| 1. |
- Springett, Jane, 1952-, et al.
(författare)
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Annual report 2004
- 2005
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Rapport (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Jakobsson, Liselotte, 1953-, et al.
(författare)
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Daily life and life quality 3 years following prostate cancer treatment
- 2013
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Ingår i: BMC Nursing. - : BioMed Central (BMC). - 1472-6955 .- 1472-6955. ; 12, s. 11-
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Knowledge of experiences from prostate cancer is sparse in a longitudinal perspective. From a nursing perspective, results from combined qualitative and quantitative studies are lacking however would present the broadest knowledge base for best practice. Present descriptions of medical-physical symptoms such as urinary, bowel and sexual dysfunction from quantitative inquiries need be complemented with qualitative results. Such knowledge is essential in relation to treatment and communication with patients over the years and not only shortly after surgery.METHODS: A longitudinal study was formatted to investigate general and specific health quality and sense of coherence quantitative alterations over three years. A general health quality module (EORTC QLC-C30) and a disease-specific module (EORTC PR-25) were applied for the longitudinal study together with the Orientation to life questionnaire (SOC), measuring a persons' sense of coherence. In order to strengthen reliability and compensate for low participation we used the Directed content analysis for interviewing and analysis. The method allows using findings from earlier research when interviewing along with detecting new areas. Twenty-one men were followed over three years and six of them, in the third year, accepted to be interviewed.RESULTS: We found high quality of life ratings and extended the study with follow-up interviews in year three, to investigate whether questionnaire results were in line with interview findings. We found high life quality and functioning ratings that were in line with qualitative descriptions. Interview analysis showed retrieval of life as lived before, yet in a different way, the men never forgot the diagnosis event, had a unique illness history worth hearing, and had come to terms with most treatment-related shortcomings. Sense of coherence ratings were medium to high and confirmed stability over time in comprehensibility, manageability and meaningfulness after prostate cancer treatment.CONCLUSIONS: Over the years, the men's negative experiences from shifted into 'a good life' though in a different way than before. The interpretation is supported in the study by quantitative results showing a high degree of functioning. The men's sense of coherence seamed to support their handling of life three years after prostate cancer treatment.
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| 3. |
- Persson, Lena, 1951-, et al.
(författare)
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Acute leukaemia and malignant lymphoma patients' experiences of disease, treatment and nursing care during the active treatment phase : an explorative study
- 1995
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Ingår i: European Journal of Cancer Care. - : John Wiley & Sons Inc.. - 0961-5423 .- 1365-2354. ; 4:3, s. 133-142
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Tidskriftsartikel (refereegranskat)abstract
- Five acute leukaemia or high malignant lymphoma patients at a hospital in southern Sweden were interviewed about their daily living problems, their coping strategies and their opinions about the nursing care they received during the active phase of their treatment. In addition the EORTC QLQ-C30, the Global Life Quality and the Sense of Coherence scales were administered. The data were analysed from a hermeneutic phenomenological perspective and interpreted to indicate that the patients sensed a threat to their lives, loss of control and having to live in uncertainty stemming from the disease and the treatment. They had problems with such things as fatigue, diarrhoea, nausea and vomiting, loss of appetite, sore mouth, and high temperature. However they seemed to minimise the importance of these problems and instead focused on gaining control of the situation, developing their knowledge of the disease and relying on the support of their family. Contradictions appeared in their statements about the quality of care; the information given was said to be good but difficult to understand, though the quality of the nursing care was judged to be high it had to be asked for i.e. help was received on request. In conclusion the entire situation of the patients perspective of both from the family and the nurses, needs to be studied in further research in order to fully understand the patients´ coping strategies and how nursing care can support them.
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| 4. |
- Persson, Lena, 1951-, et al.
(författare)
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Spouses' view during their partners' illness and treatment
- 1998
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Ingår i: Cancer Nursing. - : Lippincott Williams & Wilkins. - 0162-220X .- 1538-9804. ; 21:2, s. 97-105
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Tidskriftsartikel (refereegranskat)abstract
- Nine spouses of people who had suffered from acute leukaemia or highly malignant lymphoma were interviewed about their experiences of everyday life throughout their partner’s illness and treatment, and their view of the professional care provided. The transcribed texts were subjected to phenomenological-hermeneutic analysis. The spouses felt they were in a situation of overall severe crisis i.e. experiencing feelings of distress, restrictions and limited or lack of support. The analysis revealed three family types: the couple acting as a unit, the couple acting independently on equal terms, and the couple acting separately with the spouse in a subordinate position. The spouses´ evaluation of the entire experience varied according to the family type and the spouses´ personal resources, which influenced the availability and utilization of their social network and the support of health care staff. Contentment was related to the couple acting as a unit or the couple acting independently on equal terms and taking control over the situation, actively asking for support and requiring the staff to meet their needs. Discontentment was related to subordination of the spouse to the partner or to health care staff, and failure to obtain support within the couple or from others. Empowering the spouses may mean helping them develop their skills, providing opportunities and authority and gaining access to resources based on knowledge of the family type, the consent of the partner and the spouses´ freedom to make choices. This may well lead to increased efficiency and have positive effects for the patients, the spouses and for them both as a couple.
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| 5. |
- Glimelius Petersson, Cecilia, et al.
(författare)
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Sjuksköterskors registrering av vårdtyngd på en intensivvårdsavdelning - en undersökning av instrumentets validitet och reliabilitet
- 2005
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 25:2, s. 25-30
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Tidskriftsartikel (refereegranskat)abstract
- Nursing workload according to Vårdtyngd Lund (VTL) has been registered at the unite since 1992. An earlier study showed that nurses interpreted the indicators of the instrument and the general outlines for using it differently. The aims of this study were to investigate the ability of VTL to discriminate among different patients, the internal consistency of the indicators of the instrument and the inter-rater reliability. Thirty-one nurses independently rated the workload of six patients earlier cared for at the unite. The results indicate that the instrument may have a low discriminative power. Cronbach`s alpha was 0.7. A high percentage of agreement (> 90 %) was found in 26 % of the measurements. In 10 % the agreement was very low (< 50%). The correlation measured as weighted kappa varied between 0.18 – 0.64. The results indicate that the indicators and the manual need to be developed further and more clearly defined so that the nurses can use them in a congruent way.
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| 6. |
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| 9. |
- Nilsson, Gabriella, et al.
(författare)
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Childhood abuse in Swedish female users of psychiatric services
- 2005
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Ingår i: Journal of Psychiatric and Mental Health Nursing. - 1351-0126 .- 1365-2850. ; 12:3, s. 365-371
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The aims of this study were to investigate: (1) the prevalence of childhood abuse in women admitted to psychiatric services in a county in the south of Sweden; (2) who the perpetrators were; and (3) the women's self-reported consequences of childhood abuse. Method: The study had a cross-sectional design and was a part of a more comprehensive study. An anonymous self-reported questionnaire was used which included both closed and open-ended questions. The data material were analysed by means of descriptive statistics, Mann–Whitney U-test and manifest content analysis. Results: The total number of women who participated in the study was 259, 51% of whom reported experiences of abuse during childhood, with 53% of these having been exposed to more than one type of abuse. The most frequent perpetrator was the woman's parents; mainly the fathers but also the mothers turned out to be frequent perpetrators of abuse. Some 75% of the women reported current psychological problems in adulthood related to abuse in childhood. According to a manifest content analysis, five themes of self-reported psychological problems emerged: psychiatric problems, shortcomings in social relations, poor self-confidence, fears and bad memories.
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| 10. |
- Pajalic, Zada, 1967-, et al.
(författare)
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Evaluation for change, the decision maker’s involvement in the development of food distribution to home living elderly people
- 2012
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Ingår i: International Conference Interprofessional Partnership: Improvement for Global Health Outcomes Thailand.
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Konferensbidrag (refereegranskat)abstract
- Findings from international research as well as fromSwedenshow that food distribution as a single intervention involves various professional groups on the various levels in organisation. The present research is one of several Action Research projects initiated as a result of a resolution on the highest political level aiming at achieving improvements within the care and service through collaboration between different levels in the organisations. The overall aim of this specific study is to describe the “top-down” perspective i.e. decision-makers involvement in identifying areas for the development of the food distribution chain. Data was collected in two steps, firstly by individual interviews with decision makers and secondly by group discussions. The group discussions were based on findings from individual interviews and results from two previous studies focused on interviews with various professionals and food distribution recipients. The findings were that food distribution was seen as a multifaceted system that included three interrelated issues: the administration of work, the professional’s competence in nutrition and the relationship between various professional groups. To achieve a change, the central component of complexity needs to be clarified. When the issues are multifaceted the solutions need to regard the whole picture rather than its parts. Keywords: action research, decision-makers, food distribution in Swedish context, “top-down” perspective The short paper and presentation would fit in the key theme Health Care Management of the congress.
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