| 1. |
- Knutsson, Anders, et al.
(författare)
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Postprandial responses of glucose, insulin and triglycerides : Influence of the timing of meal intake during night work
- 2002
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Ingår i: Nutrition and Health. - : SAGE Publications. - 0260-1060 .- 2047-945X. ; 16, s. 133-141
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Tidskriftsartikel (refereegranskat)abstract
- The objective was to study the postprandial responses of glucose, insulin and triglycerides to meal intake at different clock times during night work. Eleven night shift working nurses participated. Identical test meals were ingested at 19:30, 23:30 and 03:30, and contained 440 kcal/ 1860 kJ of energy (33 E% fat, 51 E% carbohydrate, 16 E% protein). The food intake was standardized three days before the first test meal. Blood samples were drawn just before the test meals were ingested and thereafter at 30, 60, 90, 120, 180 and 240 minutes. The postprandial responses were estimated as the total area under the curve (AUC) and significance testing was done using repeated measures ANOVA. The highest insulin level was found after meal intake at 23:30, and the lowest after meal intake 03:30. The glucose response showed the same pattern. The insulin response to food intake in night working nurses is more pronounced in the night compared with morning and evening. The results would have implications for metabolic and cardiovascular disorders in night workers.
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| 2. |
- Paulson, Margareta, et al.
(författare)
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Struggling for a Tolerable Existence : The meaning of Men's Lived Experiences of Living With Pain of Fibromyalgia Type
- 2002
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Ingår i: Qualitative Health Research. - : SAGE Publications. - 1049-7323 .- 1552-7557. ; 12:2, s. 238-249
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Tidskriftsartikel (refereegranskat)abstract
- Chronic pain is a major health problem in Sweden because of its consequences in daily life. Fourteen men with fibromyalgia-type pain were interviewed regarding their experiences. A phenomenological hermeneutic method was used to interpret the transcribed interviews. Three major themes emerged: experiencing the body as an obstruction, being a different man, and striving to endure. Overall, the meaning of men's lived experience of chronic pain was experienced as change in the body, self, and relationships. Striving to live life required achieving balance during both calm and difficult phases of the illness--struggling for a tolerable existence. Information from this study could provide guidelines for health care staff members to give empathic and supportive care to men living with a long-term illness.
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| 3. |
- Bengtsson, Maria, et al.
(författare)
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Bridging Distances: Organizing Boundry-spanning Technology Development Projects
- 2002
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Ingår i: Regional studies. - 0034-3404 .- 1360-0591. ; 36:3, s. 263-274
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Tidskriftsartikel (refereegranskat)abstract
- Technology development is often a boundary-spanning activity where insights and discoveries from different organizations or organizational units are merged into new products or new technical solutions. In some cases, projects of this kind are organized within large multinational firms. In other cases, technology development projects are organized within networks through co-operation between independent companies possessing unique resources that can be utilized as parts of the project. In this paper, we discuss and analyse how distances are bridged in technology development projects. We focus on: (1) the relationship between implicit and explicit knowledge; and (2) different distances inherent in the development effort. Two different bridging processes are proposed as means to overcome distances: a separating-integrating process; and a linking-formalizing process. It is argued that a development project typically runs through either one of these two processes.
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| 4. |
- Espvall, Majen, et al.
(författare)
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Social networks of women with undefined musculoskeletal disorder
- 2002
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Ingår i: Social Work in Health Care. - : Taylor & Francis. - 0098-1389 .- 1541-034X. ; 36:1, s. 77-91
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Tidskriftsartikel (refereegranskat)abstract
- This study was conducted to investigate social integration among, and the availability of social support for, female patients with undefined musculoskeletal disorder compared to women with coronary heart disease. The aim was to elucidate the importance of a clear diagnosis for the social network relationships of these female patients. For the measurement of social support two instruments were used: an abbreviated version of the Interview Schedule for Social Interaction and a condensed version of the Interpersonal Support Evaluation List. After adjustment for age, marital and employment status, significant differences can be recognized between the two groups of patients: MSD-patients interact with fewer people and receive less emotional support. Implications for social work practice and issues for future research are presented.
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| 5. |
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| 6. |
- Sundin, Karin, et al.
(författare)
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Understanding between care providers and patients with stroke and aphasia : A phenomenological hermeneutic inquiry.
- 2002
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Ingår i: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 9:2, s. 93-103
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Tidskriftsartikel (refereegranskat)abstract
- Understanding between care providers and patients with stroke and aphasia: a phenomenological hermeneutic inquiry The present study illuminates the understanding in communication between formal care providers and patients with stroke and aphasia. Five care providers and three such patients participated in the study. Video recordings were made during conversations about pictures (n = 15), and the care providers were also interviewed (n = 15) after the video-recorded conversations. A phenomenological hermeneutic method of interpretation of the interview text was used. The findings showed that a range of conditions for 'understanding and being understood' in the communication on the part of the care providers exists. These different conditions are: lacking both knowledge and understanding; having knowledge but not necessarily accompanied by understanding; and being in understanding. Within the condition 'being in understanding', the care providers create a feeling of at-homeness in a relaxed atmosphere and thus have the opportunity to be in 'understanding and being understood' together with the patient. The condition 'being in understanding' appears in connection with the care providers' creating of a 'calm liturgy of caring' by mediating humility and calm vitality affects to the patients, and further, when needed, being present on the level of mystery, i.e. caring communion.
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| 7. |
- Ödling, Gunvor, et al.
(författare)
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Care of women with breast cancer on a surgical ward : Nurses' opinions of the need for support for women, relatives and themselves
- 2002
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 39:1, s. 77-86
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In Sweden women with newly diagnosed breast cancer are admitted to surgical wards in order to undergo surgery and receive postoperative care. On these wards, nursing staff take care of women both with newly diagnosed breast cancer and those with cancer in advanced stages. Nurses have to meet the varying needs of patients and their relatives. AIM: To describe nurses' opinions of the need for care and support for women and their relatives in connection with surgery for breast cancer, as well as their own need for support on a surgical ward. METHODS: Thirty-one nurses from a surgical ward participated in semi-structured interviews. The interviews were tape-recorded and transcribed verbatim. Thereafter a step-by-step, qualitative content analysis was carried out. RESULTS: The nurses described the need to talk and receive information as being the most important among women and their relatives, as well as among themselves. Only a few nurses mentioned the need for physical care among the women. Contact with relatives was described as being almost nonexistent. There was a discrepancy between what nurses described as important needs and how these needs were provided for. CONCLUSION: This study shows that what the nurses described as being the most important needs, and the way how these needs were provided for, was more often seen from a theoretical point of view with few examples of self-experienced situations in the daily care. Needs among women and their relatives seemed to be not fully known to nurses and therefore, possibly, were not met. Nurses themselves had a pronounced need for support, which was sometimes unsatisfactorily met.
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