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- Fjällman, Carina, et al.
(författare)
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Home health nurses' views on participating in pre-ambulance emergency treatment : A qualitative descriptive study
- 2021
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Ingår i: Nordic journal of nursing research. - : Sage Publications. - 2057-1585 .- 2057-1593. ; 41:2, s. 92-100
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Tidskriftsartikel (refereegranskat)abstract
- As part of the Health Care Interaction project that was rolled out in western Sweden, home health nurses (HHNs) were called on as first responders to provide emergency treatment to patients, while waiting for the ambulance to arrive. The aim of this study was to evaluate the Health Care Interaction project in terms of the training and preparation of HHNs and the competencies that the nurses felt they needed to develop to feel confident in these assignments. In this qualitative descriptive study, 11 home health nurses from six municipalities that implemented the project were interviewed, and the data were analysed using content analysis. The COREQ guidelines were followed in the reporting of this study. The findings show that some municipalities did not have a training or preparation course in place, and guided the HHNs to refer to self-education material. The HHNs emphasised the importance of continuously updating their knowledge and skills through regular training. Further, feedback and reflection were considered important as reinforcement of learning.
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- Hilli, Yvonne, 1959-, et al.
(författare)
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A Nordic model for learning compassionate care in clinical education.
- 2020
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Ingår i: Nurse Education Today. - : Elsevier BV. - 0260-6917 .- 1532-2793. ; 90
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Preceptorship is one model of supporting student nurses' learning and development during their clinical education. However, little is known about what there is in preceptorship that promotes or hinders learning. Earlier studies found that there were ethical dimensions to students' encounters with preceptors.AIM: The overall purpose of this Nordic follow-up study was to develop a model for learning compassionate care among student nurses during their clinical education - first, to deeper understand the learning of student nurses, and second, to investigate the phenomenon of preceptorship from the preceptors´ point of view.METHOD: This study used a mixed methods design. Undergraduate student nurses (n = 139) from three universities in Finland and Sweden were shadowed for a period of three years. Quantitative data were collected through a questionnaire and were analysed using statistical methods. To better understand the learning acquired by the student nurses, focus group interviews (n = 70) were conducted. The phenomenological-hermeneutical approach was adopted. To capture the preceptors' point of view, narrative interviews were held with them (n = 88) in western Finland and northern Sweden. A hermeneutical approach was used when analysing the data.FINDINGS: According to both student nurses and preceptors, a caring student-preceptor relationship, imbued with commitment, reverence and responsibility, is fundamental and serves as the basis for students' learning and development more than pedagogical methods used. Three main themes emerged: a caring student-preceptor relationship; a caring manner of being-the conduct; and a caring culture-the tone of the learning space.CONCLUSIONS: This study shows the importance of preceptorship on student nurses in their quest of becoming compassionate and caring nurses. Therefore, based on earlier findings and the findings in this study, there is a need to facilitate and support the students' transformation, that is, the process of becoming, from student to a professional nurse.
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- Hilli, Yvonne Elisabet, et al.
(författare)
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Being a preceptor : A Nordic qualitative study
- 2014
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Ingår i: Nurse Education Today. - : Elsevier. - 0260-6917 .- 1532-2793. ; 34:12, s. 1420-1424
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Tidskriftsartikel (refereegranskat)abstract
- Background: Positive preceptor experiences enhance learning and even affect the decisions of students to remain in nursing. In light of this, nurse managers have a responsibility, besides maintaining staff competence, to assess whether preceptors live up to their professional obligations. Aim: The aim of this Nordic qualitative study was to gain a deeper understanding of the perceived experiences of preceptorship used to support undergraduate student nurses during their clinical education. Method: Data was collected through narrative interviews with 31 preceptors in Finland and Sweden before being analysed using a hermeneutical approach. Findings: Preceptorship is all about teaching in a supportive environment with ethical dimensions uniting theory and praxis. A caring relationship is essential and the basis for student learning and development. Conclusion: The preceptors emphasise a caring relationship as the foundation for student learning. Moreover, preceptorship is an ethical issue, a responsibility that should be recognised by all stakeholders. The findings suggest that preceptorship should be examined from a new perspective. The ethical dimension must be recognised and linked to the further education of preceptors. Nurse managers are in a key position to lead for change. (C) 2014 Elsevier Ltd. All rights reserved.
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- Hilli, Yvonne Elisabet
(författare)
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Hemmet som ethos. En idéhistorisk studie av hur hemmet som ethos blev evident i hälsosysterns vårdande under 1900-talets första hälft
- 2007
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Hemmet som ethos, en etisk dimension inom människan, utgör forskningsintresset i denna studie. Kan hemmet som ethos utgöra motiv och drivkraft för människan? Avhandlingen har en övergripande hermeneutisk ansats med en vårdvetenskaplig tolkningshorisont. Studien har som syfte att för det första göra en begreppsbestämning av begreppet ’hem’ för att utreda dess etymologiska och semantiska innebörd. Därtill utreds begreppets vårdvetenskapliga innehåll. För det andra är syftet, att genom en idéhistorisk metodansats undersöka, hur hemmet som ethos blir synligt och evident i hälsosysterns vårdande under 1900-talets första hälft. Vilka var de motiv som utgjorde drivkraften i hälsosysterns vårdande? Vilka idémönster framtonar? Materialet för den ontologiska begreppsbestämningen består av etymologiska ordböcker samt svenska ordböcker utgivna 1850–2001. Resultatet från begreppsbestämningen utmynnar i en preliminär idealmodell, där dimensioner såsom ethos som människans innersta rum, människans sätt att vara och metaforen ”Mitt hem är min borg” framtonar. Dessa delresultat utgör bakgrund till den idéhistoriska undersökningen. En idéhistorisk undersökning görs genom att granska och tolka historiska källor med fokus på hälsosysterns vårdande. Hälsosystern representerar kontexten och den rådande traditionen under nämnda tidsperiod. De historiska källorna utgörs av tre olika typer källor nämligen, läroböcker, arkivmaterial och facktidskrifterna Epione och Sairaanhoitajatarlehti. Strävan är att återupptäcka bärande idémönster genom att tematisera mönster i de historiska källorna. Tre övergripande idémönster med underliggande teman har återupptäckts: kärleken – en eld som brinner inom människan, vördnad inför människan och hemmet samt ansvaret som en hederssak. Idémönstren går in i varandra som trådarna i en väv och bildar ett mönster. En ny tolkning görs och horisonten vidgas vilket leder till att konturerna till en teorimodell tonar fram. Teorimodellen formas av tre olika skikt. Ethos som människans innersta rum – andan. Ethos som människans innersta rum innesluter människans värdegrund, den anda hon genomsyras av. Grundläggande värden omformas till en inre etik och blir synliga i människans sätt att vara – hållningen. Metaforen ”mitt hem är min borg” – tonen symboliserar det rum som bebos av människan abstrakt eller konkret. Andan, ethoset, kommer till uttryck i hemmets kultur och atmosfär, d.v.s. tonen i hemmet eller hur man bor i rummet. Gemenskapen ingår som en betydelsefull beståndsdel vid skapandet av kulturen och atmosfären. Teorimodellen ’öppnar upp’ för ett nytt seende som kan generera nya handlingsmönster i nutid. Utgående från teorimodellen kan implikationer härledas för vårdandet och vårdvetenskapen i dag med utgångspunkt i det historiska.
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- Hilli, Yvonne Elisabet
(författare)
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Hälsosysterns arbete i Finland 1920-1944
- 1997
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Ingår i: Hippokrates. Årsskrift för Finlands Medicinhistoriska Sällskap. - 0781-5859. ; 14
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Tidskriftsartikel (refereegranskat)
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