| 1. |
- Bjørnnes, Ann Kristin, et al.
(författare)
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Experiences of informal caregivers after cardiac surgery: a systematic integrated review of qualitative and quantitative studies.
- 2019
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 9:11
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Tidskriftsartikel (refereegranskat)abstract
- To provide a comprehensive synthesis of informal caregivers' experiences of caring for a significant other following discharge from cardiac surgery.Systematic integrated review without meta-analysis.A bibliographic search for publications indexed in six databases (Cochrane Library, CINAHL, MEDLINE, EMBASE, AMED and PsycINFO), including a scan of grey literature sources (GreyNet International, Google Scholar, Web of Science, WorldCat and the Clinical Trials Registry) was conducted in October 2018.Studies were included if they described views and perspectives of informal caregivers of cardiac surgery patients (non-intervention studies (qualitative and quantitative)), and the effectiveness of interventions to evaluate support programme for informal caregivers of cardiac surgery patients (intervention studies).Of the 4912 articles identified in searches, 42 primary research studies were included in a narrative synthesis with 5292 participants, including 3231 (62%) caregivers of whom 2557 (79%) were women. The median sample size across studies was 96 (range 6-734). Three major themes emerged from the qualitative study data: (1) caregiver information needs; (2) caregiver work challenges and (3) caregivers adaption to recovery. Across the observational studies (n=22), similar themes were found. The trend across seven intervention studies focused on caregiver information needs related to patient disease management and symptom monitoring, and support for caregivers to reduce symptoms of emotional distress.Informal caregivers want to assist in the care of their significant others after hospital discharge postcardiac surgery. However, caregivers feel insecure and overwhelmed and they lack clear/concise discharge information and follow-up support during the early at-home recovery period. The burden of caregiving has been recognised and reported since the early 1990s, but there remains a limited number of studies that assesses the effectiveness of caregiver interventions.CRD42018096590.
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| 2. |
- Gjøsund, Gudveig, et al.
(författare)
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Vulnerability and prevention of fatal fires
- 2017
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Ingår i: Proceedings of the 26th European Safety and Reliability Conference, ESREL 2016.2017, Page 309. - 9781138029972 ; , s. 309-
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Konferensbidrag (refereegranskat)abstract
- Fire fatalities statistics in Norway show an overrepresentation of people considered as belonging to a vulnerable group. Public services are in contact with vulnerable groups through a range of services, including home care and nursing; support services and counselling; and municipal housing. This paper reports the results from a study of municipal practices for the prevention of fatal fire among vulnerable citizens in Norway. The study explores a socio-technical model for fire safety and how collaboration between municipal services might improve fire safety for vulnerable groups.
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| 3. |
- Jensen, Hanne Irene, et al.
(författare)
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Practice Recommendations for End-of-Life Care in the Intensive Care Unit.
- 2020
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Ingår i: Critical care nurse. - : AACN Publishing. - 1940-8250 .- 0279-5442. ; 40:3, s. 14-22
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Tidskriftsartikel (refereegranskat)abstract
- TOPIC: A substantial number of patients die in the intensive care unit, so high-quality end-of-life care is an important part of intensive care unit work. However, end-of-life care varies because of lack of knowledge of best practices.CLINICAL RELEVANCE: Research shows that high-quality end-of-life care is possible in an intensive care unit. This article encourages nurses to be imaginative and take an individual approach to provide the best possible end-of-life care for patients and their family members.PURPOSE OF PAPER: To provide recommendations for high-quality end-of-life care for patients and family members.CONTENT COVERED: This article touches on the following domains: end-of-life decision-making, place to die, patient comfort, family presence in the intensive care unit, visiting children, family needs, preparing the family, staff presence, when the patient dies, after-death care of the family, and caring for staff.
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| 4. |
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| 5. |
- Steindal, Simen, et al.
(författare)
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A Qualitative study of women´s experiences of living with COPD
- 2017
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; , s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To explore women’s experiences of living with chronic obstructive pulmonary disease (COPD) at home.Design: An explorative and descriptive qualitative design.Methods: A consecutive sample of nine women with COPD living at home. Data were collected in 2014 using semi-structured interviews and analysed using a qualitative content analysis.Results: Three main themes were identified: having a good life with COPD despite imitations; predictability and confidence in getting help; and the struggle to achieve a balance between insight and compliance with management of COPD. These women experienced limitations related to the traditional female role and felt unable to fulfil their own expectations. They experienced a good life despite limitations arising from adaptation and coping strategies. To feel safe, they needed to feel confident that they would receive the necessary help in case of exacerbation of their disease. To enhance compliance with COPD management, the women wanted education that provided specific suggestions.
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| 6. |
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| 7. |
- Storesund, Karolina
(författare)
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Rett tiltak på rett sted : Forebyggende og målrettede tekniske og organisatoriske tiltak mot dødsbranner i risikogrupper
- 2015
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Personer som på ulike måter kan kategoriseres som sårbare, er overrepresentert i dødsbrannstatistikken. Derfor er det viktig å finne fram til effektive og målrettede tiltak som kan forhindre framtidige dødsbranner der personer som tilhører det som omtales som sårbare grupper er involvert. I rapporten brukes en helhetlig analytisk tilnærming som skal fange opp mangfoldet av dimensjoner som kan påvirke forebygging av dødsbrann, og hvordan disse virker i samspill med hverandre. Prosjektet har operert med en forståelse av sårbarhet som inkluderer både det fysiske miljøet, de menneskelige behovene og de sosiale og organisatoriske omgivelsene. En del av rapporten retter seg mot tekniske løsninger som kan brukes for å forbedre brannsikkerheten til sårbare grupper. Det har vært et mål å finne ut hvordan organisatoriske og tekniske tiltak kan brukes og ses i sammenheng, og hvordan tekniske tiltak kan implementeres, vurderes og dokumenteres.
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| 8. |
- Tancin Lambert, Anna, et al.
(författare)
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Biomarkers Predictive of Atrial Fibrillation in Patients with Cryptogenic Stroke. Insights from The Nordic Atrial Fibrillation and Stroke (NOR-FIB) Study
- 2023
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Ingår i: European Journal of Neurology. - : Wiley. - 1351-5101 .- 1468-1331. ; 30:5, s. 1352-1363
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: There are currently no biomarkers used to select cryptogenic stroke (CS) patients for monitoring with insertable cardiac monitors (ICMs), the most effective tool for diagnosing atrial fibrillation (AF) in CS. The purpose of this study was to assess clinically available biomarkers as predictors of AF.METHODS: Eligible CS and cryptogenic transient ischemic attack (TIA) patients underwent 12-month monitoring with ICMs, clinical follow-up, and biomarker sampling. Levels of cardiac and thromboembolic biomarkers, taken within 14 days from symptom onset, were compared between patients diagnosed with AF (n=74) during monitoring and those without AF (n=185). Receiver operating characteristic (ROC) curves were created. Biomarkers reaching area under ROC curve (AUC) ≥ 0.7 were dichotomized by finding optimal cut-off values and used in logistic regression establishing their predictive value for increased risk of AF in unadjusted and adjusted models.RESULTS: B-type natriuretic peptide (BNP), N-terminal pro-brain natriuretic peptide (NT-proBNP), creatine kinase, D-dimer, high-sensitivity cardiac Troponin I and T were significantly higher in the AF than non-AF group. BNP and NT-proBNP reached predefined AUC level, 0.755 and 0.725 respectively. Optimal cut-off values were 33.5 ng/L for BNP, and 87 ng/L for NT-proBNP. Regression analysis showed that NT-proBNP was a predictor of AF in both unadjusted, odds ratio (OR) 7.72 (95% confidence interval [CI] 3.16-18.87), and age and sex adjusted models, OR 4.82 (95% CI 1.79-12.96).CONCLUSION: Several clinically established biomarkers were associated with AF. NT-proBNP performed best as AF predictor and could be used for selecting patients for long-term monitoring with ICMs.
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| 9. |
- Tønnessen, Siri, et al.
(författare)
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Visibility of nursing in policy documents related to healthcare priorities.
- 2020
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Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 1365-2834 .- 0966-0429. ; 28:8, s. 2081-2090
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Tidskriftsartikel (refereegranskat)abstract
- To explore the visibility of nursing in policy documents concerning healthcare priorities in the Nordic countries.Nurses at all levels in healthcare organizations set priorities on a daily basis. Such prioritization entails allocation of scarce public resources with implications for patients, nurses, and society. Although prioritizations in healthcare has been on the political agenda for many years, prioritization in nursing seems to be obscure in policy documents.Each author searched for relevant documents from their own country. Text analyses were conducted of the included documents concerning nursing visibility.All the Nordic countries have published documents articulating values and criteria relating to healthcare priorities. Nursing is seldom explicitly mentioned but rather is included and implicit in discussions of healthcare prioritization in general.There is a need to make priorities in nursing visible to prevent missed nursing care and ensure fair allocation of limited resources.To highlight nursing priorities, we suggest that the fundamental need for nursing care and what this implies for patient care in different organizational settings be clarified and that policymakers explicitly include this information in national policy documents.
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