| 1. |
- Andersson, Thomas, et al.
(författare)
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Health is belonging: Lived experiences during recovery after pancreaticoduodenectomy.
- 2012
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Ingår i: ISRN nursing. - : Hindawi Limited. - 2090-5483 .- 2090-5491. ; :Article ID 602323
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the lived experience of the symptoms, health, and illness reported by patients recovering after pancreaticoduodenectomy ad modum Whipple due to pancreatic or periampullary cancer. Thirteen patients with pancreatic or periampullary cancer who underwent pancreaticoduodenectomy ad modum Whipple between 2006 and 2008 were interviewed during postoperative recovery. Data were analysed using the phenomenological-hermeneutic method. The structural analysis of patient experiences revealed that recovery after pancreaticoduodenectomy was described as recapturing everyday life, being healthy, and looking to the future. Participants experienced symptoms but did not dwell on them, instead they stated that their general health was good. They strived to regain their former precancer selves and be a part of as well as contribute to the social context. Overall, the participants’ view of the future was positive, and improvement in their health generated further confidence and encouragement. This study suggests that persons recovering from pancreaticoduodenectomy ad modum Whipple due to a pancreatic or periampullary tumour experience health despite postoperative symptoms. They manage their symptoms by means of different strategies and express a positive view of the future. Nurses working with such patients should adopt a person-centred approach focusing on patient perspectives, participation, and possibilities.
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| 2. |
- Andreae, Christina, et al.
(författare)
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Patients' Participation as It Appears in the Nursing Documentation, When Care Is Ruled by Standardized Care Plans
- 2011
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Ingår i: ISRN Nursing. - : Hindawi Limited. - 2090-5483 .- 2090-5491. ; 2011:Article ID 707601, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to describe inpatients with myocardial infarction and their participation in care as documented in the nursing records when standardized care plans are used in care. The use of standardized care plans not only has increased the quality of medical treatment but has also overlooked patients' opportunities to participate in their own care. There is a lack of knowledge about how standardized care plans influence patients' participation in nursing care. Data were collected from thirteen patients' records with diagnoses of myocardial infarction. Participation in the decision-making process and participation associated with “sharing with others” were searched for in the analysis. The analytical process was guided by content analysis. The findings were grouped into two categories: patients' intermediary participation and patients' active participation. The main results indicated that patients' intermediary participation depended on healthcare professionals' power to rule the nursing care situation.
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| 3. |
- Hernández, Alison, et al.
(författare)
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Translating community connectedness to practice : a qualitative study of midlevel health workers in rural Guatemala
- 2012
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Ingår i: ISRN Nursing. - : Hindawi Limited. - 2090-5483 .- 2090-5491. ; 2012, s. 648769-
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Tidskriftsartikel (refereegranskat)abstract
- Background. The performance of midlevel health workers is a critical lever for strengthening health systems and redressing inequalities in underserved areas. Auxiliary nurses form the largest cadre of health workers in Guatemala. In rural settings, they provide essential services to vulnerable communities, and thus have great potential to address priority health needs. This paper examines auxiliary nurses' motivation and satisfaction, and the coping strategies they use to respond to challenges they confront in their practice.Methods. Semistructured interviews were conducted with 14 auxiliary nurses delivering health services in Alta Verapaz, Guatemala.Results. Community connectedness was central to motivation in this rural Guatemalan setting. Participants were from rural communities and conveyed a sense of connection to the people they were serving through shared culture and their own experiences of health needs. Satisfaction was derived through recognition from the community and a sense of valuing their work. Auxiliary nurses described challenges commonly faced in low-resource settings. Findings indicated they were actively confronting these challenges through their own initiative.Conclusions. Strategies to support the performance of midlevel health workers should focus on mechanisms to make training accessible to rural residents, support problem-solving in practice, and emphasize building relationships with communities served.
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| 4. |
- Hommel, Ami, et al.
(författare)
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The Patient's View of Nursing Care after Hip Fracture
- 2012
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Ingår i: ISRN Nursing. - : Hindawi Publishing Corporation. - 2090-5483 .- 2090-5491. ; 2012, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Background. The pathway for patients with a hip fracture described in this study is a fast track. Many studies have focused on prevention of various complications but, so far, the patient’s view of nursing care has not been highlighted. Aim. The aim of the study is to illuminate the patient’s view on nursing care when treated for a hip fracture. Method. Ten patients were interviewed. A content analysis design was conducted. Findings. From the analysis, four main categories emerged: waiting times; pain/pain relief and mobilisation; attitude/information and sense of security; complications. Conclusion. Patients generally felt satisfied with the nursing provided. The staff created a feeling of security and showed interest and empathy for the patient. However, patients experienced a stressful waiting for surgery, and patients who developed confusion waited more than 24 hours for surgery. Therefore, waiting time must be decreased. Furthermore, patients’ descriptions of a variety of pain problem show, for example, that good collaboration between the nurse and physiotherapist is critical for achieving good pain relief before mobilisation. Nursing staff need to be attentive and should elicit the patient’s feelings through patient-focused communication in order to relieve anxiety about going home.
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| 5. |
- Lawoko, S, et al.
(författare)
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Screening for Intimate Partner Violence against Women in Healthcare Sweden: Prevalence and Determinants
- 2011
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Ingår i: ISRN nursing. - : Hindawi Limited. - 2090-5491 .- 2090-5483. ; 2011, s. 510692-
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Tidskriftsartikel (refereegranskat)abstract
- We assessed the extent to which healthcare providers at a large healthcare facility in Sweden screen for intimate partner violence against women and the determinants of such screening. Data on frequency of screening, readiness to screen on many dimensions (using the Domestic Violence Healthcare Provider Survey Scale), demographic and occupational characteristics were administered electronically to 217 healthcare providers. We found that only 50% of participants had during the past 3 month screened for IPV at least once, and screening activity was marked with inequalities in measured individual characteristics. Participants of female gender and of doctor/nurse occupation were more likely to screen than male and midwife peers, respectively. Healthcare providers who perceived high efficacy in handling IPV issues, low fears of offending clients, professional preparedness, and with availability of support networks for IPV victims were more likely to screen for IPV. Implications of these findings for interventions are discussed.
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| 6. |
- Samarasinghe, Kerstin
(författare)
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A conceptual model facilitating the transition of involuntary migrant families
- 2011
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Ingår i: ISRN Nursing. - : Hindawi Limited. - 2090-5483 .- 2090-5491.
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Tidskriftsartikel (refereegranskat)abstract
- Refugee families face a complex transition due to the nature of involuntary migration and the process of acculturation. There are several risk factors to the family adaptation process during the transition period, which are sociocontextually environmental dependant. Facilitating a healthy transition for refugee families, therefore, requires the role of nursing to incorporate sociopolitics into the discipline. This paper introduces a sociopolitically oriented and community-driven assessment and intervention model which is based on a family systematic approach. Interventions that aid the families in their acculturation process as well as empowers them to a well-functioning daily life, as per the SARFI model, should be adopted. As such, the future of nursing may provide additional primary health care services for refugee families; this is through a team-led “family nurse” who provides quality care for the family unit in collaboration with other health care professionals and societal authorities.
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| 7. |
- Snellman, Ingrid, et al.
(författare)
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Patients’ and Caregivers’ Attributes in a Meaningful Care Encounter : Similarities and Notable Differences
- 2012
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Ingår i: Aging in a Changing World. - : Hindawi Limited. ; 2012:Article ID 320145
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- In today’s healthcare system, there is an imbalance between what patients expect of caregivers’ care and their perception of the care they get. How is it possible to reduce this imbalance? The aim of this paper was to describe attributes associated with meaningful encounters in the Swedish healthcare system based on patients’ and caregivers’ written narratives and to note the differences and similarities between the attributes identified by the two groups. This paper is a qualitative descriptive study. The analysis was guided by qualitative content analyses. Based on patients’ narratives, attributes associated with a meaningful encounter fell into four categories: the kind-hearted caregiver, the thoughtful caregiver, the mutually oriented caregiver, and the helpful caregiver. Based on caregivers’ narratives, the attributes were categorized as being humane, caring through physical contact, caring by nurturing communication, joy and laughter in care, and a sense of mutuality. The results show that there are both similarities and differences in patients’ and caregivers’ opinions about the attributes of ameaningful encounter. Knowing more about the attributes associated with meaningful encounters makes it possible for caregivers to individualize care for patients and makes it easier to help and support patients in what they most need support with.
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| 8. |
- Wibe, Torunn, et al.
(författare)
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How does an online patient-nurse communication service meet the information needs of men with recently diagnosed testicular cancer?
- 2012
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Ingår i: ISRN Nursing. - : Hindawi Limited. - 2090-5483 .- 2090-5491. ; 2012
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Tidskriftsartikel (refereegranskat)abstract
- Online communication has become a potential means of communication between patients and health care providers, but so far few studies are published about online communication as part of nursing care. The aim of this study was to explore how an online patient-nurse communication (OPNC) service meets the information needs of men with newly diagnosed testicular cancer. We applied a qualitative approach by examining the content of online messages sent by patients to nurses in a specialist cancer unit. In addition, individual interviews were conducted with patients who had used the OPNC service. Four themes became distinct through a synthesis of the material from the interviews and the messages: "a means for managing illness-related concerns at home," "a means for ensuring information flow," "a means for strategic information seeking," and "not yet available when needed most." Individualized information provided by nurses with access to their medical record was shown to be important to these patients. The findings of this study indicate that not only may access to an OPNC service help patients fulfill their otherwise unmet information needs, but also it may prevent delays and discontinuity in care due to informational gaps and lead to improved patient safety.
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| 9. |
- Samarasinghe, Kerstin, 1950-
(författare)
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A conceptual model facilitating the transition of involuntary migrant families
- 2011
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Ingår i: ISRN Nursing. - 2090-5483. ; , s. 824209-
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Tidskriftsartikel (refereegranskat)abstract
- Refugee families face a complex transition due to the nature of involuntary migration and the process of acculturation. There are several risk factors to the family adaptation process during the transition period, which are sociocontextually environmental dependant. Facilitating a healthy transition for refugee families, therefore, requires the role of nursing to incorporate sociopolitics into the discipline. This paper introduces a sociopolitically oriented and community-driven assessment and intervention model which is based on a family systematic approach. Interventions that aid the families in their acculturation process as well as empowers them to a well-functioning daily life, as per the SARFI model, should be adopted. As such, the future of nursing may provide additional primary health care services for refugee families; this is through a team-led “family nurse” who provides quality care for the family unit in collaboration with other health care professionals and societal authorities.
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