| 1. |
- Akbarzadeh Mameghanilar, Mahin, et al.
(författare)
-
Smärtbedömning hos äldre personer med kommunikationssvårigheter – en utvärdering av den svenska versionen av Doloplus-2.
- 2007
-
Ingår i: Vård i Norden. - : SAGE Publications. - 0107-4083. ; 27:4, s. 26-31
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to psychometrically test the Swedish version of the Doloplus-2 instrument for its use among older people. The Doloplus-2 instrument is a pain assessment tool that aims at measure pain among those who can not fully express their pain of various reasons. The instrument was tested in a sample consisting of 48 patients with cognitive impairment. Each patient was observed by two caregivers who evaluated the respondent's pain. One used only the Doloplus-2 scale and the other used both the Doloplus-2 and the UAB-scale. The UAB-scale was used as a «golden standard» because the UAB-scale has previously been found to be psychometrically valid and reliable. The Doloplus-2 scale was psychometrically evaluated by using Spearman's rank-order correlation, Kappa coefficients, and an explorative factor analysis. There was high correlation between the total score for Doloplus-2 and the UAB-scale, and the agreement was high between the two raters. Moreover, the factor analysis showed the same factor structure as the original instrument. Thus, the results indicated that Doloplus-2 had in general acceptable validity and reliability, and the instrument could be seen as a useful instrument to measure pain among elderly with communication difficulties.
|
|
| 2. |
- Andersson, Henrik, 1968-, et al.
(författare)
-
Competency requirements for the assessment of patients with mental illness in somatic emergency care : A modified Delphi study from the nurses’ perspective
- 2020
-
Ingår i: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 40:3, s. 162-170
-
Tidskriftsartikel (refereegranskat)abstract
- Patients suffering from mental illness are vulnerable, and they do not always have access to proper emergency care. The aim of this study was to identify competency requirements for the assessment of patients with mental illness by soliciting the views of emergency care nurses. A modified Delphi method comprising four rounds was used. Data were collected in Sweden between October 2018 and March 2019. The data were analyzed using content analysis and descriptive statistics. The panel of experts reached the highest level of consensus regarding basic medical knowledge: the capability to listen and show respect to the patient are essential competency requirements when assessing patients with mental illness in emergency care. Awareness of these competency requirements will enhance teaching and training of emergency care nurses.
|
|
| 3. |
- Andersson, Maria, 1969-
(författare)
-
Philosophical knowledge is warranted for the successful implementation of person-centred care
- 2021
-
Ingår i: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 41:3, s. 117-120
-
Tidskriftsartikel (refereegranskat)abstract
- One potentially restrictive environment of person-centred care might be the intensive care unit (ICU) where RNs working inICUs on a daily basis are caring for critically ill patients in a highly technological and stressful milieu. Nursing care for critically illpatients at the ICU is described as task-oriented and mainly based on the patient’s medical needs. The purpose of thiscontemporary issue paper is to suggest that a photograph of the patient could be used as a tool to support RNs workingin ICU in applying person-centred care and their understanding of the philosophical underpinnings for person-centred care. Iadditionally propose that philosophical understanding and knowledge among RNs working in ICU are an essential part of clinicalpractice if person-centred care implementations are to be sustainable.
|
|
| 4. |
- Andersson, Niklas, et al.
(författare)
-
Patient experiences of being cared for by nursing students in a psychiatric education unit
- 2020
-
Ingår i: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 40:3, s. 142-150
-
Tidskriftsartikel (refereegranskat)abstract
- Patients are vital for student learning. However, research has primarily focused on student nurse learning from a student or supervisor perspective; few studies have investigated patient perspectives. This study examines student care practice for patients in acute psychiatric day care. The aim was to describe patients’ experiences of care by student nurses in a psychiatric education unit, a collaboration between the clinic and academia. Data were collected through 17 lifeworld interviews with patients, of which 10 also included observations. Data have been analysed for meanings using reflective, lifeworld research (RLR). The findings reveal that the encounters involve an interactive process of giving and receiving, providing students with both health opportunities and risks. The findings can further be described by the following constituents: exposed and vulnerable; responsibility to support; the importance of accessibility; reciprocity; and engagement that evokes the desire to live a life with dignity. In a patient–student community, there are prerequisites for proper caring. Patient health seems to be positively affected when patients are involved in both their own care and student learning.
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
- Axelsson, Karin, et al.
(författare)
-
Pain among persons living at a nursing home
- 2000
-
Ingår i: Vård i Norden. - : SAGE Publications. - 0107-4083 .- 1890-4238. ; 20:2, s. 20-23
-
Tidskriftsartikel (refereegranskat)abstract
- Pain is common among elderly. Very sick elderly persons living in nursing homes often have communication problems because of dementia or stroke, which causes problem to judge pain and evaluate effects of pain treatment. The aim of this study was to describe the prevalence, localisation and expressions of pain and to evaluate the usefulness of some pain assessment methods for nursing home residents. The study included 66 elderly living in a nursing home of which 49% had dementia as main medical diagnosis. A specially trained registered nurse (RN) performed pain assessment by * presenting a set of pain assessment tools * interpreting the nursing home residents' reactions during activity and * interviewing the resident about perceived pain. Two physiotherapists (PTs) performed physical examination including assessment of joint motion and palpation of joints and muscles. Contractures and ambulating status were noted. Cognitive Performance Scale (CPS) assessed cognitive capacity. When assisted by the RN 61% of the residents used independent or by assistance a verbal rating scale. The RN made an estimation of pain in all the nursing home residents and the PTs examined 92% of the residents. Pain was identified in 88% of the residents, 42% of the residents were treated with analgesics and pain it-as documented in the nurses' daily notes in 27% of the patient records. All residents with contractures had pain in the engaged joint. This study indicates that it is possible to assess pain by combining interview and interpretation of the residents' reactions during activity. Detection of pain by physical examination is a valuable complement especially for persons with decreased ability to communicate.
|
|
| 8. |
- Barremo, Ann-Sofi, et al.
(författare)
-
Personers upplevelse av att leva med kronisk hjärtsvikt : Systematisk litteraturstudie
- 2008
-
Ingår i: Vård i Norden. - : SAGE Publications. - 0107-4083 .- 1890-4238. ; 28:3, s. 34-38
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Heart failure is a clinical syndrome where the heart is no longer able to maintain adequate blood circulation to the tissue. Many suffer from symptoms difficult to handle such as dyspnoea, fatigue, and physical weakness.Aim: The purpose of the study was to investigate peoples’ experiences of living with congestive heart failure.Method: A systematic literature review was used. Relevant articles were found in the Medline and Cinahl databases. The articles were examined, classified and critically appraised. Twenty articles were included. A qualitative content analysis was used to organize the results.Results: The results are described in three main categories: losses, protecting independences and readjustment. The category ‘losses’ details physical, emotional and social changes that people experience as losses caused by the debilitating symptoms of heart failure. The category ‘protecting independences’ shows the different ways in which people try to keep control over their lives. The category ‘readjustment’ presents how people try to seek a new ‘wholeness’ in life after the changes heart failure have caused by using acceptance, adaptation and finding new meanings.Conclusion: Living with congestive heart failure can be experienced as a synopsis of the «suffering human being» on a continuum, a time axle; from falling ill to seeking a new meaning in life.
|
|
| 9. |
- Berglund, Britta
(författare)
-
Födoämnesöverkänslighet hos personer med Ehlers-Danlos syndrom : ett vanligt problem
- 2015
-
Ingår i: Vård i Norden. - : SAGE Publications. - 0107-4083 .- 1890-4238. ; 35:1
-
Tidskriftsartikel (refereegranskat)abstract
- Ehlers-Danlos syndrome (EDS) is a hereditary connective tissue disorder with generalized joint hypermobility, complications of instability, chronic musculoskeletal pain, a bleeding tendency, oral health problems and food hypersensitivity. A connection between hypermobility of joints and gastrointestinal problems is described. This study shows that indigestion is common in this group of 250 respondents from the Swedish EDS group. In total, 30% of the respondents reported no sensitivity to food at all, but 47% reported hypersensitivity for more than four food items. Most frequent reported food items were carbohydrates, histamine- and birch-related foods. Indigestion, itching and diarrhoea were most common problems related to food hypersensitivity.
|
|
| 10. |
- Bergman, Love, et al.
(författare)
-
Health-related stigma related to leprosy : What can be learned from nurses in Ghana?
- 2018
-
Ingår i: Nordic journal of nursing research. - : SAGE Publications. - 2057-1585 .- 2057-1593. ; 38:2, s. 96-102
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to describe nurses’ experiences of how stigma affected the care and health of patients with leprosy. Health-related stigma exists worldwide and affects patients, relatives and caregivers. Mere word ‘leprosy’ is often met with disgust, shame and fear. Knowledge of health-related stigma is important for developing care in different parts of the world. The study has a qualitative, descriptive design. Seven semi-structured individual interviews were conducted with nurses working at a hospital specializing in leprosy care. The study was carried out in the central region of Ghana. Data were analysed using qualitative content analysis. The findings are presented as one theme, ‘Increased knowledge and holistic interventions are important in care for patients with leprosy’, and three sub-themes: ‘knowledge and beliefs are intimately interlaced with leprosy-related stigma’, ‘information is important but not enough to change behaviours and attitudes’ and ‘long-term interventions in a social context’. We conclude that caring for patients with leprosy involved long-term interventions, not at least in relation to education on a society level as well as concerning patients’ abilities to learn a skill to make an income in order to be less dependent on healthcare facilities.
|
|
