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- Häggström, Elisabeth, et al.
(författare)
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Caregivers working with older people experience work dissatisfaction and low self-esteem orginating from power relations in municipal care organization
- 2009
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Ingår i: Tidsskrift for Sygeplejeforskning. - 0900-3002. ; 25:2, s. 27-33
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Tidskriftsartikel (refereegranskat)abstract
- This study explores how a combined gender and power perspective might explain and help us understand caregivers´ expressions of low self-esteem and dissatisfaction in their work with older people. The aim of the study was to discover whether caregivers’ experiences in the nursing home can be understood on the basis of Ås´ framework of the Five Master Techniques. The study was conducted within the municipal gerontological care system in Sweden and has an explorative, qualitative design. Twenty caregivers were interviewed, and the interviews were analysed using a qualitative content approach. Based on Ås´ theory of Five Master Techniques, the caregivers’ experiences of being made to feel invisible, ridiculed, deprived of information, receiving double punishment and feelings of guilt and shame emerged from the analyses. The study shows that the caregivers’ experiences, listed above, were all obvious at the nursing home and that these experiences also affected their feelings of work dissatisfaction and low self-esteem. The findings show the importance of using a gender perspective in caring, so that power relations in the organization can be explored, understood and combated.
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| 2. |
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| 3. |
- Nilsson, Annika, et al.
(författare)
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The meaning of living with rheumatoid arthritis : – a single case study based on one woman’s eight-year diary
- 2009
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Ingår i: Tidsskrift for Sygeplejeforskning. - 0900-3002. ; 25:3, s. 9-15
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Tidskriftsartikel (refereegranskat)abstract
- Previous studies about experiences with rheumatoid arthritis (RA) often have a biomedical perspective. Few studies have discussed the meaning of living with the phenomenon RA from a single-case investigation. This was an important issue when deciding to analyse and interpret one woman’s diary, which covered eight years of living with RA. The aim of this study was to investigate the meaning of living with the phenomenon RA, using one woman’s personal diary spanning eight years. The present study is an in-depth case investigation with a phenomenological-hermeneutic design. One woman diagnosed with RA eight years ago and the meaning of living with RA, according to her. A personal periodically written diary was used for this study. The text was analysed using a phenomenological-hermeneutic method inspired by the philosopher Ricoeur. Results. The results are presented in two themes and five subthemes. The theme ‘To feel doubt, grief and lost identity’ mirror the big challenge it is to live with rheumatoid arthritis for body, soul, identity and social contacts in daily life. This theme emerged from the following subthemes: ‘Being sad about constant physical pain and the loss of bodily function’, ‘Being sad about feelings of constant tiredness’, ‘Losing identity creates a lack of confidence,’ and ‘Being sad and disappointed when meeting carers and colleagues face to face.’ The theme ‘To be good enough’ mirrors a long process in which an expression of more confidence becomes visible. This theme emerged from the subtheme ‘Enjoying the small things in life’. The meaning of living with RA for a number of years seems to have created feelings of not being good enough and also of losing one’s identity. The process of implementing a changed picture of oneself and also of implementing a good self-image seems to be a very long and difficult process for a person living with RA. This is an important issue for care staff working with RA patients to be aware of, since it has influence on the RA patient’s self-respect.
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| 4. |
- Skärsäter, Ingela, 1952-
(författare)
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Nursing research on affective disorders : towards a paradigm of person-centred care
- 2010
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Ingår i: Tidsskrift for Sygeplejeforskning. - Copenhagen : Dansk Selskab for Sygeplejeforskning. - 0900-3002. ; 26:2 & 3, s. 29-34
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Affective disorders have not attracted as much attention or funding over the last decades as have mental illnesses that are considered to be more severe, such as psychosis and schizophrenia. Affective disorders were for example excluded from the 1995 Swedish reform of psychiatric care, because they were seen as less severe than other mental illnesses. The fact that they are often treated in primary care, with only long-term cases referred to specialized psychiatry, may contribute to the view, held predominately by health care organizations, that affective disorders are less severe or more easily treated than other psychiatric disorders. This view, however, does not reflect the patient's perspective, and convincing evidence shows that major depression and bipolar disorders create great suffering for the people having to live with them. For the last 10 years a nursing research group at the Sahlgrenska Academy at Gothenburg University has explored the lives and circumstances of people living with affective disorders. This paper presents recent research and an overview of the entire project with the aim of contributing towards the development of person-centred care for people living with affective disorders.
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