| 1. |
- Backe, Marita, et al.
(författare)
-
Patients’ conceptions of their life situation within the first week after a stroke event : A qualitative analysis
- 1996
-
Ingår i: Intensive & Critical Care Nursing. - London : Churchill Livingstone. - 0964-3397 .- 1532-4036. ; 12:5, s. 285-294
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to find out how stroke patients conceived their life situation within the first week of the acute care phase as seen from the nurses’ viewpoint. Six patients were interviewed within 3 weeks from their first stroke, using questions based on a holistic philosophy and analysed with the phenomonographic approach. Two main categories emerged from the results: the feeling of unreality and the awareness of a changed role in life, together with six subcategories; feeling of a changed perception of the body; feeling of being confused; loss of capability; awareness of confined life space; the importance of support and encouragement; and the will to look for new opportunities. The study concludes that the body change resulting from a stroke leads to both physical and psychological trauma, in which the psychological crisis can be very deep and best described as a personal catastrophe. The patient’s capability to receive and understand information becomes blocked, which influences both the nurse and the patient’s next of kin with regard to their care of the patient. Conversations with the patient must be frequent so that the acute care can be evaluated and agreement reached between the patient’s wishes and the nurses’ objectives. The results indicate the significance of intervention programmes based on crisis theory within the first week of a stroke event.
|
|
| 2. |
- Björklund, Margereth, et al.
(författare)
-
Cancer patients' experiences of nurses' behaviour and health promotion activities : a critical incident analysis
- 1999
-
Ingår i: European Journal of Cancer Care. - Oxford : Blackwell Publishing. - 0961-5423 .- 1365-2354. ; 8:4, s. 204-212
-
Tidskriftsartikel (refereegranskat)abstract
- Patients with head and neck cancer report several disease- and health-related problems before, during and a long time after completed treatment. Nurses have an important role in educating/supporting these patients about/through the disease and treatment so that they can attain well-being. This study describes the cancer patients' experiences of nurses' behaviour in terms of critical incidents after nurses had given them care to promote health. The study had a qualitative, descriptive design and the method used was the critical incident technique. Twenty-one informants from the Nordic countries diagnosed with head and neck cancer were strategically selected. It was explained to the informants what a critical incident implies before the interviews took place; this was defined as a major event of great importance, an incident, which the informants still remember, due to its great importance for the outcome of their health and well-being. The nurses' behaviour was examined, and critical incidents were involved in 208 cases-150 positive and 58 negative ones-the number of incidents varying between three and 20 per informant. The nurses' health promotion activities or lack of such activities based on the patients' disease, treatment and symptoms, consisted of informing and instructing the patients as well as enabling their participation. Personal consideration and the nurses' cognisance, knowledge, competence, solicitude, demeanour and statements of understanding were found to be important. Continuous health promotion nursing interventions were of considerable value for the majority of this group of cancer patients. Oncology nurses could reconfirm and update the care of head and neck cancer patients by including health promotion activities in individual care plans. By more frequent use of health promotion models, such as the empowerment model, the nurses could identify and focus on those individuals who needed to alter their Life-style as well as tailor their approach towards these patient by setting goals for well-being and a healthy life-style.
|
|
| 3. |
- Boström, Barbro, et al.
(författare)
-
Survey of post-operative patients' pain management
- 1997
-
Ingår i: Journal of Nursing Management. - : Blackwell Publishing Ltd.. - 0966-0429 .- 1365-2834. ; 5:6, s. 341-349
-
Tidskriftsartikel (refereegranskat)abstract
- Although effective pain treatment is available for both cancer-related pain and acute post-operative pain, many patients suffer unnecessarily. The aim of this study was to evaluate post-operative patients' pain management. A descriptive survey study was conducted in a 460-bed acute hospital in the southwestern part of Sweden. One hundred post-operative inpatients, on their second post-operative day, took part in the study. They were consecutively selected from six surgical wards. Data were collected using an interview questionnaire designed by the American Pain Society and analysed by descriptive and inferential statistics. At the time of the interview, 29 of the patients reported moderate to severe pain. Regarding the patients' worst pain experienced during the last 24 h, 79 of them reported moderate to very severe pain. Significant correlations were found between reported poor pain relief after pain medication and high intensity of pain both within the last 24 h and at the time of the interview. Eighty-three patients were satisfied with the way nurses treated their pain, while 64 patients were satisfied with the way physicians treated their pain. However, the higher the pain intensity experienced by the patients the less satisfied they were. The fact that patients do not know what kinds of relief are available may be one reason for the patients expressing satisfaction despite being in pain, another that the patients judge the kindness of the staff rather than their way of treating the pain. The field of pain management is rapidly changing requiring professional knowledge and experience in order to ensure pain management of good quality.
|
|
| 4. |
- Fridlund, Bengt, 1952-
(författare)
-
Qualitative methods in healthcare research : Some issues related to utilisation and scrutiny
- 1998
-
Ingår i: Care of the Critically Ill. - London : Nature Publishing Group. - 0266-0970. ; 14:6, s. 212-214
-
Forskningsöversikt (refereegranskat)abstract
- The use of qualitative methods (QM) in investigations within the healthcare area has increased dramatically around the world during the past decade. In Sweden, the Health and Medical Services Act has crucially influenced the development of QM from a second rate analysis method to a valued and compatible method to established statistical approaches. This article aims to describe and explain nine methodological issues related to QM based on science theory topics and content valuation premises. © Copyright 2004 Elsevier Science B.V., Amsterdam. All rights reserved.
|
|
| 5. |
- Fridlund, Bengt
(författare)
-
The case study as a research strategy
- 1997
-
Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Blackwell Publishing. - 0283-9318 .- 1471-6712. ; 11:1, s. 3-4
-
Tidskriftsartikel (refereegranskat)abstract
- A research strategy seldom used in the caring sciences is the case study. A case study is an empirical in-depth inquiry about an individual, family, group or organization. It is preferable when 'how' and 'why' questions are asked. The case study is mainly used to explain those causal links in real-life intervention that are too complex for either the survey or experimental strategies. Like other research strategies, its design includes questions or propositions, units of analysis, the logic linking the data to the questions or propositions, and the interpretations of the outcomes. A case study can be reported as a single case or as a compilation of a series of cases. In conclusion a case study is a simple and excellent way for a care professional to present him or herself to the scientific world.
|
|
| 6. |
- Hildingh, Cathrine, et al.
(författare)
-
Elderly persons' social network and need for social support after their first myocardial infarction
- 1997
-
Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Blackwell Publishing. - 0283-9318 .- 1471-6712. ; 11:1, s. 5-11
-
Tidskriftsartikel (refereegranskat)abstract
- Social network and social support are phenomena suggested to be of importance to successful recovery from myocardial infarction. However, Very few studies have been carried out, especially among the elderly, focusing on their social network and its ability to provide adequate support after myocardial infarction. The aim of this study was to examine elderly persons' social network and need for social support three months after their first myocardial infarction. The sample consisted of 128 persons between 65 and 94 years of age who answered a questionnaire. The results showed that the subjects, even the oldest ones, had an available social network and that they were satisfied with the support it provided. There was an increased need for social support after the myocardial infarction, especially for emotional support and appraisal, but also for instrumental aid and information. Despite these positive results indicating that elderly persons with myocardial infarction have a social network, whose members provide them with support, there may be a need for support also from persons outside this network. Assessment of social network characteristics and the need for social support as well as the provision of adequate information about additional support networks are important tasks for all health professionals.
|
|
| 7. |
- Hildingh, Cathrine, 1949-, et al.
(författare)
-
Social network and experiences of social support among women 12 months after their first myocardial infarction
- 1997
-
Ingår i: International Journal of Rehabilitation and Health. - New York, NY : Kluwer Academic Publishers. - 1068-9591 .- 1573-1537. ; 3:2, s. 131-142
-
Tidskriftsartikel (refereegranskat)abstract
- Few studies exist concerning the situation of women after a myocardial infarction (MI). The aim of this longitudinal study was to map out women’s social network and social support 12 months after a first MI. A sample of 200 consecutively chosen female patients below 70 years of age (ranges 35-70 years) answered a similar questionnaire on different occasions: before hospital discharge and at 3 and 12 months after the MI event. We analyzed the data with descriptive and inferential statistics. The results showed that 90% of the women had network members available who provided them with support. The strongest bonds existed between patient and close relatives, such as children, parents, or siblings, and then with spouse and intimate friends, in that order. The bonds between patients and health care professionals were not strong at the time of the MI, but subjects reported a significant increase (p < .0007) during the following 12 months. The need for material support was highest directly after the MI and for informational support 3 months later, and after 12 months the need for belonging dominated. More than half of the women had participated in secondary prevention programs. Further research is necessary to be able to understand enabling and limiting aspects of social support in connection with recovery from MI. © 1997 Springer Nature Switzerland AG. Part of Springer Nature.
|
|
| 8. |
- Johansson, Gunvi, et al.
(författare)
-
Young adults' views on dental care : a qualitative analysis
- 1996
-
Ingår i: Scandinavian Journal of Caring Sciences. - : Blackwell Publishing. - 0283-9318 .- 1471-6712. ; 10:4, s. 197-204
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to determine young adults' views on dental care. The gathered data were gleaned from interviews and analysed in accordance with comparative method. It was possible to discern the views from two perspectives: the patients' opinions regarding costs in relation to given functions within dental care, and the attitudes to given functions in dental care per se. Costs for information and service were deemed questionable, whereas the costs for examination and treatment were accepted. The patients' stance was active with respect to information and treatment, whereas a greater degree of passivity prevailed within the areas of examination and service. According to this report, maintaining cheap dental care rates was deemed important. The patients questioned having to pay for information perceived as irrelevant to dental care. They expressed a hidden wish to assume an active role while being given more information, and to exercise greater influence with reference to own dental care, but were not in the habit of stating their views to dental staff. Thus, continuous patient satisfaction studies are vital in order to meet this group's needs. One suggestion for further research is to study how young adults regard dental care based on the theory presented.
|
|
| 9. |
- Lidell, Evy, 1942-, et al.
(författare)
-
A myocardial infarction patient’s current anxiety : Assessed with a phenomenological method
- 1997
-
Ingår i: International Journal of Rehabilitation and Health. - Dordrecht : Kluwer Academic Publishers. - 1068-9591 .- 1573-1537. ; 3:3, s. 205-218
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to illustrate how a patient with a myocardial infarction history may experience current anxiety. We conducted the assessment using a phenomenological method. The participant was a 62-year old man, chronically ill due to two myocardial infarctions and heart failure. Five categories emerged from the data: distress, worthlessness, insecurity, indifference, and lack of strength, illustrating feelings embedded in the current anxiety. These feelings relate to past and present experiences as well as to an insecure future. The findings are not generalizable in a statistical manner, but they are an illustration of the importance of identifying a cardiac patient’s current anxiety from a holistic perspective, in order to understand what is occurring emotionally and to understand the need for emotional support. Qualities in the caring relationship may create possibilities for this patient to receive and perceive emotional support. © 2019 Springer Nature Switzerland AG. Part of Springer Nature.
|
|
| 10. |
- Lidell, Evy, 1942-, et al.
(författare)
-
Long-term effects of a comprehensive rehabilitation programme after myocardial infarction
- 1996
-
Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Blackwell Publishing. - 0283-9318 .- 1471-6712. ; 10:2, s. 67-74
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to determine the long-term effects on myocardial infarction (MI) patients of a six-month comprehensive rehabilitation programme (CRP) conducted by an interdisciplinary team regarding cardiac events, physical and psychological conditions, life habits, and cardiac health knowledge. The results of a multivariate analysis carried out five years after the MI showed that cardiac events and psychological condition were not significantly influenced by the CRP. However, it was found that the physical condition of the patients benefited from the CRP; self-reported physical fitness (p < 0.002) and physical exercise test (p < 0.007). CRP participation was linked to significant modifications of life habits (diet change; p < 0.04, sexual activity; p < 0.000). The cardiac health knowledge was significantly improved by participation in the CRP (basic cardiac knowledge; p < 0.005; knowledge about misconceptions; p < 0.04). In conclusion, CRPs have had positive long-term effects on physical condition, life habits and cardiac health knowledge. No such effects, however, were found regarding either cardiac events or psychological condition.
|
|
