| 1. |
- Grue, Else Vengnes, et al.
(författare)
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Vision and hearing impairments and their associations with falling and loss of instrumental activities in daily living in acute hospitalized older persons in five Nordic hospitals
- 2008
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 23:4, s. 635-643
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Tidskriftsartikel (refereegranskat)abstract
- Background: Many older people believe sensory problems are inevitably, a part of growing old, and avoid assessment and help. Such problems are often also overlooked by health professionals. The aim of this study was to find the prevalence of hearing and vision impairment and their associations with loss of instrumental activities in daily living (IADL) and risk of falling in patients aged 75 years or older, admitted to a medical ward in an acute hospital in each of the five Nordic countries. Method: The Minimum Data Set for Acute Care was used for data collection in 770 patients. Premorbid data, admission data and history of falls over 3 months were obtained on admission by interview and observation. Hearing impairment was present if the patient required a quiet setting to be able to hear normal speech. Vision impairment was defined as unable to read regular print in a newspaper. Results: Bivariate and logistic regression analyses were performed. Forty-eight per cent of the patients had a hearing impairment, 32.3% had vision impairment and 20.1% had both. Hearing impairment was associated with falling but not in the logistic regression model. Hearing and vision impairment were associated with loss of IADL but only combined impairment was independently. Conclusion: Hearing and vision impairments were frequent among older patients in the medical wards. Falling was associated with hearing loss and IADL loss with hearing, vision and combined impairments. Sensory loss was also associated with fear of falling. It is recommended routinely to screen sensory functions in older patients in a medical setting. Intervention studies are needed to determine whether improvements in hearing and vision can prevent falls and further loss of function in this patient population.
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| 2. |
- 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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| 3. |
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| 4. |
- Hilli, Yvonne, 1959-, et al.
(författare)
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Perspectives on preceptorship:A matter of ethics
- 2014
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 21:5, s. 565-575
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Tidskriftsartikel (refereegranskat)abstract
- Clinical education is an essential part of the Bachelor’s program in Nursing and a keystone of professional nursing education. Through clinical experiences, the student nurses acquire nursing knowledge and essential skills for professional practice. The preceptor plays a vital role in the development of student nurses becoming professional nurses. Aim: The aim of this Nordic qualitative study was to explore the experiences of good preceptorship in relation to undergraduate student nurses in clinical education from the perspective of the preceptors themselves. Method: Data were collected by narrative interviews with 27 preceptors in Finland and Sweden and analyzed using a hermeneutical approach. Findings: A caring relationship, based on caring ethics, is seen as the foundation for learning and development. Moreover, a mutual respect is a prerequisite for fellowship and a good atmosphere. As such, encounters are characterized by reciprocity and mutuality. The preceptors have a deep sense of responsibility toward the students and the profession. Furthermore, the preceptors have an inner responsibility to guide the students into working life and to share their knowledge by acting as role models. Conclusion: The findings suggest that preceptorship should be examined through new lenses. Moreover, preceptorship is an ethical issue that should be recognized by all stakeholders.
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| 5. |
- Hilli, Yvonne, et al.
(författare)
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The experience of being a preceptor for nurse students in clinical practice : A cross-sectional qualitative study
- 2011
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Ingår i: Learning Communities International Journal of Learning in Social Contexts Australia. - Darwin Australia : Darwin university, Australia. - 1329-1440. ; October:1, s. 84-99
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Tidskriftsartikel (refereegranskat)abstract
- This study examined the experience of being a clinical preceptor. A purposive sample of 15 nurses from Västerbotten, Sweden, and 15 nurses from Ostrobothnia, Finland, served as informants. The data were collected through interviews and analysed through qualitative content analysis. Three themes were examined: supervision; reflection and critical thinking; and the connection between theory and practice. Variations were found to exist in how the supervision was carried out and how the preceptors planned and prepared themselves for it. The students’ learning outcomes were neither clear nor considered important to most of the preceptors. They maintained that as they had too little time for supervision, the students simply had to follow the preceptors in their daily work. Feedback was, however, considered important in supporting the students’ learning process, but reflection and critical thinking were not familiar concepts to most of the preceptors. Most of them also had difficulties in combining theory and practice. The preceptors maintained that the cooperation between the faculty and the preceptors should be enhanced in order to narrow the gap between theory and practice. However, there was a willingness to be a preceptor and the informants considered themselves to be important role models. It was found that the preceptors need pedagogical support from nursing educators and the organisation. Moreover, the nursing educators should prepare the students for their clinical practice and take part in the supervision. In the future, new e-based pedagogical methods could be used to enhance the contact between the student, the preceptor and the nursing educator.
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| 6. |
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| 7. |
- Jonsén, Elisabeth, et al.
(författare)
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Early liver transplantation is essential for familial amyloidotic polyneuropathy patients' quality of life.
- 2001
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Ingår i: Amyloid. - 1350-6129 .- 1744-2818. ; 8:1, s. 52-7
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Tidskriftsartikel (refereegranskat)abstract
- Nineteen patients, who had undergone liver transplantation for familial amyloidotic polyneuropathy, had answered a quality of life questionnaire including 61 questions on somatic and mental symptoms, social aspects of life, confidence and satisfaction before, one year, and two years after transplantation. We found that patient satisfaction was generally good two years or more after the transplantation. Most of the patients were very or quite satisfied with the result. All of them had the drive to go on and felt hopeful about the future. However, on the second follow-up, 37% of the patients noted that they felt more insecure in their everyday life and there was a significant difference between the two assessments. The diarrhea score became worse between one and two years after the transplantation and was closely related to the duration of the gastrointestinal symptoms and to the duration of the disease before transplantation. The mental symptoms also increased significantly between the evaluations and this related to the severity of the somatic symptoms. Our conclusion is that liver transplantation should be performed before advanced somatic symptoms start to develop in order to improve the patients' chances of a good quality of life following liver transplantation.
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| 8. |
- Jonsén, Elisabeth, et al.
(författare)
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Familial amyloidotic patients' experience of the disease and of liver transplantation
- 1998
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Ingår i: Journal of Advanced Nursing. - : Wiley. - 0309-2402 .- 1365-2648. ; 27:1, s. 52-58
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Tidskriftsartikel (refereegranskat)abstract
- Liver transplantation is a new treatment for familial amyloidotic polyneuropathy (FAP). No qualitative study examining these patients' experiences of the disease and the treatment has been published. The purpose of this study was to explore and describe the experience of the disease and the liver transplantation from the FAP patient's perspective. In-depth interviews with 11 liver transplant FAP patients were performed. The process of the FAP disease and a liver transplantation was found to involve the following categories: going downhill, defence and denial, a chance of surviving, the decision -- no choice, waiting powerless and uncertain, the first few steps after surgery, freed from the death sentence, still disabled, mastering up strength to recover, and the need for support and help.
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| 9. |
- Jonsén, Elisabeth, et al.
(författare)
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Family members' experience of familial amyloidotic polyneuropathy disease--an infernal struggle and a fact of life.
- 2000
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Ingår i: Journal of Advanced Nursing. - 0309-2402 .- 1365-2648. ; 31:2, s. 347-53
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Tidskriftsartikel (refereegranskat)abstract
- Familial amyloidotic polyneuropathy is a fatal, hereditary, systemic, progressive amyloidosis. No previous qualitative study of the family members' experience of the disease has been published. The purpose of this phenomenological study was to understand the lived experience of family members whose nearest and dearest suffered from familial amyloidotic polyneuropathy. In-depth interviews were conducted with six family members. The analysis of the data was inspired by Colaizzi's method. Two major theme categories, difficult to accept and forced to accept, emerged from the interviews. Implications for nursing practice, such as genetic counselling and support, are discussed.
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| 10. |
- Jonsén, Elisabeth, et al.
(författare)
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Finnish and Swedish nursing students' experiences of their first clinical practice placement : a qualitative study
- 2013
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Ingår i: Nurse Education Today. - : Elsevier. - 0260-6917 .- 1532-2793. ; 33:3, s. 297-302
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Nursing is a practice-based discipline. Clinical practice settings are important in preparing undergraduate nursing students for the role of registered nurse. AIM: The aim of this Nordic qualitative study is to illuminate first year undergraduate nursing students' experiences of clinical practice during their first clinical placement, with a focus on preception, reflection, and the link between theory and practice. METHOD: Data were collected by focus group interviews with 22 nursing students, and analyzed with qualitative content analysis. FINDINGS: Positive experiences included stimulating and visible preceptors, a permissive atmosphere, and reflection as a matter of course. Negative experiences were related to feelings of abandonment and powerlessness when preceptors were invisible and the atmosphere at the ward was non-permissive. The implementation of research-based knowledge was insufficient. CONCLUSIONS: A permissive atmosphere and visible preceptors are crucial if learning is to be maximized. Consequently, it is important to set aside time for preceptors to be more visible and to make the atmosphere at the clinical placement more permissive. The student must have the opportunity to combine scientific knowledge with evidence-based knowledge in order to develop nursing actions.
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