| 1. |
- Lindberg, Elisabeth, et al.
(författare)
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It made me feel human. A phenomenological study on older patients´ experiences of participating in a Team meeting.
- 2013
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : CoAction Publishing. - 1748-2623 .- 1748-2631. ; 8:1
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Tidskriftsartikel (refereegranskat)abstract
- This study focused on older patients participating in a team meeting (TM) in a hospital ward in Sweden. A process had taken place on the ward, in which the traditional round had developed into a TM and understanding what participating in a TM means for the older patient is necessary for the development of care that facilitates older patient's participation. The aim of this study was to describe the caring, as experienced by the older patients on a ward for older persons, with a specific focus on the team meeting. A reflective lifeworld research (RLR) design was used. Fifteen patients, 12 women and three men (mean age of 82 years) were interviewed while they were hospitalized in a hospital ward for older people. In the essential meaning of the phenomenon, the TM is described as being a part of a wider context of both caring and life. The need for hospitalization is an emotional struggle to overcome vulnerability and regain everyday freedom. The way in which the professionals are able to confirm vulnerability and create a caring relationship affects both the struggle for well-being and the possibilities for maintaining dignity. The essence is further explicated through its constituents; Vulnerability limits life; Life is left in the hands of someone else; Life is a whole and Space for existence. The result raises concern about how the care needs to be adjusted to older people's needs as lived bodies. The encounter between the carer and the patient needs to be developed in order to get away from the view of the patient as object. An expanded vision may open up for existential dimensions of what brings meaning to life. One way, as described by the patients, is via the patient's life stories, through which the patients can be seen as a whole human being.
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| 2. |
- Lindberg, Elisabeth, et al.
(författare)
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Nurses’ Experience of Older Patient Involvement in Care with a Specific Focus on the Round
- 2011
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Konferensbidrag (refereegranskat)abstract
- Previous research shows that there are several challenges when the patient perspective is to permeate clinical practice. The present study is part of a larger research project in Sweden where researchers together in cooperation with a geriatric ward are developing forms for care based on the lifeworld perspective with the patient’s story in focus. The hierarchical structure of the health care sector along with the exposure of the patient role means that in many situations, the patient is assigned a passive role in care – especially the older ones. By tradition, the round is the time for crucial decisions that concern the patient’s care. Also in other ways, the round mirrors the hierarchical care structure. Thus, the studied phenomenon is as follows: How nurses experience patient involvement in care with a specific focus on the round. The preliminary results of the study show that through his/her approach, the nurse can either support patient participation or confirm prevailing hierarchical traditions where the patient is subordinated. Patients’ lived experiences of being involved in care will be described in a future study. In extent, the study can contribute to new knowledge about the phenomenon, Patient involvement in care with a specific focus on the round, both from a nurse and patient perspective, as well as give an insight to the use of phenomenological lifeworld research in a cooperation project between clinical caregivers and researchers.
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| 3. |
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| 4. |
- Lindberg, Elisabeth, et al.
(författare)
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Older patients’ participation in team meeting : A phenomenological study from the nurses’ perspective
- 2013
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 8
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Tidskriftsartikel (refereegranskat)abstract
- Although the importance of patient participation is acknowledged in today’s healthcare, many challenges remain beforepatient participation can become an integral part of care provision. The ward round has traditionally been the forum forcrucial decisions about patient care, but often with limited possibilities for patient participation. As part of the process ofimproving patient participation, the round in the present study has been replaced by a team meeting (TM) to which thepatient has been invited. The aim of this study is to highlight nurses’ experiences of older patients’ participation in TMs.The research process was guided by the principles of phenomenological reflective life world research. Data were collected in a Swedish hospital, in a ward specializing in older patients. Nine nurses, who had invited and planned for a patient toparticipate in TMs and/or had experienced TMs in which patients participated, were interviewed. The essential meaning ofpatient participation in the TM, as experienced by the nurses, is that patient participation can be supported by a saferelationship in which the patient can make his or her voice heard. Participation is challenged by the patients’ vulnerability and by the subordinated role assigned to the patient. The essential meaning is further described by its constituents: ‘‘the need for a guide,’’ ‘‘patient participation challenged by structures,’’ and ‘‘creating space for the whole human being.’’ In conclusion, the nurse plays a core role in guiding the patient in an unfamiliar situation. The meaning of patient participationin the TM needs to be discussed by professionals so that the patient perspective is present.
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| 5. |
- Lindberg, Elisabeth, et al.
(författare)
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The importance of existential dimensions in the context of the presence of older patients at team meetings-in the light of Heidegger and Merleau-Ponty's philosophy
- 2015
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 10, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study is to explore interpersonal dimensions of the presence of older patients at team meetings. The theoretical foundation of the study is grounded in caring science and lifeworld phenomenology. The results from two empirical studies, that indicated the need for a more in-depth examination of the interpersonal relationships when an older patient is present at a team meeting, were further explicated by philosophical examination in the light of Heidegger and Merleau-Ponty's philosophy. The empirical studies were performed in a hospital ward for older people, where the traditional rounds had been replaced by a team meeting, to which the patients were invited. The analysis of the general structure and philosophical examination followed the principles of reflective lifeworld research. The philosophical examination is presented in four meaning structures: mood as a force in existence; to exist in a world with others; loneliness in the presence of others; and the lived body as extending. In conclusion, professionals must consider patients' existential issues in the way they are expressed by the patients. Existence extends beyond the present situation. Accordingly, the team meeting must be seen in a larger context, including the patients' life as a whole, as well as the ontological and epistemological foundations on which healthcare is based. ©2015 E. Lindberg et al.
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| 6. |
- Lindberg, Elisabeth, et al.
(författare)
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'The responsibility of someone else' : a focus group study of collaboration between a university and a hospital regarding the integration of caring science in practice.
- 2012
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley-Blackwell Publishing Ltd.. - 0283-9318 .- 1471-6712. ; 26:3, s. 579-86
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The aim of the study was to develop insights into how nurses, senior preceptors and head nurses experience the integration of caring science in practice and how they value the contributions of nursing students to the integration of caring science in practice. BACKGROUND: Research still reveals differences between theory and practice by nursing students. In Sweden, clinical education units have become one way of creating consistency between university and health care practices on values of caring. METHOD: The study is hermeneutic in design comprising data from three focus group interviews. The participants include registered nurses, senior preceptors and head nurses. RESULT: The study shows that roles and mandates are not clearly defined between the different actors. The university and hospital collaboration in caring science integration was regarded as 'someone else's responsibility'. Research and development seemed excluded from the everyday life of the hospital units. The students seemed to fall somewhere between the hospital 'practice and concrete world of production' and the university 'theory world of education and research'. Three themes emerge: 'integration--someone else's responsibility', 'the hospital--a culture of production' and 'the hospital and the university--different realities'. DISCUSSION: The results suggest the need for professionals within health care and university to reflect on their responsibilities in terms of research and development. The ethos of caring science implies the alleviation of suffering and caring for vulnerable patients including research and development.
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