| 1. |
- Alsén, Pia, 1956-, et al.
(författare)
-
Fatigue after myocardial infarction : Relationships with indices of emotional distress, and sociodemographic and clinical variables
- 2010
-
Ingår i: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 16:4, s. 326-334
-
Tidskriftsartikel (refereegranskat)abstract
- Fatigue and depressive symptoms are relatively common among patients recovering from myocardial infarction (MI). The symptoms of depression and fatigue overlap. The present study aimed at identifying patient fatigue and at examining the incidence of fatigue, particularly without coexisting depression, after MI. The sample comprised 204 consecutive patients who had completed the questionnaires Hospital Anxiety and Depression Scale and the Multidimensional Fatigue Inventory–20 after MI (1 week and 4 months). The results showed that fatigue had decreased after 4 months compared with the time of MI onset. Compared with the general population, patients reported significantly higher levels of fatigue. Furthermore, fatigue was associated with depression, but 33% of the sample reported fatigue without coexisting depression after 4 months. In order to prevent or treat patients' symptoms of fatigue after MI, the concepts of fatigue and depression should be assessed separately so as to exclude overlapping effects.
|
|
| 2. |
- Altersved, Ewa, et al.
(författare)
-
Advanced practice nurses : A new resource for Swedish primary health-care teams
- 2011
-
Ingår i: International Journal of Nursing Practice. - : John Wiley & Sons. - 1322-7114 .- 1440-172X. ; 17:2, s. 174-180
-
Tidskriftsartikel (refereegranskat)abstract
- Advanced practice nurses: A new resource for Swedish primary health-care teams This study is associated with the first evaluation of the four first advanced practice nurses (APNs), part of a primary health-care team in Sweden. The aim is to describe health-care teams' experiences of the new APN role and investigate what opportunities and barriers to the role exist. Eighty-one respondents answered a 14-question questionnaire with a Likert scale and one open-ended question. The Kruskal-Wallis test was used to investigate differences between professional groups' answers. The qualitative material was analysed using deductive content analysis. Though mostly positive experiences of the role were found, differences did exist between the professional groups. APNs are considered a resource in that access to care, cooperation and patient flow increased. Barriers include APNs' limited autonomy and inability to prescribe medication. To further develop the role, the right to prescribe medication and strategic leadership within the Swedish health-care system, policy and legislation are needed.
|
|
| 3. |
- Anderberg, Patrice, et al.
(författare)
-
Elderly persons' experiences of striving to recieve care on their own terms in nursing homes
- 2010
-
Ingår i: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 16:1, s. 64-68
-
Tidskriftsartikel (refereegranskat)abstract
- Elderly persons' participation in and decisions about their own care need more attention. The aim of this study was to gain a deeper understanding of elderly persons' experiences of care and help, and how their lives change in nursing homes. Fifteen elderly persons living in four nursing homes were interviewed about their experiences of needing care and help in their daily life. The interviews were analysed using van Manen's phenomenological approach. Elderly persons' experiences of care and help were described as: a balance between sorrow and relief, a struggle to maintain control and connectedness, managing to live in the present and yet worrying about the future, and an attempt to hide one's vulnerability in order to be accepted and create an inner calm in an exposed situation. In conclusion, important issues were raised concerning elderly persons' perspectives on care and help in daily life in nursing homes.
|
|
| 4. |
- Andersson, Gun, et al.
(författare)
-
A chance to live: Women's experiences of living with a colostomy after rectal cancer surgery
- 2010
-
Ingår i: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 16:6, s. 603-608
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe women's experience of living with a colostomy after rectal cancer surgery. Interviews with five women about their experiences were subjected to thematic content analysis. The findings showed that receiving a cancer diagnosis gave rise to thoughts about life and death. For the women to feel comfortable, the information and health-care measures need to focus on supporting them through the entire process, also when the treatment is completed. After the surgery, the women adjusted to living with colostomy and carried on as before the cancer diagnosis, but they constantly worried about leakage or flatulence. The women were happy to have survived the cancer and this realization helped them to accept and have a good life with colostomy. In conclusion, women with colostomy because of rectal surgery need specific rehabilitation and nursing care that focuses on adjustment to temporary or permanent changes in life.
|
|
| 5. |
- Arman Rehnsfeldt, Maria, 1954-, et al.
(författare)
-
Suffering related to health care : a study of breast cancer patients' experiences.
- 2004
-
Ingår i: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 10:6, s. 248-256
-
Tidskriftsartikel (refereegranskat)abstract
- A previous study indicated that patient narratives include experiences of suffering caused or increased by health-care encounters. The aim of this study was to interpret and understand the meaning of patients' experiences of suffering related to health care from an ethical, existential and ontological standpoint. Sixteen women with breast cancer in Sweden and Finland took part in qualitative interviews analysed with a hermeneutic, interpretive approach. The outcome showed that suffering related to health care is a complex phenomenon and constitutes an ethical challenge to health-care personnel. The women's experiences of suffering related to health care tended to be of similar seriousness as their experiences of suffering in relation to having cancer. In an ethical, existential and ontological sense, suffering related to health care is basically a matter of neglect and uncaring where the patient's existential suffering is not seen and she is not viewed as a whole human being.
|
|
| 6. |
- Berg, Linda, 1961, et al.
(författare)
-
Caring relationship in a context: Fieldwork in a medical ward
- 2007
-
Ingår i: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 13:2, s. 100-106
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate how the caring relationship is formed in a medical context. The data were collected using participant observation with field notes and analysed by an interpretive phenomenological method. The context circumstances in a medical milieu demanded exacting efficiency and risks to oppress the caring relationship, subsequently causing demands in nursing practice. Three themes of the caring relationship were identified as respect for each other and for themselves, responsibility to reach out to each other and engagement. Patients' and nurses' awareness in encounters drove the forming of a caring relationship that went beyond the individual nurse and patient. This study implicates the importance of an understanding of how context circumstances create the foundation of the caring relationship
|
|
| 7. |
- Bergman, Karin, et al.
(författare)
-
Patients' satisfaction with the care offered by advanced practice nurses: a new role in Swedish primary care
- 2013
-
Ingår i: International Journal of Nursing Practice. - : Wiley. - 1322-7114 .- 1440-172X. ; 19:3, s. 326-333
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to describe patients’ satisfaction with the new role of advanced practice nurses (APNs) in Swedish primary care. A questionnaire pertaining to patient satisfaction with the care offered by APNs was sent to respondents. Descriptive statistics, a chi-squared test and manifest qualitative content analysis were used during analysis. Although the results show an overall high level of patient satisfaction as regards APN-led care, those patients informed of the APN role prior to a consultation were significantly more satisfied. Respondents’ comments indicate that professional treatment and competence are characteristic of the care offered by APNs and also relate the concepts of increased availability of and continuity in health care to the APN role. In order to guarantee the positive development of the APN role in Sweden, continued research is needed from patient, organizational and interprofessional perspectives, including intervention studies of cost effectiveness and the quality of care.
|
|
| 8. |
- Brändström, Yvonne, et al.
(författare)
-
Physical activity six months after a myocardial infarction
- 2009
-
Ingår i: International journal of nursing practice. - : Wiley-Blackwell Publishing Asia. - 1440-172X .- 1322-7114. ; 15:3, s. 191-7
-
Tidskriftsartikel (refereegranskat)abstract
- In the present study, we wished to explore physical activity in middle-aged patients 6 months after a myocardial infarction and to compare the patients' self-reported activity level with pedometric measures of footsteps/day. The sample comprised 89 patients with myocardial infarction, aged
|
|
| 9. |
- Brännström, Benny, et al.
(författare)
-
Counselling groups for spouses of elderly demented patients: a qualitative evaluation study
- 2000
-
Ingår i: International Journal of Nursing Practice. - : Wiley. - 1322-7114 .- 1440-172X. ; 6:4, s. 183-191
-
Tidskriftsartikel (refereegranskat)abstract
- Ten women and eight men who were caring for their demented husbands or wives participated in a closed-group counselling programme, developed and carried out by two district nurses at a local health centre. There were seven or eight participants in each group, which met 13-14 times over a period of 8months.This study is based on semistructured interviews about the participants' situation just before entering the counselling group, the counselling programme itself, and their situation after the end of the programme. Their situations before the programmes were described as an exhausting, chaotic prison but after the programme they could cope with their situation and plan and manage their daily life. None of the participants needed further organised counselling; engagement in the local dementia association was sufficient for them. The counselling nurses' experience in and about caring for demented patients, their tactful authority, the closed groups and the long duration of the programme were judged to be crucial for the successful outcome of the programme.
|
|
| 10. |
- Edéll Gustafsson, Ulla, 1947-, et al.
(författare)
-
Effects of sleep loss in men and women with insufficient sleep suffering from chronic disease : a model for supportive nursing care.
- 2003
-
Ingår i: International Journal of Nursing Practice. - 1322-7114 .- 1440-172X. ; 9:1, s. 49-59
-
Tidskriftsartikel (refereegranskat)abstract
- This study evaluated self-reported subjective health and effects of sleep loss according to perceived interfering cognitive anxiety related to falling asleep in patients with and without insufficient sleep and gender differences in these aspects 5 years after coronary artery bypass graft and transluminal coronary angioplasty. A total of 145 patients, five years after intervention, responded to a mailed questionnaire. Nearly 60% had severe combined sleep disturbances, 35.9% of these had complained of insufficient sleep and 15% also perceived difficulty falling asleep related to cognitive anxiety. Measurable gender differences were small. A theoretical framework is presented which can increase understanding among nurses, patients and their relatives concerning the quality and quantity of sleep and sleep loss related to quality of life. These results suggest that there are significant relationships between sleep quality, resilience to stress and coping strategy in patients with a chronic disease, indicating the need for more individualised supportive nursing care.
|
|
