| 1. |
- Björklund, Margereth, 1950-, et al.
(author)
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Cancer patients' experiences of nurses' behaviour and health promotion activities : a critical incident analysis
- 1999
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In: European Journal of Cancer Care. - Oxford : Blackwell Publishing. - 0961-5423 .- 1365-2354. ; 8:4, s. 204-212
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Journal article (peer-reviewed)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.
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| 2. |
- Granskär, Monica, et al.
(author)
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Nursing students' experience of their first professional encounter with people having mental disorders
- 2001
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In: Journal of Psychiatric and Mental Health Nursing. - Oxford : Wiley-Blackwell Publishing. - 1351-0126 .- 1365-2850. ; 8:3, s. 249-256
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Journal article (peer-reviewed)abstract
- The aim of the study was to generate a theoretical model of what nursing students experience in their first professional encounter with people having mental disorders. Data was collected by interviewing 11 nursing students (aged 20-40 yrs). Grounded theory analysis was chosen for the study. Findings showed that the students' personal qualities and the patients' behavior affected the students' experience. When nursing students who had their own needs in focus met patients who rejected them, they felt helpless, and patients wishing to establish a relationship with them confirmed their positive or negative expectations. Nursing students who were focused on patients' needs met the patient as a unique person and felt confident despite being rejected by the patient, as well as proud when the patients wished to establish a relationship with them. Clinical university teachers can use the findings to gain knowledge about how each student feels as well as to guide them through their psychiatric training. The sample is small and further research is needed to generalize the findings of this study and to explore how nursing students, specialist psychiatric nurses and nurses in other disciplines experience the encounter with patients as well as how patients describe encounters with caregivers.
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| 3. |
- Samarasinghe, Kerstin, 1950-, et al.
(author)
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Primary health care nurses' conceptions of involuntarily migrated families' health
- 2006
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In: International Nursing Review. - : Blackwell Publishing. - 0020-8132 .- 1466-7657. ; 53:4, s. 301-307
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Journal article (peer-reviewed)abstract
- Background: Involuntary migration and adaptation to a new cultural environment is known to be a factor of psychological stress. Primary Health Care Nurses (PHCNs) frequently interact with refugee families as migrant health needs are mainly managed within Primary Health Care. Aim: To describe the health of the involuntary migrated family in transition as conceptualized by Swedish PHCNs. Method: Thirty-four PHCNs from two municipalities in Sweden were interviewed and phenomenographical contextual analysis was used in analysing the data. Findings: Four family profiles were created, each epitomizing the health characteristics of a migrated family in transition: (1) a mentally distressed family wedged in the asylum-seeking process, (2) an insecure family with immigrant status, (3) a family with internal instability and segregated from society, and (4) a stable and wellfunctioning family integrated in society. Contextual socio-environmental stressors such as living in uncertainty awaiting asylum, having unprocessed traumas, change of family roles, attitudes of the host country and social segregation within society were found to be detrimental to the well-being of the family. Conclusion: Acceptance and a clear place in society as well as clearly defined family roles are crucial in facilitating a healthy transition for refugee families. Primary Health Care Nursing can facilitate this by adopting a family system perspective in strengthening the identity of the families and reducing the effects of socio-environmental stressors.
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| 4. |
- Samarasinghe, Kerstin, et al.
(author)
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Primary Health Care Nurses' conceptions of involuntarily migrated families' health
- 2006
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In: International Nursing Review. - : Wiley. - 0020-8132 .- 1466-7657. ; 53:4, s. 301-307
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Journal article (peer-reviewed)abstract
- Background: Involuntary migration and adaptation to a new cultural environment is known to be a factor of psychological stress. Primary Health Care Nurses (PHCNs) frequently interact with refugee families as migrant health needs are mainly managed within Primary Health Care. Aim: To describe the health of the involuntary migrated family in transition as conceptualized by Swedish PHCNs. Method: Thirty-four PHCNs from two municipalities in Sweden were interviewed and phenomenographical contextual analysis was used in analysing the data. Findings: Four family profiles were created, each epitomizing the health characteristics of a migrated family in transition: (1) a mentally distressed family wedged in the asylum-seeking process, (2) an insecure family with immigrant status, (3) a family with internal instability and segregated from society, and (4) a stable and well-functioning family integrated in society. Contextual socio-environmental stressors such as living in uncertainty awaiting asylum, having unprocessed traumas, change of family roles, attitudes of the host country and social segregation within society were found to be detrimental to the well-being of the family. Conclusion: Acceptance and a clear place in society as well as clearly defined family roles are crucial in facilitating a healthy transition for refugee families. Primary Health Care Nursing can facilitate this by adopting a family system perspective in strengthening the identity of the families and reducing the effects of socio-environmental stressors.
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| 5. |
- Samarasinghe, Kerstin, et al.
(author)
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Primary health care nurses' promotion of involuntary migrant families' health
- 2010
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In: International Nursing Review. - Chichester : Wiley-Blackwell. - 0020-8132 .- 1466-7657. ; 57:2, s. 224-231
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Journal article (peer-reviewed)abstract
- Background: Involuntary migrant families in cultural transition face a number of challenges to their health and to family cohesion. Primary health care nurses (PHCNs) therefore play a vital role in the assessment and promotion of their health.Aim: The aim of this study was to describe the promotion of health in involuntary migrant families in cultural transition as conceptualized by Swedish PHCNs.Method: Interviews were conducted with 34 strategically chosen PHCNs covering the entire range of the primary health care sector in two municipalities of Southern Sweden. A contextual approach with reference to phenomenography was used in interpreting the data.Findings: There are three qualitatively different descriptive categories epitomizing the characteristics of the PHCNs' promotion of health: (1) an ethnocentric approach promoting physical health of the individual, (2) an empathic approach promoting mental health of the individual in a family context, and (3) a holistic approach empowering the family to function well in everyday life.Conclusions: For nurses to promote involuntary migrant families'health in cultural transition, they need to adopt a holistic approach. Such an approach demands that nurses cooperate with other health care professionals and community authorities, and practise family-focused nursing; it also demands skills in intercultural communication paired with cultural self-awareness in interacting with these families. Adequate knowledge regarding these skills should therefore be included in the education of nurses, both at under- and at post-graduate level. © 2010 The Authors. Journal compilation © 2010 International Council of Nurses
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| 6. |
- Samarasinghe, Kerstin, 1950-, et al.
(author)
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Primary health care nurses' promotion of involuntary migrant families' health
- 2010
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In: International Nursing Review. - Chichester : Wiley-Blackwell. - 0020-8132 .- 1466-7657. ; 57:2, s. 224-231
-
Journal article (peer-reviewed)abstract
- Background: Involuntary migrant families in cultural transition face a number of challenges to their health and to family cohesion. Primary health care nurses (PHCNs) therefore play a vital role in the assessment and promotion of their health. Aim: The aim of this study was to describe the promotion of health in involuntary migrant families in cultural transition as conceptualized by Swedish PHCNs. Method: Interviews were conducted with 34 strategically chosen PHCNs covering the entire range of the primary health care sector in two municipalities of Southern Sweden. A contextual approach with reference to phenomenography was used in interpreting the data. Findings: There are three qualitatively different descriptive categories epitomizing the characteristics of the PHCNs' promotion of health: (1) an ethnocentric approach promoting physical health of the individual, (2) an empathic approach promoting mental health of the individual in a family context, and (3) a holistic approach empowering the family to function well in everyday life. Conclusions: For nurses to promote involuntary migrant families'health in cultural transition, they need to adopt a holistic approach. Such an approach demands that nurses cooperate with other health care professionals and community authorities, and practise family-focused nursing; it also demands skills in intercultural communication paired with cultural self-awareness in interacting with these families. Adequate knowledge regarding these skills should therefore be included in the education of nurses, both at under- and at post-graduate level.
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| 7. |
- Samarasinghe, Kerstin, et al.
(author)
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The promotion of family wellness for refugee families in cultural transition : a phenomenographic study
- 2012
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In: Journal of Nursing Education and Practice. - Toronto : Sciedu Press. - 1925-4040 .- 1925-4059. ; 2:4, s. 92-104
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Journal article (peer-reviewed)abstract
- Objective: To illustrate how nurses can promote family wellness and facilitate acculturation for involuntary migrant families as conceptualized by bilingual interpreters and cultural mediators with own past refugee experience. Due to the nature of involuntary migration and accompanying acculturation, refugee families face a complex transition, exposing them to vulnerability in cohesion and family function. Involuntary migrant health needs are largely managed within the Primary Health Care sector where Primary Health Care Nurses (PHCN) play an important role. Additionally, bilingual interpreters and cultural mediators with personal experience of being refugees and subsequent acculturation play a critical role in bridging the language and cultural gap between migrant families and PHCNs. Methods: The study is descriptive and explorative in design with a phenomenographic approach. Data was collected in Southern Sweden utilizing in-depth interviews with ten bilingual interpreters and cultural mediators originating from the Balkans, Kurdistan, Eritrea and Somalia. A contextual analysis with reference to phenomenography was used in interpreting the data material. Results: Three separate themes illustrated the meaning of family wellness: a sense of belonging to the new homeland, the maintenance of self-esteem and stable family interrelationships. The analysis demonstrated that the way ex-refugee bilingual interpreters and cultural mediators perceived of how to promote family wellness, fell into three qualitative different conceptions: (1) Promotion of family wellness is the responsibility of the family itself, manifested in its attitude in wanting to adjust to change, (2) Promotion of family wellness is the consideration of those outside the family and is marked by understanding and respectful attitudes, (3) Promotion of family wellness is a societal responsibility to which successful integration is a prerequisite. Conclusions: The promotion of health of involuntary migrant families in cultural transition is complex due to families, other members of the society and society at large all contributing to family wellness in the process of acculturation. For nurses to facilitate a healthy transition for involuntary migrant families, a holistic approach working with the entire family in a psychosocial way and cooperating with other health care professionals, community authorities and ethnic organizations maybe a future direction in encounters with involuntary migrant families with health problems. Adopting a family system approach will enable nurses to provide culturally and transition-competent quality care by enabling stabilizing interfamily relationships through supportive conversations about changes and its subsequent reactions and possible coping of the family as a unit. Further research in order to enhance health promotion would preferable take on a participatory approach.
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