| 1. |
- Arakelian, Erebouni, 1973-, et al.
(författare)
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I Stay : Swedish Specialist Nurses in the Perioperative Context and Their Reasons to Stay at Their Workplace
- 2019
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Ingår i: Journal of Perianesthesia Nursing. - : Elsevier BV. - 1089-9472 .- 1532-8473. ; 34:3, s. 633-644
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Tidskriftsartikel (refereegranskat)abstract
- Purpose To investigate why nurse anesthetists and operating room nurses choose to stay in the same workplace.Design Qualitative design.Methods Individual interviews were conducted with 15 nurse specialists from four hospitals in Sweden. Two men and 13 women aged between 43 and 63 participated. Data were analyzed with systematic text condensation according to Malterud.Findings Three themes were identified. (1) Organizational stability contributed to low staff turnover, with good spirits between colleagues, representing everyone’s equal value and resulting in a feeling of homelikeness. (2) Sustained development in one’s own profession. (3) A humane head nurse who was at hand, who was a facilitator, who knew staff members, and eliminated obstacles for them.Conclusions In a nonhierarchical and stable organization with a head nurse with caritative leadership skills, a welcoming working environment with opportunities for professional development is created. Thus, nurse specialists choose to stay, contributing to organizational development.
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| 2. |
- Arakelian, Erebouni, 1973-, et al.
(författare)
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Managerial challenges faced by Swedish nurse managers in perioperative settings : a qualitative study
- 2021
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Ingår i: BMC Nursing. - : Springer Science and Business Media LLC. - 1472-6955 .- 1472-6955. ; 20:1, s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Nurse managers need to create cultures that are worthy, not only of the commitment of everyone who comes to work but also of the trust of everyone who comes to be served. The aim of our study was to describe the challenges faced by Swedish nurse managers in a perioperative setting.METHODS: A qualitative study was conducted. The participants were chosen by convenience sampling, and individual in-depth interviews were conducted. Data were analysed by Systematic Text Condensation. The COREQ checklist was consulted throughout the study to optimise the quality.RESULTS: Nineteen nurse managers (all women) participated. Six themes were identified: "striving to treat employees with consideration and solicitude"; "the obligation to take care of each employee's individual needs"; "convincing others was an uphill battle", "finding solutions when things seem impossible"; "staff recruitment, allocation, and management"; "working with constantly changing planning".CONCLUSIONS: The nurse managers faced challenges because of the overwhelming amount of work tasks, with almost no time for reflection. Having carefully chosen tasks and a realistic time schedule for each work task, plus time to find one's own path to inner peace, are essential for nurse managers. Organisations that provide these prerequisites show that they care about their nurse managers. The results of this study indicate the need for time to reflect, as well as support from superior managers and from the human resources department.
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| 3. |
- Arakelian, Erebouni, 1973-, et al.
(författare)
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Nurse managers in perioperative settings and their reasons for remaining in their jobs : A qualitative study
- 2020
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 28:6, s. 1191-1198
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Tidskriftsartikel (refereegranskat)abstract
- AIM: The study describes what helps nurse managers maintain the strength to keep going as leaders.BACKGROUND: Good leadership is important for the quality of patient care, patient satisfaction in care and efficiency. Many nurse managers stay on despite challenges at work.METHODS: Twelve nurse managers were interviewed. Data were analysed by systematic text condensation according to Malterud.RESULTS: The results were as follows: A-Walking side by side with my employees; B-Knowing that I mean something to my employees; C-Talking to myself-asking myself tough questions; D-Having someone to talk to, to decrease the feeling of being alone; E-Leading and managing in my own way-the fear of not succeeding is my motivation.CONCLUSION: The nurse managers built their own strategies to get through and get on when difficult situations arose. In order to succeed in leading their employees, the nurse managers gathered their inner strength through moving caritatively back and forth between the 'secret room' and the 'staff room' in the house of leadership.IMPLICATIONS IN NURSING MANAGEMENT: The manuscript gives insights into where nurse managers found sources of strengths in their everyday work. To realize their employees' strengths and motivation made a difference for nurse managers as a driving force. By having someone to talk to and by asking themselves tough questions, they were prepared for the challenges that came.
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| 4. |
- Arakelian, Erebouni, 1973-, et al.
(författare)
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Reaching a tipping point : perioperative nurse managers' narratives about reasons for leaving their employment - a qualitative study.
- 2021
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 29:4, s. 664-671
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To describe reasons why nurse managers in perioperative settings decide to leave their employment.BACKGROUND: Current literature has shown that perioperative nurse managers' reasons to leave their positions are formed through an interaction of factors.METHODS: Individual in-depth interviews were performed with seven nurse managers, all women, in perioperative settings in Sweden. Data were analysed using Systematic Text Condensation.RESULTS: Five key themes were identified: a- To end where I started, as a front-line nurse; b- I wanted to develop further to the next level in my career; c- I ran out of ideas; d- I lost trust in my head manager and did not believe in the new organization, and e- I had had enough of being offended by my superior manager and my employees.CONCLUSION: Nurse managers experienced feeling forced into a decision to leave because of being offended by their superiors or their employees. Furthermore, the findings indicate that nurse managers should be offered support from superior managers and the organization together with time for discussions.IMPLICATIONS IN NURSING MANAGEMENTS: The most essential element should be the influence of caritative leadership and the obvious expectation of being treated with dignity, respect, and appreciation.
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| 5. |
- Arakelian, Erebouni, 1973-, et al.
(författare)
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The meaning of person-centred care in the perioperative nursing context from the patient's perspective : an integrative review
- 2017
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 26:17-18, s. 2527-2544
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Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: To determine the meaning of person-centred care from the patient's perspective and in the context of perioperative nursing. BACKGROUND: Person-centred care (PCC) is used but not defined in the perioperative context. The concept indicates an interest in the patient's own experience of health, illness, needs and preferences. As with many terms that are frequently used, there is a tendency for person-centred care to mean different things to different people in different contexts. METHODS: A two-part search strategy was employed; firstly, a computerized database search of PubMed and CINAHL, using Medical Subject Headings and free terms to search articles dating from 2004 to 2014, and secondly, a hand-search of those articles' reference lists was performed. Twenty-three articles were selected and an integrative review was conducted. RESULTS: Four themes were discovered: 'Being recognized as a unique entity and being allowed to be the person you are', 'Being considered important by having one's personal wishes taken into account', 'The presence of a perioperative nurse is calming; prevents feelings of loneliness and promotes wellbeing, which may speed up recovery', and 'Being close to and being touched by the perioperative nurse during surgery'. CONCLUSIONS: PCC means respecting the patient as a unique individual, considering the patient's particularities and wishes, and involving the patient in their own care. PCC also implies having access to one's own nurse who is present both physically and emotionally through the entire perioperative process and who guides the patient and follows up postoperatively, guaranteeing that the patient is not alone. RELEVANCE TO CLINICAL PRACTICE: By having a common understanding of the concept of PCC, the nurse anaesthetists' and theatre nurses' caring actions or concerns will be directed towards the patient', resulting in personalization of care rather than simply defining the concept. This article is protected by copyright. All rights reserved.
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| 6. |
- Bagherbandi, Mohammad, Professor, et al.
(författare)
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Crustal thickness recovery using an isostatic model and GOCE data
- 2012
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Ingår i: Earth Planets and Space. - : Springer Science and Business Media LLC. - 1343-8832 .- 1880-5981. ; 64:11, s. 1053-1057
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Tidskriftsartikel (refereegranskat)abstract
- One of the GOCE satellite mission goals is to study the Earth's interior structure including its crustal thickness. A gravimetric-isostatic Moho model, based on the Vening Meinesz-Moritz (VMM) theory and GOCE gradiomet-ric data, is determined beneath Iran's continental shelf and surrounding seas. The terrestrial gravimetric data of Iran are also used in a nonlinear inversion for a recovering-Moho model applying the VMM model. The newly-computed Moho models are compared with the Moho data taken from CRUST2.0. The root-mean-square (RMS) of differences between the CRUST2.0 Moho model and the recovered model from GOCE and that from the terrestrial gravimetric data are 3.8 km and 4.6 km, respectively.
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| 7. |
- Bagherbandi, Mohammad, et al.
(författare)
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Recovery of Moho's undulations based on the Vening Meinesz-Moritz theory from satellite gravity gradiometry data : A simulation study
- 2012
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Ingår i: Advances in Space Research. - : Elsevier BV. - 0273-1177 .- 1879-1948. ; 49:6, s. 1097-1111
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Tidskriftsartikel (refereegranskat)abstract
- In the gravimetric approach to determine the Moho depth an isostatic hypothesis can be used. The Vening Meinesz-Moritz isostatic hypothesis is the recent theory for such a purpose. Here, this theory is further developed so that the satellite gravity gradiometry (SGG) data are used for recovering the Moho depth through a nonlinear integral inversion procedure. The kernels of its forward and inverse problems show that the inversion should be done in a larger area by 5 than the desired one to reduce the effect of the spatial truncation error of the integral formula. Our numerical study shows that the effect of this error on the recovered Moho depths can reach 6 km in Persia and it is very significant. The iterative Tikhonov regularization in a combination with either generalized cross validation or quasi-optimal criterion of estimating the regularization parameter seems to be suitable and the solution is semi-convergent up to the third iteration. Also the Moho depth recovered from the simulated SGG data will be more or less the same as that obtained from the terrestrial gravimetric data with a root mean square error of 2 km and they are statistically consistent.
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| 8. |
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| 9. |
- Eshagh, Mehdi, et al.
(författare)
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Combined Moho Estimators
- 2014
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Ingår i: Geodynamics Research International Bulletin. - Iran : Geodynamics Research International Bulletin. - 2345-4997. ; 1:3, s. 1-11
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- In this study, we develop three estimators to optimally combine seismic and gravimetric models of Moho surface. The first estimator combines them by their special harmonic coefficients; the second one uses the spherical harmonic coefficients of the seismic model and use integral formula for the gravimetric one. The kernel of the integral terms of this estimator shows that a cap size of 20◦ is required for the integration, but since this integral is presented to combine the low frequencies of the gravimetric model, a low resolution model is enough for the integration. The third estimator uses the gravity anomaly and converts its low frequencies to those of the gravimetric Moho model, meanwhile combining them with those of seismic one. This integral requires an integration domain of 30◦ for the gravity anomalies but since the maximum degree of this kernel is limited to a specific degree, the use of its spectral form is recommended. The kernel of the integral involving the gravity anomalies, developed for recovering high frequencies of Moho, is written in a closed-from formula and its singularity is investigated. This kernel is well-behaving and decreases fast, meaning that it is suitable for recovering the high frequencies of Moho surface.
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| 10. |
- Eshagh, Mehdi, 1977-, et al.
(författare)
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Quality description for gravimetric and seismic Moho models of Fennoscandia through a combined adjustment
- 2012
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Ingår i: Acta Geodaetica et Geophysica Hungarica. - : Akademiai Kiado. - 1217-8977 .- 1587-1037. ; 47:4, s. 388-401
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Tidskriftsartikel (refereegranskat)abstract
- The gravimetric model of the Moho discontinuity is usually derived based on isostatic adjustment theories considering floating crust on the viscous mantle. In computation of such a model some a priori information about the density contrast between the crust and mantle and the mean Moho depth are required. Due to our poor knowledge about them they are assumed unrealistically constant. In this paper, our idea is to improve a computed gravimetric Moho model, by the Vening Meinesz-Moritz theory, using the seismic model in Fennoscandia and estimate the error of each model through a combined adjustment with variance component estimation process. Corrective surfaces of bi-linear, bi-quadratic, bi-cubic and multi-quadric radial based function are used to model the discrepancies between the models and estimating the errors of the models. Numerical studies show that in the case of using the bi-linear surface negative variance components were come out, the bi-quadratic can model the difference better and delivers errors of 2.7 km and 1.5 km for the gravimetric and seismic models, respectively. These errors are 2.1 km and 1.6 km in the case of using the bi-cubic surface and 1 km and 1.5 km when the multi-quadric radial base function is used. The combined gravimetric models will be computed based on the estimated errors and each corrective surface.
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