareness of both egocentric space and the physical environment, and a poor ability to perform to completion activities necessary for personal care. Both background music playing and caregiver singing had strong influences on the body and on sensory awareness. Patients had straightened posture, stronger and more symmetric movements, and a greatly increased awareness of themselves and their environment. Patients appeared to regain skills necessary for daily living, and demonstrated that they could perform tasks with intention, purpose, and competence. Caregiver singing, in particular, was very effective at drawing out capabilities that appeared to be lost in these patients. In addition, caregiver singing elicited a larger degree of mutuality in the interaction between patient and caregiver than was seen with background music. Discussion: These results provide further support for the use of caregiver singing in dementia care, and the findings on how caregiver singing can be used to help in dementia caring situations are discussed.
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| 7. |
- Heikkilä, Kristiina, 1958-, et al.
(författare)
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Elderly care for ethnic minorities : Wishes and expectations among elderly Finns in Sweden
- 2003
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Ingår i: Ethnicity and Health. - BASINGSTOKE : Taylor & Francis. - 1355-7858 .- 1465-3419. ; 8:2, s. 135-146
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Tidskriftsartikel (refereegranskat)abstract
- Objectives. Although elderly people from immigrant and minority groups utilise elderly care facilities to a lesser extent than elderly people from majority groups, there is a lack of research on how elderly people with different ethnic backgrounds wish and expect to be cared for when they are in need of institutional elderly care. This study aims to illuminate the role that culturally appropriate care plays in elderly Finnish immigrants’ wishes and expectations of institutional elderly care in Sweden. Design. Thirty-nine elderly Finnish immigrants in Sweden, aged 75 years or more, were interviewed in their homes. The data were analysed with latent qualitative content analysis. Results. The elderly Finnish immigrants in Sweden wished to be able to continue living in their current homes for as long as possible. Later on, when entering institutional elderly care, they wanted to feel continuity, familiarity, security and companionship with others. As immigrants, they had to choose to be cared for either in well-known physical environments close to their current homes, or in a culturally appropriate care setting with familiar socio-cultural conditions. Conclusions. To be able to provide institutional elderly care for minority groups it is important to ease the access to elderly care amenities by providing care that results in maintaining as much continuity and familiarity as possible in the lives of the elderly people. This includes the care providers and other residents who share the familiar aspects of their lives. This involves providing culturally appropriate elderly care close to the elderly people’s current homes.
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| 8. |
- Hertzberg, Annika, et al.
(författare)
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"Relatives are a Resource, but..." : Registered Nurses' Views and Experiences of Relatives of Residents in Nursing Homes
- 2003
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Ingår i: Journal of Clinical Nursing. - : Blackwell. - 0962-1067 .- 1365-2702. ; 12:3, s. 431-441
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Tidskriftsartikel (refereegranskat)abstract
- Registered Nurses (RNs) working in nursing homes in Sweden have obligations towards the residents' relatives, besides the care of residents. Relatives' involvement and satisfaction with the care partly depend on their contacts and communication with the staff. • This study aimed to explore and describe RNs' views and experiences of relatives of residents who live in nursing homes. • Open interviews were conducted with 19 RNs at three nursing homes. The verbatim-transcribed interviews were subjected to qualitative content analysis. • Relatives were seen as a resource (with some restrictions) and nice, although demanding. The RNs saw relatives as part of their work - a part that could be time-consuming and had low priority. • Interviewees noticed a difference between young and old relatives, and between female and male relatives. • A large proportion of accounts could be related to issues about communication and interpersonal relationships with relatives. • Building a trusting relationship with relatives may result in them being involved in residents' care and thus giving the nurses time rather than consuming time.
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| 9. |
- Hertzberg, Annika, et al.
(författare)
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Staff activities and behaviour are the source of many feelings : relatives' interactions and relationships with staff in nursing homes
- 2001
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Ingår i: Journal of Clinical Nursing. - : Blackwell Science. - 0962-1067 .- 1365-2702. ; 10:3, s. 380-388
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Tidskriftsartikel (refereegranskat)abstract
- Family members do not give up their involvement in the life of their older relatives when they move to an institution. Relatives feel that it is they who take the initiative to establish a working relationship with the staff at the nursing home. Relatives want more spontaneous information from staff, particularly about residents' dairy fives, and there is a need for relatives to have opportunities to talk with staff under relaxed conditions. Staff behaviour and activities towards residents and relatives are a source of many feelings for relatives. Relatives' understandings of the challenges faced by staff are not communicated to staff, nor are positive or negative experiences explicitly passed on to staff.
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| 10. |
- Lauri, S, et al.
(författare)
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An exploratory study of clinical decision-making in five countries
- 2001
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Ingår i: Journal of Nursing Scholarship. - INDIANAPOLIS : SIGMA THETA TAU INT. - 1527-6546 .- 1547-5069. ; 33:1, s. 83-90
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To identify the cognitive processes nurses use in their decision-making in long- and short-term care settings in five countries, and the demographic variables associated with their decision-making. Method and Samples: The instrument used was a 56-item questionnaire that has been shown to be reliable in earlier studies. The sample consisted of five convenience samples of registered nurses working in either geriatric wards (n = 236) or acute medical-surgical wards (n = 223) in hospitals or nursing homes in Canada, Finland, Sweden, Switzerland, and the United States. Findings: Five models of decision-making were identified on the basis of factor analysis. They represent both analytical and intuitive cognitive processes. Analytical cognitive processes were emphasized in information collection, problem definition, and planning of care, and intuitive cognitive processes were emphasized in planning, implementing, and evaluating care. Professional education, practical experience, field of practice, and type of Knowledge were significantly associated with decision-making models as well as with country of residence of the participants, The highest proportion of analytically oriented decisionmakers was found among nurses in long-term care, the decision-making of nurses in shortterm cave was more intuitively oriented. Conclusions: The results indicate that decision-making of participants varied from country to country and in different nursing situations. Future research should be focused on reasons for these differences, the relationship between the task and the nurses' type of knowledge, and how nurses use their knowledge to make decisions in different nursing situations. (C) 2001 SIGMA THETA TAU INTERNATIONAL.
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