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- Larsson-Mauleon, Annika, et al.
(författare)
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Anaesthesia care of older patients as experienced by nurse anaesthetists
- 2005
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Ingår i: Nursing Ethics. - : Nursing Ethics, Edward Arnold (Publishers) Ltd. - 0969-7330 .- 1477-0989. ; 12:3, s. 263-272
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Tidskriftsartikel (refereegranskat)abstract
- Anaesthesia care of older patients as experienced by nurse anaesthetists This article is analysing problem situations in the context of anaesthesia care.It considers what it means for nurse anaesthetists to be in problematic situations in the anaesthesia care of older patients. Benner’s interpretive phenomenological approach proved a useful for this purpose. Paradigmcases are used to aid the analysis of individualnurses' experinces. Thirty narrated problematic anaesthesia care situations derived from seven interviews were studied. These show that experienced nurse anaesthetists perceive anaesthesia care as problematic and highly demanding when involving older patiens. To be in problematic anaesthesia care situation means becoming morally distressed, which arises from the experience or being prevented from acting upon one’s legal and moral duty of care. An important issue that emerged from this study was the need for an ethical forum to discuss and articulate moral issues, so that moral stress of the kind experienced by these nurse anaesthetists can be dealt with and hopefully reduced.
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| 2. |
- Larsson-Mauleon, Annika, et al.
(författare)
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Patients experiencing local anaesthesia and hip surgery
- 2007
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Ingår i: Journal of Clinical Nursing. - : Blackwell Publishing Ltd. - 0962-1067. ; 16:5, s. 151-158
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives. The aim of this study was to show what the experience of local anaesthesia and a surgical situation meant to patients. Background. Many patients who receive local anaesthesia will remain awake during surgery. The very fact of staying awake causes psychological and psychosocial needs. These needs must be met and it is therefore important to identify them. Design/method. Seven patients (aged 61–79) experiencing local anaesthesia and hip surgery (hip replacement surgery or repair of fractured hip) were interviewed. An interpretive phenomenological method developed by Benner was used to extract the experience of what it means to be in local anaesthesia and surgery. One paradigm case is used to illustrate the results. Results. Results show that the well-being and comfort of patients is compromised by challenges such as severe pain and long waits, which may be experienced as endless and which leave the patient thinking of nothing else. By contrast, the experience of trust helps the patient to feel control even in situations where the treatment is hard to grasp. Conclusions. The results highlight that local anaesthesia and surgery force patients to overcome and handle experiences of pain, trust and distrust as well as feelings of alienation and unreality. Relevance to clinical practice. The results illustrate the patient’s needs, as seen from the patient’s perspective. A shared experience makes it possible to understand, and thus to recognize, the required qualitative care to facilitate and to help the patient to remain in control and face the psychological challenges presented by anaesthesia care and surgical
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| 3. |
- Sarvimäki, Anneli, et al.
(författare)
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Så blev livet : reflektioner kring migration
- 2006. - 1
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Ingår i: Mellan majoriteter och minoriteter. - Helsingfors : Svenska litteratursällskapet i Finland (SLS). - 9515831334 ; , s. 442-470
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Bokkapitel (refereegranskat)
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| 4. |
- Sarvimäki, Anneli, et al.
(författare)
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Äldre finländska emigranter berättar
- 2006. - 1
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Ingår i: Mellan majoriteter och minoriteter. - Helsingfors : Svenska litteratursällskapet i Finland (SLS). - 9515831334 ; , s. 47-74
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Bokkapitel (refereegranskat)
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| 5. |
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| 7. |
- Bohman, Doris, et al.
(författare)
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South Africans' experiences of being old and of care and caring in a transitional period
- 2011
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Ingår i: International Journal of Older People Nursing. - : Wiley. - 1748-3735 .- 1748-3743. ; 6:3, s. 187-195(9)
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Tidskriftsartikel (refereegranskat)abstract
- This focused ethnographic study aimed to illuminate a group of South Africans’ experiences of being old and of care and caring in a transitional period. With a growing number of older people in Africa, studies on the individual experiences may help to develop care which is more sensitively based on the needs for older people in a changing Southern Africa context. Data were collected through group and individual in-depth interviews and participant observations which involved 16 individuals, aged 52–76. Data were analysed using a qualitative content analysis. The study showed two interrelated themes reflections on life and ubuntu – an orientation towards others. Findings were discussed from the viewpoint of the theory of gerotranscendence, showing similarities as well as differences, possibly due to societal and cultural differences. Shortage of formal care for older people living in poor conditions in Southern Africa, gave rise to the discussion for the need of a contextualized development of gerontological care. To enhance knowledge on the theory of gerotranscendence and develop guidelines for nursing in home-based care/community-based care in a South African context may be a first step to support older people in their process towards gerotranscendence.
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| 8. |
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| 9. |
- Bohman, Doris, et al.
(författare)
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Tradition in transition-intergenerational relations with focus on the aged and their family members in a South African context
- 2009
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 23:3, s. 446-455
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Tidskriftsartikel (refereegranskat)abstract
- This study describes the intergenerational relations influence on the care of the aged in a transitional period expressed by a group of aged South Africans and their family members. Focused ethnographic research was carried out from 2001 to 2006 in a semi-rural area in central South Africa. Twenty-nine participants representing 16 families took part in multiple group interviews. The data was supplemented through individual interviews with 10 of the participants as well as home visits, participation in community activities, notes and video recording. The transcribed interview texts were analysed using qualitative content analysis. The study shows aspects of tradition in transition as reciprocal care between generations, the significance of traditional values and the impact of modernization on care. The findings reveal the on going transition in Africa influencing the role of the aged as well as the reciprocal care within the extended family. The study also discloses that in reciprocal relationships, family members do not necessarily have a biological bond and that revaluing of traditions can be seen as a response to social and economic change and as a tool to maintain influence. This ethnographic study contributes knowledge in the field of gerontological care, by illuminating the impact of transition on the role of aged as well as the caring of the aged in the extended family an important issue for health professionals caring for a growing number of older persons in Southern Africa and in countries with a large representation of minority groups from developing countries.
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