| 31. |
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| 32. |
- Fridlund, Bengt
(författare)
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Self-rated health in women after their first myocardial infarction : A 12-month comparison between participation and nonparticipation in a cardiac rehabilitation programme
- 2000
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Ingår i: Health Care for Women International. - London : Routledge. - 0739-9332 .- 1096-4665. ; 21:8, s. 727-738
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Tidskriftsartikel (refereegranskat)abstract
- Compared self-rated health among women who voluntarily did and did not participate in a cardiac rehabilitation program (CRP) within 12 mo after their 1st myocardial infarction (MI). A nonrandomized evaluation study design including a pre- and posttest was implemented in 18 acute hospitals in the southwestern part of Sweden. 240 consecutively chosen women suffering their 1st MI at age 35-70 yrs completed 2 self-rated questionnaires at the onset of the MI and 12 mo later. The results showed that about 50% of the women took part in a CRP. Women who participated in a CRP reported more medical problems, such as anginal pain, and received more interventional cardiology 12 mo after the MI. Irrespective of participation in a CRP, the women succeeded with behavioral changes, such as giving up smoking, starting exercising, and becoming more diet conscious. The only benefits identified, related to CRP participation, were a higher back to work rate and normalized BP. These findings suggest that today's CRPs are not adapted to females in that they neither offer emotional support in the short term nor support a feeling of belonging in the long term and that the health care professionals are not aware of this.
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| 33. |
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| 34. |
- Fridlund, Bengt
(författare)
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The role of the nurse in cardiac rehabilitation programmes
- 2002
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Ingår i: European Journal of Cardiovascular Nursing. - Amsterdam : Elsevier. - 1474-5151 .- 1873-1953. ; 1:1, s. 15-18
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Tidskriftsartikel (refereegranskat)abstract
- Cardiac rehabilitation programmes are intended to enhance the effect of acute treatment actions and to prevent risk factors, thus leading to an improvement in the patient's well being and recovery. Accordingly, all cardiac rehabilitation activities do not take place at the same time, which is the reason why the nurse's role changes in character over time. The aim of this paper is, therefore, to highlight the role of the nurse in cardiac rehabilitation programmes. The nurse's multiple roles in cardiac rehabilitation have a 'spider in the web-like' character and, depending on the phase of the patient's recovery, he/she acts as a container, a counsellor, a coach and an educator. To implement a successful cardiac rehabilitation, the nurse needs to have improved evaluation tools in clinical practice as well as to be self-critical and serve as a good role model. Finally, the cardiac rehabilitation nurse has to have a four-fold comprehensive perspective of the cardiac rehabilitation concept; an impact perspective, a timing perspective, a lifespan perspective, and a personal perspective.
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| 35. |
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| 36. |
- Granskär, Monica, et al.
(författare)
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Nursing students' experience of their first professional encounter with people having mental disorders
- 2001
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Ingår i: Journal of Psychiatric and Mental Health Nursing. - Oxford : Wiley-Blackwell Publishing. - 1351-0126 .- 1365-2850. ; 8:3, s. 249-256
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to generate a theoretical model of what nursing students experience in their first professional encounter with people having mental disorders. Data was collected by interviewing 11 nursing students (aged 20-40 yrs). Grounded theory analysis was chosen for the study. Findings showed that the students' personal qualities and the patients' behavior affected the students' experience. When nursing students who had their own needs in focus met patients who rejected them, they felt helpless, and patients wishing to establish a relationship with them confirmed their positive or negative expectations. Nursing students who were focused on patients' needs met the patient as a unique person and felt confident despite being rejected by the patient, as well as proud when the patients wished to establish a relationship with them. Clinical university teachers can use the findings to gain knowledge about how each student feels as well as to guide them through their psychiatric training. The sample is small and further research is needed to generalize the findings of this study and to explore how nursing students, specialist psychiatric nurses and nurses in other disciplines experience the encounter with patients as well as how patients describe encounters with caregivers.
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| 37. |
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| 38. |
- Henriksen, Eva, 1952-
(författare)
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Understanding in Healthcare Organisations- a prerequisite for development
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- This study proposes that poor understanding of the structures, processes and outcomes of organisations seriously hampers collaboration between professional groups in care organisations. Three care settings were investigated: follow-up of patients with heart disease, an intensive care unit and care services for older people. The overall aim was to investigate how people understand structures, processes and outcomes in care organisations. The participants were patients, patient representatives, healthcare professionals, managers and politicians. A qualitative approach was used. Thematic analysis and grounded theory were employed in analysing the data. Despite considerable efforts, no major changes took place over a 7-year period as to how cardiac follow-up services were understood. The system of cardiac follow-up services was found fragmented in its organisation and in the way individuals understood it. The results indicate that care professionals, patients and leaders have dissimilar understandings. The data suggest that care is organised from a professional-centred perspective rather than from a holistic worldview of the patients’ total context. Leaders in intensive care perceive their organisation as a learning organisation. However, in daily work healthcare tends to function to what can be described as a mass production approach to care. This state of conflict caused confusion and chaos among the leaders. The municipal elderly care services and the county council’s geriatric organisation had difficulties in co-ordination. Older people were perceived as passive recipients of healthcare, rather than as consumers whose well being and outcome were a reflection to the quality of the service. The study concludes that despite the major changes that have taken place in the Swedish health and elderly care organisations over the past years, healthcare professionals’ understanding of their work has gone largely unchanged. Their understanding of care structures and processes did not change despite outside pressures. Lack of understanding of what others understand hampers development with the result that care organisations risk stagnation.
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| 39. |
- Hildingh, Cathrine, et al.
(författare)
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A 3-year follow-up of participation in peer support groups after a cardiac event
- 2004
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Ingår i: European Journal of Cardiovascular Nursing. - London : Sage Publications. - 1474-5151 .- 1873-1953. ; 3, s. 315-20
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Tidskriftsartikel (refereegranskat)abstract
- Secondary prevention is an important component of a structured rehabilitation programme following a cardiac event. Comprehensive programmes have been developed in many European countries, the vast majority of which are hospital based. In Sweden, all patients with cardiac disease are also given the opportunity to participate in secondary prevention activities arranged by the National Association for Heart and Lung Patients [The Heart & Lung School (HL)]. The aim of this 3-year longitudinal study was to compare persons who attended the HL after a cardiac event and those who declined participation, with regard to health aspects, life situation, social network and support, clinical data, rehospitalisation and mortality. Totally 220 patients were included in the study. The patients were asked to fill in a questionnaire on four occasions, in addition to visiting a health care center for physical examination. After 3 years, 160 persons were still participating, 35 of whom attended the HL. The results show that persons who participated in the HL exercised more regularly, smoked less and had a denser network as well as more social support from nonfamily members than the comparison groups. This study contributes to increased knowledge among healthcare professionals, politicians and decision makers about peer support groups as a support strategy after a cardiac event.
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| 40. |
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