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| 2. |
- Andreae, Christina, et al.
(författare)
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Patients' Participation as It Appears in the Nursing Documentation, When Care Is Ruled by Standardized Care Plans
- 2011
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Ingår i: ISRN Nursing. - : Hindawi Limited. - 2090-5483 .- 2090-5491. ; 2011:Article ID 707601, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to describe inpatients with myocardial infarction and their participation in care as documented in the nursing records when standardized care plans are used in care. The use of standardized care plans not only has increased the quality of medical treatment but has also overlooked patients' opportunities to participate in their own care. There is a lack of knowledge about how standardized care plans influence patients' participation in nursing care. Data were collected from thirteen patients' records with diagnoses of myocardial infarction. Participation in the decision-making process and participation associated with “sharing with others” were searched for in the analysis. The analytical process was guided by content analysis. The findings were grouped into two categories: patients' intermediary participation and patients' active participation. The main results indicated that patients' intermediary participation depended on healthcare professionals' power to rule the nursing care situation.
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| 3. |
- Bonander, Kristina, et al.
(författare)
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Telefonmötets vårdrelation
- 2007
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 86:27, s. 4-8
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Tidskriftsartikel (refereegranskat)abstract
- Background: A large part of the work a nurse conducts at a Primary Care Centre consists of counselling patients over the phone. The patients are sorted and prioritised on the basis of these conversations. Aim: The aim of this study is to describe how the patients experience the caring relationship with the nurse during phone counselling at a Primary Care Centre. Method: In-dept interviews were conducted with ten adult Swedish speaking persons who contacted a nurse at two Medical Care Centres, during a two week period. Results: The patients experienced that they received a good caring relationship with the nurses. This meant to be treated friendly, be taken seriously and to be able to have a dialog about their problems with the nurse. They wanted to feel unique, empowered and treated as individuals. They could sometimes feel disappointed when an unbalance occurred between the expectations of the patients and the advice they received. Nurses that were stressed influenced the caring relationship in a negative way. Conclusions: Overall the patients experienced a good caring relationship with the nurses, but the nurses were not always aware of how they where perceived.
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| 4. |
- Breitholtz, Agneta, et al.
(författare)
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Carers’ ambivalence in conflict situations with older persons
- 2013
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 20:2, s. 226-237
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this study was to illuminate the meaning of professional carers’ experiences in caring situations when a conflict of interest arises with the older person receiving care. The findings reveal the complexity of the carers’ ambivalence when facing a conflict of interest, weighing between the older persons’ right to self-determination and external demands. The carers are alone in their ambivalence and the conclusion is that they need help and support to be more present in the encounter. The implication for this study is a person-centred practice, and to focus on people as interdependent on support carers to maintain older people’s right to self-determination in the relationship.
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| 5. |
- Breitholtz, Agneta, et al.
(författare)
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Living with Uncertainty : Older Persons’ Lived Experience of Making Independent Decisions over Time
- 2013
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Ingår i: Nursing Research and Practice. - : Hindawi Publishing Corporation. - 2090-1429 .- 2090-1437. ; 2013
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to illuminate the meaning of older persons’ independent decision making concerning their daily care. Autonomy when in care is highly valued in the western world. However, research shows that autonomy can give rise to problematic issues. The complexity of independence and dependence for older people when living at home with help has also been highlighted. In Sweden, older people are increasingly expected to live at home with help from municipal home care services, and study into this aspect of care is limited. This study is a part of an ongoing project and has a qualitative life world perspective. Audiotaped narrative interviews were conducted and analysed using a phenomenological hermeneutic method. Findings revealed a main theme: “living with uncertainty as to how to relate one’s own independence and dependence with regard to oneself, and others.” This involves a constant process of relating to one’s independence controlled by others or oneself, and adjusting one’s independence and dependence with regard to oneself and others. The conclusion is that professional carers need to acknowledge the changing vulnerability of dependent older persons over time. The implication is a relational approach to autonomy beyond the traditional individualistic approach.
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| 6. |
- Breitholtz, Agneta, et al.
(författare)
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Older people’s dependence on caregivers’ help in their own homes and their lived experiences of their opportunity to make independent decisions
- 2013
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Ingår i: International Journal of Older People Nursing. - : Wiley. - 1748-3735 .- 1748-3743. ; 8:2, s. 139-148
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to illuminate the meaning of older people’s dependence on caregivers’ help, and of their opportunity to make independent decisions.Background. Throughout the world, the older population is growing, and in Sweden, the system of care for older people is currently undergoing change. Older people in the need of care are expected to live at home for as long as possible.Design.A qualitative and life world approach was used.Methods. Audio-taped interviews were conducted with twelve older persons living at home, dependent on daily municipal home help service. A phenomenological hermeneutic method was utilised to disclose the meanings of lived experiences.Finding. The findings revealed three themes : being facilitated to make one’s own decisions, being hindered from making one’s own decisions, struggling for vs. resigning oneself to losing the opportunity to make one’s own decisions.The comprehensive understanding revealed that as older people become more dependent on caregivers’ help, their opportunity to self-determine is challenged and this is stressful for them.Conclusion. The older persons assess their opportunity to self-determine differently, depending on who they are as a person. The caregivers need an awareness of this, and further research is needed to gain knowledge and understanding of how caregivers can improve the way they support and enhance older people’s opportunity to decide for themselves.Implications for practice. The findings revealed older persons need to exercise more self-determination and caregivers’ need for knowledge to enable this. Further, it indicates a move towards a person-centred approach to focus on persons as individuals and see them as interdependent. The findings contribute to improvements in similar contexts worldwide.
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| 7. |
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| 8. |
- Gustafsson, Christine, 1967-, et al.
(författare)
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Trust leading to hope - the signification of meaningful encounters in Swedish healthcare. The narratives of patients, relatives and healthcare staff
- 2013
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Ingår i: International Practice Development Journal. - 2046-9292. ; 3:1, s. 1-13
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Tidskriftsartikel (refereegranskat)abstract
- Background: The fact that patients and relatives experience poor healthcare encounters is evident in the number of complaints to patients’ advisory committees, and from studies and statistics. Looking at ‘the other side of the coin’, research into good caring encounters experienced as meaningful encounters in healthcare is scarce.Aim: To illuminate the signification of meaningful encounters in healthcare. 124 narratives from patients, relatives and healthcare staff regarding experiences of meaningful encounters in Swedish healthcare were analysed using a phenomenological hermeneutic research method.Conclusions: The results indicate that a meaningful encounter means gratefulness, is founded on trust, cooperation and courage, and results in self-trust through wellbeing, increased understanding and life-changing insights. The encounters have given insight into, and increased understanding of, the patient’s own life, the families’ lives, and/or healthcare professionals’ lives. With this, and awareness of the importance and power of meaningful encounters, healthcare staff might use a meaningful encounter as a powerful instrument in caring.Implications for practice:For patients and relatives, trust derived from meaningful encounters in healthcare leads to self-trustCaring within healthcare consisting of meaningful encounters, ‘the other side of the coin’ gives important knowledge that could facilitate improvements in healthcare staff’s encounters with patients and relatives, and also enrichment in their own professional developmentIncreased understanding and awareness of the power of meaningful encounters can be discussed in terms of patient safety
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| 9. |
- Gustafsson, Lena-Karin, 1966-, et al.
(författare)
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The meaningful encounter : Patient and next of kin stories about their experience of meaningful encounters in health care
- 2013
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Ingår i: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 20:4, s. 363-371
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Tidskriftsartikel (refereegranskat)abstract
- This study focuses on the meaningful encounters of patients and next of kin, seen from their perspective. Identifying the attributes within meaningful encounters is important for increased understanding of caring and to expand and develop earlier formulated knowledge about caring relationships. Caring theory about the caring relationship and provided a point of departure for the study. The aim of this study was to illuminate the meaningful encounter in health care contexts narrated by patients and next of kin. A qualitative explorative design with a hermeneutic narrative approach was used to analyze and interpret the written narratives. Phases were: Naïve interpretation, structure analysis on two different levels a) analysis of narrative structure b) analysis of deep structure through metaphors and finally a dialectic interpretation. In the narratives the meaning of the meaningful encounter was sharing, a nourishing fellowship, common responsibility and coming together experienced as safety and warmth and gives, by extension, life changing moments, a healing force and dissipated insight. The meaningful encounter can be seen as a complex phenomenon that has different attributes. Understanding the meaningful encounter will enable nurses to plan and provide professional care, based on caring science focusing on patient and next of kin experience.
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| 10. |
- Ingrid, Snellman, 1949-
(författare)
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Den mänskliga professionaliteten : En filosofisk undersökning av det autentiska mötets betydelse för patientens välbefinnande
- 2001
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The following study is based on observations made in practical medical and nursing care. A practical medical and nursing care problem is introduced, in which an imbalance is shown between the expectations on medical and nursing staff expressed by the patient and the fact that the medical and nursing staff has not had the opportunity to develop the ability to notice and meet the expectations of the patient. In order to solve the above-mentioned complex, practical medical and nursing care problem, it is essential to analyse such terms as: ‘authentic encounter’, ‘health’, ‘emotion’ and ‘personhood’ in order, thereby, to define the necessary conditions for a patient-carer encounter in which the independence and dignity of the patient is respected and active participation in the patient’s own health status is facilitated. In order for the patient’s independence and dignity to be respected, the following conditions for the authentic encounter are discussed. One such fundamental condition for the authentic encounter is Martin Buber’s modified I-Thou relation, the characteristics of which are mutuality, acceptance and confirmation. The ability of medical and nursing staff to create such an encounter based on these characteristics is also emphasised in order to safeguard the dignity of the patient. In addition to the modified I -Thou relation, a number of other prerequisites are discussed, attention to which is essential when creating an authentic encounter. One such condition is the view of health held by the carer. A review of various perspectives on health shows that an individual oriented, social approach is applicable since the outlook on humankind characterising such an approach is that of seeing the patient as a freely acting being with abilities of his own. Another condition for the authentic encounter is the interactive attitude described by Martha Nussbaum, which stresses the importance of getting to know one’s own emotions by accepting them but also by trusting others. Finally, the concept of personhood is discussed in order to clarify a further condition for the authentic encounter, namely, that the carer show consideration for the patient as the person she or he actually is. Making this possible demands a non-static conception of personhood, the fundamental idea of which is that the encounter takes place on the basis of the patient’s abilities and resources.
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