| 1. |
- Thulesius, Helle L, et al.
(författare)
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What happens to patients with nasal stuffiness and pathological rhinomanometry left without surgery?
- 2009
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Ingår i: Rhinology. - 0300-0729 .- 1996-8604. ; 47:1, s. 24-7
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Tidskriftsartikel (refereegranskat)abstract
- In this study we explored long term outcomes of patients with nasal stuffiness and high nasal airway resistance (NAR) that did not undergo nasal surgery. The same investigation was repeated on average 8 years after a baseline investigation with an ENT-examination, a rhinomanometric survey and a rhinomanometry. We did follow-up investigations in 44 out of 59 non-operated patients with a pathological NAR on at least one side. At follow-up 2 persons (4%) had no complaints, 14 (32%) had reduced, 22 (50%) unchanged, and 6 (14%) increased complaints of nasal stuffiness. Rhinomanometry showed that NAR values decreased significantly between baseline and follow-up on both wider and narrower sides after decongestion. There was no correlation between subjective nasal complaints and NAR-values. In logistic regression models increasing age and allergy prevalence at baseline were significantly associated with having no, or reduced nasal stuffiness at follow-up. The results show that both NAR and subjective nasal stuffiness decreased with age. Consequently, we suggest that NAR normal values should be age adjusted. Also, a wait and see policy towards nasal stuffiness seems relevant since 36% of our patients had no or reduced nasal stuffiness while their NAR-values were reduced after 8 years.
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| 2. |
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| 3. |
- Helgesson, Gert, et al.
(författare)
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Reasoning about physician-assisted suicide : analysis of comments by physicians and the Swedish general public
- 2009
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Ingår i: Clinical Ethics. - : Sage Publications. - 1477-7509 .- 1758-101X. ; 4:1, s. 19-25
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Tidskriftsartikel (refereegranskat)abstract
- Two questionnaires directed to Swedish physicians and a sample of the Swedish population investigated attitudes towards physician-assisted suicide (PAS). The aim of the present work was to analyse qualitative data from these questionnaires in order to explore how respondents reason about PAS. Data were analysed in two steps. First, we categorized different kinds of responses and identified pro and con arguments. Second, we identified general conclusions from the responses. The data reflect the differences in attitudes towards PAS among the public and physicians, with the former mainly in favour of PAS and the latter mainly against. There was, however, considerable agreement about what requirements must be met before PAS could be considered ethical. Many arguments against PAS concerned the professional role of physicians, which indicates that it may not be assisted suicide as such that many PAS opponents disagree with, but rather that it is handled by physicians in the regular health-care system.
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| 4. |
- Lynoe, Niels, et al.
(författare)
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Teaching medical ethics: what is the impact of role models? Some experiences from Swedish medical schools
- 2008
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Ingår i: Journal of Medical Ethics. - : BMJ. - 1473-4257 .- 0306-6800. ; 34:4, s. 315-316
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Tidskriftsartikel (refereegranskat)abstract
- The goal of the present study was to elucidate what influences medical students' attitudes and interests in medical ethics. At the end of their first, fifth and last terms, 409 medical students from all six medical schools in Sweden participated in an attitude survey. The questions focused on the students' experience of good and poor role models, attitudes towards medical ethics in general and perceived effects of the teaching of medical ethics. Despite a low response rate at some schools, this study indicates that increased interest in medical ethics was related to encountering good physician role models, and decreased interest, to encountering poor role models. Physicians involved in the education of medical students seem to teach medical ethics as role models even when ethics is not on the schedule. The low response rate prevents us from drawing definite conclusions, but the results could be used as hypotheses to be further scrutinised.
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| 5. |
- Lynöe, Niels, et al.
(författare)
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Enkätstudie om medicinsk etik i läkarutbildningen: Goda förebilder och tid för reflektion saknas
- 2007
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Ingår i: Läkartidningen. ; 9:104, s. 676-678
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Tidskriftsartikel (refereegranskat)abstract
- Cirka tre fjärdedelar av läkarstuderande har varit i kontakt med goda förebilder, och drygt hälften har varit i kontakt med dåliga.En tiondel av läkarstuderande har enbart varit i kontakt med dåliga förebilder.Mindre än 40 procent har varit med om att läkare/lärare lyft fram etiska problem, och fler har erfarenhet av att läkare/ lärare enbart ger sin egen bedömning utan att ge utrymme för diskussion.Det förefaller vara riskabelt att enbart förlita sig på att läkare/lärare fungerar som goda förebilder och att etikdiskussionen är integrerad i den kliniska undervisningen.För att utveckla ett etiskt förhållningssätt bör undervisningen i medicinsk etik kompletteras med kunskaper i den etiska grammatiken.
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| 6. |
- Lynöe, Niels, et al.
(författare)
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Goda förebilder och tid för reflektion saknas : enkätstudie om medicinsk etik i läkarutbildningen
- 2007
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Ingår i: Läkartidningen. - Stockholm : Sveriges läkarförbund. - 0023-7205 .- 1652-7518. ; 104:9, s. 676-678
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Tidskriftsartikel (refereegranskat)abstract
- Cirka tre fjärdedelar av läkarstuderande har varit i kontakt med goda förebilder, och drygt hälften har varit i kontakt med dåliga. En tiondel av läkarstuderande har enbart varit i kontakt med dåliga förebilder. Mindre än 40 procent har varit med om att läkare/lärare lyft fram etiska problem, och fler har erfarenhet av att läkare/lärare enbart ger sin egen bedömning utan att ge utrymme för diskussion. Det förefaller vara riskabelt att enbart förlita sig på att läkare/lärare fungerar som goda förebilder och att etikdiskussionen är integrerad i den kliniska undervisningen. För att utveckla ett etiskt förhållningssätt bör undervisningen i medicinsk etik kompletteras med kunskaper i den etiska grammatiken.
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| 7. |
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| 8. |
- Sandgren, Anna, 1970-, et al.
(författare)
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Anticipatory Caring
- 2008
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Ingår i: The Grounded Theory Review. - 1556-1542 .- 1556-1550. ; 7:3
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Tidskriftsartikel (refereegranskat)abstract
- Today, more and more people die in own homes and nursinghomes, which fundamentally affects community nursing. The aimof this study was to develop a grounded theory of palliative homenursing care and we analyzed interviews and data related to thebehavior of community nurses caring for palliative cancerpatients. Doing Good Care emerged as the pattern of behaviorthrough which nurses deal with their main concern, their desireto do good care. The theory Doing Good Care involves threecaring behaviors; anticipatory caring, momentary caring andstagnated caring. In anticipatory caring, which is the optimalcaring behavior, nurses are doing their best or even better thannecessary, in momentary caring nurses are doing bestmomentarily and in stagnated caring nurses are doing good butfrom the perspective of what is expected of them. When nursesfail in doing good, they experience a feeling of letting the patientdown, which can lead to frustration and feelings of powerlessness.Depending on the circumstances, nurses can hover between thethree different caring behaviors. We suggest that healthcareproviders increase the status of palliative care and facilitate fornurses to give anticipatory care by providing adequate resourcesand recognition.
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| 9. |
- Sandgren, Anna, et al.
(författare)
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"Doing good care" - a study of palliative home nursing care
- 2007
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 2, s. 227-235
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Tidskriftsartikel (refereegranskat)abstract
- Today, more and more people die in own homes and nursing homes, which fundamentally affects community nursing. The aim of this study was to develop a classic grounded theory of palliative home nursing care and we analysed interviews and data related to the behavior of community nurses caring for palliative cancer patients. Doing Good Care emerged as the pattern of behavior through which nurses deal with their main concern, their desire to do good. The theory Doing Good Care involves three caring behaviors; Anticipatory caring, Momentary caring and Stagnated caring. In Anticipatory caring, which is the optimal caring behavior, nurses are doing their best or even better than necessary, in Momentary caring nurses are doing best momentarily and in Stagnated caring nurses are doing good but from the perspective of what is expected of them. When nurses fail in doing good, they experience a feeling of letting the patient down, which can lead to frustration and feelings of powerlessness. Depending on the circumstances, nurses can hover between the three different caring behaviors. We suggest that healthcare providers increase the status of palliative care and facilitate for nurses to give Anticipatory care by providing adequate resources and recognition.
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| 10. |
- Sandgren, Anna, et al.
(författare)
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Striving for emotional survival in palliative cancer nursing
- 2006
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Ingår i: Qualitative Health Research. - : Sage Publications. - 1049-7323 .- 1552-7557. ; 16:1, s. 79-96
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Tidskriftsartikel (refereegranskat)abstract
- In this grounded theory study, the authors analyze interviews and participant observation data related to palliative cancer nursing in hospitals. Striving for Emotional Survival emerged as the pattern of behavior through which nurses deal with their main concern, the risk of being emotionally overloaded by their work. It involved three main strategies: Emotional Shielding through Professional Shielding or Cold Shielding; Emotional Processing through Chatting, Confirmation Seeking, Self-Reflecting, or Ruminating; and Emotional Postponing through Storing or Stashing. Emotional Competence is a property of Striving for Emotional Survival that explains more or less adequate ways of dealing with emotional overload. The theory Striving for Emotional Survival can be useful in the nurses' daily work and provides a comprehensive framework for understanding how nurses deal with emotional difficulties. The authors suggest that health care organizations encourage self-care, prioritize time to talk, and offer counseling to nursing staff with emotionally difficult working conditions.
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