| 1. |
- Carlsson, Gunilla, et al.
(författare)
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Det nakna vårdandet
- 2008
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Rapport (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Ellingsen, Sidsel, 1959-, et al.
(författare)
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Being in transit and in transition : The experience of time at the place, when living with severe incurable disease - a phenomenological study
- 2014
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Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 28:3, s. 458-468
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to describe the experience of time as it presents itself at the place being situated when living with severe incurable disease and receiving palliative care. The empirical data consist of 26 open-ended interviews with 23 patients receiving palliative care at home, at a palliative day care, in a palliative bed unit in hospital or in a nursing home in Norway. A common meaning of a shifting space for living emerged from the analysis and was revealed through three different aspects: (i) Transition from a predictable to an unpredictable time: To live with severe incurable disease marks a transition to a changed life involving an ongoing weakened and altered body with bothersome symptoms making experience of time different and unpredictable. (ii) Transition between a safe and unsafe time: When time is unpredictable, feeling safe is revealed as essential to how time is experienced at the place being situated. (iii) To be in transition from a homely to a homeless existence: In a time of increased bodily weakness, unpredictable ailments and displacements, the sense of belonging to the place is revealed as significant to the experience of time. Not knowing where to be in a time of change is like an existential cry of distress where the foothold in existence is lost. The findings are discussed and interpreted as an embodied experience originating from the passage of time continually affecting life sometimes so fundamentally that it marks a transition to a changed space of life that is reflected in the experience of time. © 2013 Nordic College of Caring Science.
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| 3. |
- Ellingsen, Sidsel, 1959-, et al.
(författare)
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Entering a World with No Future : A phenomenological study describing the embodied experience of time when living with severe incurable disease
- 2013
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Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 27:1, s. 165-174
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Tidskriftsartikel (refereegranskat)abstract
- A phenomenological study describing the embodied experience of time when living with severe incurable disease This article presents findings from a phenomenological study exploring experience of time by patients living close to death. The empirical data consist of 26 open-ended interviews from 23 patients living with severe incurable disease receiving palliative care in Norway. Three aspects of experience of time were revealed as prominent: (i) Entering a world with no future; living close to death alters perception of and relationship to time. (ii) Listening to the rhythm of my body, not looking at the clock; embodied with severe illness, it is the body not the clock that structures and controls the activities of the day. (iii). Receiving time, taking time; being offered - not asked for - help is like receiving time that confirms humanity, in contrast to having to ask for help which is like taking others time and thereby revealing own helplessness. Experience of time close to death is discussed as an embodied experience of inner, contextual, relational dimensions in harmony and disharmony with the rhythm of nature, environment and others. Rhythms in harmony provide relief, while rhythms in disharmony confer weakness and limit time. © 2012 The Authors. Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.
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| 4. |
- Ellingsen, Sidsel, 1959-, et al.
(författare)
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Experience of Time when Living with Incurable Disease : A Qualitative Study
- 2011
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Ingår i: 12th Congress of the European Association for Palliative Care (EAPC), Lisbon, Portugal, 18-21 May, 2011. - Newmarket : Hayward Medical Communications. ; , s. 190-190
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: The healthcare system’s unilateral focus on clock time has given motivation to explore the diversity of time and in particular the impact of time in vulnerable patients. When living with severe incurable disease, the diversity and impact of time become prominent.Aim: Knowledge on patients’ experiences of time may be helpful both in planning, organizing, preparing and performing treatment and care for patients with short life expectancy. Especially to open up the communication with the patient and his/her relatives, this knowledge is important and therefore of general interest.Theoretical frame: The philosophical and theoretical approach in this study is phenomenological. Edmund Husserl, the founder of modern phenomenology, has stated that consciousness of time is the most important area in phenomenology. Martin Heidegger, known as a master in phenomenology after Husserl, emphasizes the impact of our relationship to time with respect to being.Method: An unstructured open-ended in-depth interview has been used with support of a theme guide reflecting different aspects of time. The data consist of 26 interviews from 23 participants receiving palliative care. The study was carried out from April 2009 to February 2010 in the respondent’s home or at different palliative care units in Hordaland County in Norway.Preliminary result: Time, context and care are related. The patients feeling of security for themselves and their relatives determine whether the time feels good or bad. It is evident that our relationship to time is expressed by body language. The body also communicates a rhythm, when health worker and the patients have different rhythm the care can become an unpleasant experience. Patients, relatives and health workers are in different aspects of time, normally we are prospective, when death are approaching the future become uncertain, which can entail that it is a challenge to meet in harmony in the present.
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| 5. |
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| 6. |
- Ellingsen, Sidsel, et al.
(författare)
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The pendulum time of life : the experience of time, when living with severe incurable disease—a phenomenological and philosophical study
- 2015
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Ingår i: Medicine, Health care and Philosophy. - Dordrecht : Springer Netherlands. - 1386-7423 .- 1572-8633. ; 18:2, s. 203-215
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to gain a deeper understanding of the experience of time when living with severe incurable disease. A phenomenological and philosophical approach of description and deciphering were used. In our modern health care system there is an on-going focus on utilizing and recording the use of time, but less focus on the patient’s experience of time, which highlights the need to explore the patients’ experiences, particularly when life is vulnerable and time is limited. The empirical data consisted of 26 open-ended interviews with 23 participants receiving palliative care at home, in hospital or in a nursing home in Norway. The theoretical frameworks used are mainly based upon K. Martinsens philosophy of care, K. E. Løgstrup phenomenological philosophy, in addition to C. Saunders’ hospice philosophy, L. Feigenberg’s thanatology and U. Qvarnström’s research exploring patient’s reactions to impending death. Experience of time is described as being a movement that moves the individual towards death in the field of opposites, and deciphered to be a universal, but a typical and unique experience emerging through three integrated levels: Sense of time; where time is described as a movement that is proceeding at varying speeds. Relate totime; where the awareness of limited life changes the understanding of time to be more existential. Being in time; where limited time seems to clarify the basic living conditions and phenomena of life. The existence of life when the prospect of death is present is characterized by emotional swings that move within polarizing dimensions which is reflected in the experience of time illustrated as the moves of the pendulum in a grandfather clock. The diversity of the experience of time is oscillating between going fast or slow, being busy or calm, being unpredictable but predictable, safe or unsafe and between being good or bad, depending on the embodied situation of the individual. © 2014, Springer Science+Business Media Dordrecht.
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| 7. |
- Eriksson, Monica, 1952-, et al.
(författare)
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Conceptual Clarification of Wellness and Sense of Coherence (SOC). : Rodgers' evolutionary concept analysis in health care settings
- 2018
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Ingår i: Nordic Conference in Nursing Research Methods and Networks for the future. - 9788299531528 ; , s. 31-31
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Konferensbidrag (refereegranskat)abstract
- Background: Clarification of concepts is important in the process of developing theories and concepts. The concept of «wellness» is frequently used, but the content is still unclear. Is the content of «wellness» the same as «health»,«sense of coherence», «wellbeing», «spirituality», «quality oflife» or another contentObjective: To conceptually explore the concept of«wellness» in health care settings, and relate the results to the salutogenic core concept SOC.Method: Rodger's evolutionary concept analysis is used for the theoretical analysis of the data. The focus has been on attributes, related concepts, consequences, antecedents,references, exemplars and implications. The literature search has been performed through manual review of reference lists and online search in databases for relevant papers. The abstracts has been examined to identify relevant studies for further review. The inclusion criteria was peer reviewed papers in English, published in scientific journals using the keywords wellness/health/health care/healthcare and wellness/sense of coherence/salutogenesis, discussing and/or defining the concept of wellness. The search was run in Cinahl and PubMed via EBSCO and in ProQuest. Results: Fifty studies met the inclusion criteria. Preliminary results confirm a multidimensional property of «wellness». It seems to be used interchangeable with related concepts such as «health», «SOC», «wellbeing», «spirituality» or«quality of life» without a deeper clarification of theoretical aspects. A general impression is that wellness is strongly related to individual lifestyle and health behavior.
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| 8. |
- Eriksson, Monica, 1952-, et al.
(författare)
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Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis
- 2024
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Ingår i: Scandinavian Journal of Caring Sciences. - West Sussex : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 38:1, s. 185-99
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Tidskriftsartikel (refereegranskat)abstract
- Background: Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear. Aim: To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science. Method: Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria. Results: Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented. Conclusion: Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoretical foundation.
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| 9. |
- Holmqvist, Gärd, 1950-
(författare)
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Bildterapi – en väg till inre förändring och förbättrad hälsa
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Avhandlingens övergripande syfte var att undersöka bildterapins möjlighet att bidra till inre förändring och förbättrad hälsa hos individen. Med inre förändring avses en strukturell och varaktig förändring som sker på ett psykologiskt djupare plan, till skillnad mot en yttre och mer tillfällig förändring. Den bildterapeutiska behandlingen bygger på en kombination av bildskapande och olika grad av reflekterande, bearbetande samtal. En triangulär relation, patient – bild – terapeut, är det som på ett avgörande sätt skiljer bildterapi från andra verbala behandlingsmetoder.Avhandlingens design var främst kvalitativ, med undantag för delstudie I som var en review. I delstudie I granskades studier om bildterapi för tre olika patientgrupper. En kvalitetsbedömning genomfördes med två olika system för evidens. I delstudie II djupintervjuades kvinnor om upplevelser av inre förändring och om den visat sig i utvalda målade bilder. Intervjuerna analyserades med deduktiv och induktiv innehållsanalys. I delstudie III ställdes via e-post två öppna enkätfrågor till bildterapeuter om vad de uppfattade som en inre förändring hos patienten. Data analyserades med tematisk analys. I delstudie IV genomfördes en sekundäranalys av intervjuerna från delstudie II. Utifrån ett teoretiskt perspektiv undersöktes förekomst av vitalitetsaffekter och grundaffekter samt deras betydelse för inre förändring. En deduktiv innehållsanalys genomfördes.I avhandlingen beskrivs inre förändring och förbättrad hälsa ur tre olika perspektiv; en grupp kvinnliga patienters upplevelser, en grupp bildterapeuters uppfattningar samt ur ett teoretiskt perspektiv. Resultatet visar att bildterapi kan bidra till en varaktig inre förändring som innebär identitetsförändring, förändrat beteende och förbättrad hälsa. Kvinnor som inte upplevt en inre förändring fann att bildterapin var ett stöd i vardagen. Existentiella frågor om meningen med livet var centrala både i kvinnornas och i bildterapeuternas utsagor. Resultatet visar att den terapeutiska alliansen och förmågan att utveckla en reflektiv distans till bilden är avgörande för om en individuell inre förändring är möjlig. Vidare är det viktigt med ett utforskande förhållningssätt och samtal om bildens betydelse för att en inre förändring skall kunna ske. En bildterapeutisk förändringsprocess innehåller vitalitetsaffekter och grundaffekter. Den leder till ökad insikt och medvetenhet om känslor. Den förbättrar självbilden, ökar autenticitet och autonomi, samt ger vidgade perspektiv.Avhandlingen bidrar till ökad kunskap om inre förändring och förbättrad hälsa genom behandling med bildterapi. Genom att beskriva och visa på att inre förändringar sker, beskriva vad i terapin som upplevs och bedöms som en inre förändring och att bekräfta inre förändring utifrån bakomliggande teorier, kan avhandlingen bidra till att avmystifiera den konstnärsmyt som ofta omger bildterapin och göra den mer förklarbar. Avhandlingen kan bidra till förbättrad kommunikationen mellan bildterapeuter och vårdgivare avseende metodens möjligheter och begränsningar. Vården kan därigenom överväga att använda bildterapi både som ett komplement eller ett alternativ till annan behandling.
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| 10. |
- Holmqvist, Gärd, 1950-, et al.
(författare)
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Expressions of vitality affects and basic affects during art therapy and their meaning for inner change
- 2019
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Ingår i: International Journal of Art Therapy. - Abingdon : Taylor & Francis. - 1745-4832 .- 1745-4840. ; 24:1, s. 30-39
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the occurrence of vitality affects and basic affects and to shed light on their importance in terms of patients' inner change through art therapy. In an earlier study, where 17 women were interviewed about inner change through art therapy, a secondary deductive content analysis of images and statements was performed exploring the presence of vitality affects and basic affects. Nine of the 17 interviews contained clear descriptions of vitality affects and basic affects in the intersubjective communication between the patient and the therapist, these affects were also mirrored in the patients’ painted images.Three cases are used to illustrate the result and how affects were related to inner change. These three cases differ from each other in that they described vitality affects either arising from the art therapist’s empathetic verbal or non-verbal response, from a particular experience in nature, or from the interpreted symbolic language of the image. The common denominator uniting the three cases was the intersubjective communication with the therapist. This study indicates that image making in art therapy gives rise to vitality affects and basic affects that contributes to inner change. It also indicates the importance of having trust in both the method and the art therapist.
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