| 1. |
- Forsberg, Elenita, 1961-, et al.
(författare)
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Educational impacts of changed action of using VPs in postgraduate nurse education
- 2015
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Ingår i: Journal of Nursing & Care. - Los Angeles, CA : OMICS Publishing Group. - 2167-1168. ; 4:5, s. 150-150
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- A meta-analysis of a thesis project entitled Virtual Patients (VPs) for Assessment of Clinical Reasoning has been performed. VPs are interactive computer simulations of real-life clinical scenarios for the purpose of healthcare education and assessment. To teach and learn clinical reasoning (CR) can be hard because its complexity and difficulty to make it visible for students. VPs have been found to improve learning and be superior to traditional teaching methods for training CR. Most VP systems have the potential to track all interactions of the user and therefore recommended for assessment. The aim of the metaanalysis, which is based on the research project’s four studies, was to reach a deeper understanding of the educational impact of using VPs in postgraduate pediatric nurse education. Data was collected during 2008-2013.The first study evaluated the applicability and students’ acceptance of VP-based exams. Through thinking aloud the second study identified how clinically experienced nurses solved complex VP cases which was a base for the third study; evaluating a new scoring model for VP-based exams. Finally the last study explored if formative VP-based assessments in connection with self-evaluations had an impact on student’s development of CR and if they could detect their progression. For the meta-analysis, concepts of challenge, skills, novice and expert have been applied. The findings shows that VP-based assessments have high educational impacts: for example even if the students were novices in the domain of Child health care, the early exposure for formative VP-based assessments gave them an insight about what is required to work at such a unit as well as a stimulation to develop CR in this field. They became aware of what to focus on in literature and clinical practice. The students reported a perceived progression of CR ability from uncertainty about the competence, to self-efficacy.
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| 2. |
- Nilsson, Lena, et al.
(författare)
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Most Important for First Time Mothers during Labor is to be Respected for their Needs, to Feel Involved in the Care and Support from their Partners
- 2012
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Ingår i: Journal of Nursing and Care. - : OMICS Publishing Group. - 2167-1168. ; 1:4, s. 114-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Further research is needed about the women’s experience of support during labor in order for health professionals to respond to a woman’s unique needs.Aim: To explore first time mothers experience of giving birth as well as professional and social support during labor.Method: This study was carried out in southwestern Sweden in 2008. A qualitative method with content analysis was chosen for the study. The unit of data is from 14 women’s written narratives.Results: Results show that the women’s experiences of being involved in decisions and the relationship to professional and social support during their first labor can be conceptualized as one main theme: "Most important for first time mothers’ during labor is to be respected for their needs, to feel involved in the care, and support from their partner". This theme contained three categories: "To be respected for their needs", "To be involved in the care" and "Support from the partner". A safe and calm environment positively influenced the women’s sense of support, and the ability to have her partner physically present positively influenced the sense of support.Conclusion: When healthcare professionals responded to a woman’s unique needs during labor, the woman felt that the support was based on her as an individual and possibility to being involved in decisions; otherwise a feeling of uncertainty emerged. If the woman’s partner was able to offer support, then it was essential that he was physically present in the room throughout the birth.
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| 3. |
- Johansson Hanse, Jan, 1954, et al.
(författare)
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Leader-Member Exchange (LMX) and Psychosocial Factors at Work Among Healthcare Professionals
- 2014
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Ingår i: Journal of Nursing and Care. - : OMICS Publishing Group. - 2167-1168. ; 3:5
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The study aims to examine the associations between leader–member exchange (LMX) and psychosocial factors at work. Methods: A questionnaire-based cross-sectional study was undertaken at four units in two not-for-profit hospitals in southwestern Sweden. The study sample included 240 employees. Results: Significant correlations were found between LMX items and most of the psychosocial domains and dimensions. The strongest correlations were found between the LMX item affect and rewards/recognition, role clarity and predictability, and the LMX item loyalty and rewards/recognition. In sum, high-quality LMX was associated with good psychosocial work conditions experienced by the employees. Conclusions: The results support possible ways for managers and employees to strengthen their relationships and this may in turn lead to more sustainable systems in health care.
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| 4. |
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| 5. |
- Ekström, Anette, et al.
(författare)
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Fathers’ feelings and experiences during pregnancy and childbirth : A qualitative study
- 2013
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Ingår i: Journal of Nursing & Care. - : OMICS Group. - 2167-1168. ; 2:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Fathers feel excluded and insecure during childbirth and professional support for fathers can be inadequate. Therefore it is important to further understand fathers experience in order to develop professional support and to create a positive childbirth experience for both fathers and their partners.Aim: The aim of this study was to explore fathers’ feelings and experiences during pregnancy and childbirth.Materials and Methods: A qualitative method was used, with written interviews which were analyzed using a qualitative content analysis. Participants were eight fathers who wrote answers to two open questions.Results: The theme “Fathers have strong, mixed feeling while striving to become prepared and to participate during pregnancy and childbirth” crossed over into all the four categories: Being prepared gave security, Feeling needed, Feeling strong, mixed feelings during pregnancy, and Feeling strong, mixed feelings during childbirth. Fathers’ previous experiences from childbirth facilitated being prepared and increased sense of security.Conclusion: It was important for fathers to be prepared and to feel needed and to witness the birth of their baby was fantastic. Overall, the fathers were faced with handling their strong but mixed feelings while striving to prepare for and participate in pregnancy and childbirth.Implications: Healthcare professionals need to acknowledge that fathers have needs of their own during pregnancy and childbirth. Fathers also worry about the woman and the baby so they need explanations about normal changes as well as possible complications.
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| 6. |
- Thorstensson, Stina, et al.
(författare)
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Professional Support in Pregnancy Influence Maternal Relation to and Feelings for the Baby after Cesarean Birth : An Intervention Study
- 2012
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Ingår i: Journal of Nursing and Care. - : OMICS Publishing Group. - 2167-1168. ; 1:4, s. 112-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Cesarean birth may negatively affect mother-infant interactions, while professional support may positively affect these interactions. The aim of this study was to evaluate the effects of a process-oriented training program for antenatal midwives and postnatal nurses on first time mothers’ perceptions of professional support and on their relation to and feelings for their baby after a cesarean or a normal birth. Methods: An intervention through process-oriented training for health professionals regarding professional support in childbearing was conducted between 1999 and 2003. Ten municipalities were paired and within each pair, randomly assigned to intervention (five) or control (five) municipality. Mothers having caesarean (n=94) or normal birth (n=301) were included. Mothers received routine care (Control Group=CG) or care from health professionals having received training (Intervention Group=IG). The mothers answered questionnaires three days, three and nine months after birth. Factor analysis identified three factors: “Taking in baby,” “Confidence in relation to baby,” and “Feelings for baby.” Results: Mothers in the IG with cesarean birth reported more positive for the “Taking in baby” factor (p=0.002) three days after birth, more positive for the “Confidence in relation to baby” factor (p=0.004) and for the “Feelings for baby” factor (p=0.004) nine months after birth compared to Mothers in the CG. Mothers in the IG reported stronger professional support from health professionals compared to CG. Conclusion: Our result suggests that improved professional support during pregnancy may buffer negative effects of caesarean birth for first-time mothers in relation to and feelings for the baby.
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| 7. |
- Thorstensson, Stina, 1956-, et al.
(författare)
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Women's Experiences of Midwifery Support during Pregnancy A step in the Validation of the Scale: "The Mother Perceived Support from Professionals"
- 2015
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Ingår i: Journal of Nursing & Care. - : OMICS Group. - 2167-1168. ; 4:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Pregnancy can be physically and emotionally stressful for the parents, which means they need adequate professional support. Easy-to-use, validated scales are important in order to develop professional support in Antenatal care as well as in research.The aim: Our aim was to illuminate pregnant women’s experience of professional support at the Antenatal care, in relation to the Mother-Perceived-Professionals-Support (MoPPS) scale.Method: A qualitative study design using the method “Think aloud” with both inductive and deductive approaches, was used. Five first-time mothers were interviewed with open questions followed by questions related to the MoPPS scale items. Data was analyzed using inductive and deductive qualitative content analyses.Results: The inductive analysis resulted in one theme: “Professional support from midwives made women created a feeling of security and unique or rejected and lonely during pregnancy” and three categories: “Continuity and competence”, “Perceiving trust or not” and “Parental groups or individual visits”. The deductive analysis described the mothers’ understanding of each item. However, coherence between the inductive and deductive analyses varied and the MoPPS-scale needs development.Conclusion: The result shows that women's experience of professional support affects their sense of feeling safe or lonely during pregnancy. Important for midwives were to meet the women’s unique individual needs. The MoPPS scale was considered to be relevant and easy to understand, but it needs development to include questions about continuity, parental groups and the perception of midwives’ competence, which all were important for the women during their pregnancies.Clinical implications: To offer adequate professional support for women during pregnancy, midwives need to meet the women’s unique individual needs with both medical and supportive knowledge.
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| 8. |
- Thorstensson, Stina, 1956-, et al.
(författare)
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To be Supportive or to Care for
- 2014
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Ingår i: Journal of Nursing & Care. - : OMICS Group. - 2167-1168. ; 3:6
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 9. |
- Ekström, Anette C., 1958-, et al.
(författare)
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Nurses challenges to support hospitalized patients regarding sexual-health issues
- 2016
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Ingår i: Journal of Nursing & Care. - : OMICS Publishing Group. - 2167-1168. ; 5:3
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Tidskriftsartikel (refereegranskat)abstract
- Background: The approach to nursing should be characterized by a holistic view of the human being which includes sexual health. From a nursing perspective, it is therefore of most importance to have a dialogue about factors associated with sexual health also among hospitalized patients. However, to our knowledge there is a lack of qualitative studies regarding nurses attitudes about dialogue with patients about sexual health.Objective: To investigate nurses attitudes towards dialogue with hospitalized patients about sexual health.Methods: A qualitative method was used and interviews were conducted which then were analyzed using a qualitative content analysis. Eleven registered nurses were included, the inclusion criteria was: at least one year of experience as a nurse and working on a medical or surgical ward in a hospital in the southwest of Sweden. The participants were in the ages 25-65 and had worked as nurses between 2 and 30 years. Nine of the participants were women. The data were collected during 2011.Results: The nurses experiences of and reflections on dialogue with patients about sexual health were presented as a single main theme: Nurses challenges to support hospitalized patients with sexual health issues. This theme had three categories: Feeling uncomfortable, Feeling inadequate and Task-oriented care with related subcategories respectively.Conclusions: Nurses attitudes towards their dialogues about sexual health with hospitalized patients were less challenging if they were initiated by the patients or if the patients were men with medical causes related to sexual health. Lack of knowledge and support from colleagues became reasons why nurses felt inadequate about discussing sexual health with their patients.
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| 10. |
- Hertfelt Wahn, Elisabeth, et al.
(författare)
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Teenage Childbearing in Sweden – Depressive Symptoms among Teenage Mothers, Influencing Factors, Perception of Support and Self-Esteem : A Comparative Cross-Sectional Study
- 2012
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Ingår i: Journal of Nursing & Care. - : OMICS Publishing Group. - 2167-1168. ; 1:6
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Tidskriftsartikel (refereegranskat)abstract
- Background: Becoming a teenage mother is confronted with parental responsibilities at a time when a teenage girl has to deal with her own intense development. Depressive symptoms and postpartum depression are commonly reported in teenage mothers and are of particular concern since depressive symptoms are linked with poor general health.Objective: To examine if the perception of support, self-esteem and social background factors differ between teenage mothers with depressive symptoms compared with teenage mothers without depressive symptoms. Design: A descriptive comparative cross-sectional study.Participants: Swedish speaking teenage mothers aged 15-19 who gave birth in hospital in a county of south western Sweden, n=76. The group was divided into two groups based on their score on Edinburgh postnatal depression scale, depressive symptoms, n=24 and without depressive symptoms, n=52.Measurements: Data were collected by a questionnaire including socio-demographic variables, scales to measure support, self-esteem and depressive symptoms. Differences between teenage mothers scoring high or low on the EPDS were tested. Teenage mothers with depressive symptoms perceived less support from family and friends and had lower self-esteem than teenage mothers without depressive symptoms. They had more often been exposed to mental/physical abuse and were more often smokers than the teenage mothers without depressive symptoms. Support from the midwives were generally well perceived by teenage mothers, but support from the midwife attending delivery was less well perceived by teenage mothers with depressive symptoms.Conclusion: Teenage mothers with depressive symptoms may have a difficult life situation characterized by low self-esteem and perceived failing support from their social network.Implications for practice: The result suggests that assessment of the health status of the teenage mother should include screening for depressive symptoms, risk-taking behaviours and perception of current family/friend and partner support to inform individual planning of care
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