| 1. |
- Häggström, Marie, PhD, 1967-, et al.
(författare)
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Overcoming Reluctance towards High Fidelity Simulation - A Mutual Challenge for Nursing Students’ and Faculty Teachers
- 2017
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Ingår i: Global Journal of Health Science. - Canada : Canadian Center of Science and Education. - 1916-9736 .- 1916-9744. ; 9:7, s. 127-137
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Tidskriftsartikel (refereegranskat)abstract
- Background: One strategy to develop nursing students’ clinical judgment are the use of high-fidelity patient simulation (HFS). The aim of the study was twofold. Firstly, the aim of this study was to describe the nursing students’ experiences while participating in HFS, and secondly to describe faculty teachers’ reflections about nursing students’ need in HFS and the related teaching challenges.Method: Data was collected in focus group discussions and individual interviews, analyzed using thematic qualitative content analysis.Findings: The nursing students’ experienced HFS as being thrown into an uncertain, exposure situation. This were for some, reason for reluctance. The teachers challenge was motivating and coaching the students throughout a demanding teaching situation.Discussion: Students’ ability to perform in HFS is influenced by self-perceived efficacy, own attitudes and responsibility for one’s learning, which are a challenge for the teachers.Conclusion: HFS methodology can be useful to identify gaps and strengths in students’ professional transition towards becoming registered nurses. Overcoming reluctance towards HFS is a mutual challenge for faculty teachers and nursing students. By entering the scenario with a positive mindset, nursing students can improve their ability to perform clinical judgments.
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| 2. |
- Kjällman Alm, Annika, 1963-, et al.
(författare)
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Non-Pharmalogical Interventions towards Behavioural and Psychological Symptoms of Dementia—An Integrated Literature Review
- 2018
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Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; :8, s. 434-447
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this integrated literature review was to identify and examineeffectiveness of non-pharmacological interventions towards BPSD. Databasesearches were documented following the PRISMA flow diagram and includedpapers were judged by the researchers using the SAHTAASS protocol. Codingof the papers was carried out using Polit and Beck matrix for literature review.It was concluded that several non-pharmacological interventions showed apositive influence on BPSD such as stimulating interventions, social and personalizedactivities and physical exercise. Also, education/training of healthcareprofessionals and equipment in form of a structured BPSD protocol resultedin decreased BPSD.
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| 3. |
- Kleebthong, Duangkaew, 1971-
(författare)
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Depression among older people in rural Thailand : Knowledge of population, experiences and perceptions of patients, families, and psychiatric nurses
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background: The number of older persons (defined as age 60 and over) in Thailand has grown rapidly, and will be projected to increase to over 20 million by 2035. With an aging population, the number of older people suffering from health problems (such as non-communicable and degenerative diseases) was increasing as well. Older people faced physical and mental health challenges that need to be recognized. Depression among older people is significantly high and associated with physical illness; however it remains overlooked, improperly diagnosed, and inadequately treated.Aim: The overall aim of the study was to gain deeper knowledge of the phenomenon of depression in older people in rural Thai areas. The aim of each the study was to describe and understand the experiences and perceptions of individual psychiatric nurses, patients, and their family members, as well as to study public knowledge about depression among older people in rural Thailand.Methods: The setting of this thesis was a rural area in Thailand. It included four studies. The first three studies involved qualitative research, and latent content analysis was used to analyze data. In-depth interviews were used to collect data. Purposive sampling was used to select participants for the first three studies, which included 13 psychiatric nurses (study I), 14 older people with depression (study II), and 13 family members of older patients suffering from depression (study III). The fourth study is a quantitative cross-sectional study with 2,636 respondents aged 18 years to 75 and living in a household while data was collected. Respondents were selected using multi-stage random sampling.Results: Study I - The psychiatric nurses’ experiences and perceptions of their professional role were mirrored in the following themes: 1) managing a central role in patient care; 2) conflicting interests between the professional needs of caregiving and other requests; and 3) being compassionate beyond their official duties. Study II - the experiences and perceptions of older Thai people with depression were abstracted into two themes. The first theme was 1) leading a life of detachment, and the second theme was 2) inconvenience of obtaining mental health treatment. Study III - the experiences and perceptions of family members of older people showing major depression were abstracted into two themes. The first theme was 1) perceiving a traditional rural view on mental illness, and the second was 2) experiencing complexity in everyday life when caring for older depressed family member. Study IV - The 2,636 respondents have moderate knowledge about depression among older people, with a respondent mean score of 5.86 (SD = 1.68). Education level was significantly associated with knowledge about depression. If education level changes from lower to higher, the odds for level of knowledge about depression increase. This result may indicate the need for enhanced mental health literacy in rural areas.Conclusion: Older people with depression in a rural Thai area were the responsibility of an inadequate number of psychiatric nurses. The resultsshowed sign of lacking knowledge about depression among older people and an imbalance between the needs of patients and the mental health care provided by the psychiatric nurses in rural areas. The patients and their relatives, and psychiatric nurses felt burdened in daily life. An immediate concern for mental healthcare providers is providing mental literacy in rural areas. These primary results can be used by mental health authorities to develop plans to enhance quality of care for older people with depression, and as such, provide psychosocial support for patients and their family. This would reduce the burden on psychiatric nurses and adjust human resources in mental health services in district hospitals.
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| 4. |
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| 5. |
- Kleebthong, Duangkaew, et al.
(författare)
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Older Thai peoples’ experiences of major depression
- 2017
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Ingår i: Global Journal of Health Science. - : Canadian Center of Science and Education. - 1916-9736 .- 1916-9744. ; 9:9, s. 26-35
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Tidskriftsartikel (refereegranskat)abstract
- Background: Depressive disorders are common mental health problems and may be disabling among the general older population. Although older people have significant symptoms of depression, the symptoms are likely to be underreported. The condition often co-exist along with somatic ill and has often been unrecognized. The aim of the study was to explore and understand the perceptions and experiences of older Thai people diagnosed with major depressive disorder.Methods: A qualitative inductive research design was used and latent content analysis was utilized. The data were collected through face-to-face, in-depth interviews.Fourteen older people diagnosed with major depressive disorder were selected for participant using purposive sampling.Findings: Older Thai peoples’ perceptions and experiences of depression were abstracted into two themes. First theme was leading a lifein detachment, which included three subthemes: living with meaninglessness, holding distress with one’s self, and feeling judged by surrounded people. The second theme was inconvenience of approaching mental health treatment, which included two subthemes: sensing an unapproachable health care service, and lacking knowledge about clinical depression.Conclusion: Older Thai peoples’ perceptions and experiences of major depression were affected with high level suspected existential loneliness that might even be worse in a collect oriented society as in the Thai context. Further, it seem hard to approach the mental health care. The central reason for this is interpreted as lack of mental health literacy, and in this case, specifically, knowledge on depression. Future studies should focus on relatives’ experiences of living with an older family member that suffered from major depression, and on the state of mental health literacy in the rural Thai population.
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| 6. |
- Kristiansen, Lisbeth Porskrog, 1965-, et al.
(författare)
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Experiences on Participation in Literary Activities : Intellectual Stimuli Empower People with Mental Health Problems
- 2017
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Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; 7:11, s. 1307-1323
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Tidskriftsartikel (refereegranskat)abstract
- Some research acknowledges engagement in creative and literary activities as constructively impacting rehabilitation and recovery. Nevertheless, there is a deficit of literature describing experiences of participation in literary activities. This study examined how members of a non-profit association for mental health, with experiences of mental problems or illnesses, experienced group-based literary activities facilitated of a bi-disciplinary research team during one semester. This study held a constructive/naturalistic design and used a qualitative methodology with a latent analysis to describe how participants experienced literary activities (creative writing, reading and conversations about published and own written poetry and prose texts). Both individual and focus-group interviews were performed early 2014. Despite previous negative experiences, the findings showed that the participants perceived the literary activities empowering. Four categories were created: Presumptions of personal literacy, leadership role, participants’ role, and literacy development. These were abstracted and interpreted into three themes: Identifying a reading and writing self-image, challenging and redefining one’s reading and writing identity, and strengthening one’s intellectual and humanistic capacity. Literary activities seemed to positively change the participants’ attitudes towards writing and reading, and also enhanced their literacy skills. We argue that literacy skills are interconnected with health literacy. Involvement of literary activities into rehabilitation in mental health practice may be beneficial for some groups, and merits further studies.
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| 7. |
- Kristiansen, Lisbeth Porskrog
(författare)
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Features of Swedish municipal elderly and psychiatric group dwelling care after the 1990s healt care reformations
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The over all aim of this thesis, consisting of six studies, was to explore features of the Swedish municipal elderly and psychiatric group dwelling care after the 1990s health care reformation era. Focus is primarily on the municipal psychiatry. The mixed design, used here, employs both quantitative and qualitative methods. In paper I all psychiatric municipal care providers' caring approaches towards a fictitious elderly long-term client with schizophrenia was explored through a questionnaire. Approximately 70 per cent of the nurses had a symptom-orientated approach which focuses on correction of disease-related symptoms towards the clients. If the nurses had been working for less than 10 years they tend to have a more person-centred approach, which indicate that long-term job experience might affect the care providers' attitudes towards the clients negatively. In paper II the existence of a visible pattern in care providers' attitudes and their arguments for the preferred approaches towards a fictitious elderly person (Mrs NN) with a diagnosis of long term schizophrenia was investigated. Fourty-eight (73%) of the respondents (n = 66) emphasized the importance of meeting Mrs NN within the framework of reality and the need as a care provider to focus on the present or the 'here and now' when they communicate with her. Twenty-seven per cent stressed the importance of meeting Mrs NN within the framework of a person-focused approach to the same question. The majority was unable to see the client a as anything else than what the diagnosis said. The purpose of paper III was to investigate twenty care providers' experiences of job satisfaction, whose work involves taking care of clients suffering from dementia and elements of ' aggressiveness' and 'psychomotor agitation'. The individual narrative interviews indicated exposure, insufficiency, a feeling of not being valued and doubt, as well as respect and importance and devotion towards the residents. The interpretation of the narrations showed that an ambiguous and complex core-theme: 'job satisfaction as a process moving between breaking down and occasionally building up the working person'. The care providers experienced that they only got support from each other and the positive relationship with colleagues was mentioned as the primary reason for care providers' continuing to work at the group dwellings. The organisation and resident behaviours were seen as very negative. Just a small degree of support was experienced from the side of the organisation. In paper IV the aim was to investigate how clients at two psychiatric group dwellings spend their time using the Patient Activity Classification (PAC). The clients who displayed a predominant picture of negative symptoms were left alone for 84% of the day. Of this 29.5% could be explained by their illness. The results indicated that, even if the dwellings had a creative climate, there was a negative process in terms of care providers' well-being with a moderate degree of emotional exhaustion, depersonalisation, and personal accomplishment. In paper V the aim was to investigate the connections between the time spent together and the care providers' opinion of client behaviour and social functioning in community-based psychiatry. Twenty-nine clients' were assessed by 30 care providers, who answered the Global Assessment of Functioning Scale (GAF) and the Positive and Negative Syndrome Scale (PANSS). The PAC instrument revealed that clients spent, an average of 60.8 per cent of time alone, while only 20 per cent of their daily time was spent with the care providers. Four groups of clients were created based on the GAF scores, high and low, and a PANSS scores, high and low, related factor analysis. The clients in the group judged as having a low level of social functioning in combination with high degrees of psychiatric symptoms, receive less staff attention (18%) and are the clients who spend the most time alone (73.4%). Finally, in paper VI, the professional role of care providers in social psychiatry is in the midst of a period of role re-definition towards a recovery, client-focused perspective. In three focus group interviews 13 care providers discussed their views and experiences of their professional role at a social PGD (Psychiatric Group Dwelling) context when caring for clients suffering from severe mental illness. Thematic content analysis was conducted. Four themes were formulated: 'Being a general human factotum not unlike the role of parents', 'Having a complex and ambiguous view of clients', 'Working in a mainly "strangled" situation', and 'Feeling overwhelming frustration'. The findings showed that when aspects of the care were related to Kari Martinsen's ontological theory of care, including a practical, relational- and moral dimension, the moral dimension seemed to cause the care providers suffering. Furthermore, a figure is presented to illuminate how the findings contributing to different levels of the features of municipal EGD (Elderly Group Dwelling) and PGD care can be understood and related to each other. There is a hope that the results of this research could be used as a foundation to develop educational- and "contact" programs for care providers and others with the interpretation and the power to decide. This might, in a longer perspective, lead to a positive development for all identified levels, with special focus on a higher degree of experienced quality of life for both elderly and psychiatric clients.
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| 8. |
- Kristiansen, Lisbeth Porskrog, 1965-
(författare)
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Features of Swedish municipal elderly and psychiatric group dwelling care after the health-care reforms of the 1990s
- 2006
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The over all aim of this thesis, consisting of six studies, was to explore features of the Swedish municipal elderly and psychiatric group dwelling care after the 1990s health care reformation era. Focus is primarily on the municipal psychiatry. The mixed design, used here, employs both quantitative and qualitative methods. In paper I all psychiatric municipal care providers' caring approaches towards a fictitious elderly long-term client with schizophrenia was explored through a questionnaire. Approximately 70 per cent of the nurses had a symptom-orientated approach which focuses on correction of disease-related symptoms towards the clients. If the nurses had been working for less than 10 years they tend to have a more person-centred approach, which indicate that long- term job experience might affect the care providers' attitudes towards the clients negatively. In paper II the existence of a visible pattern in care providers' attitudes and their arguments for the preferred approaches towards a fictitious elderly person (Mrs NN) with a diagnosis of long term schizophrenia was investigated. Fourty-eight (73%) of the respondents (n = 66) emphasized the importance of meeting Mrs NN within the framework of reality and the need as a care provider to focus on the present or the 'here and now' when they communicate with her. Twenty-seven per cent stressed the importance of meeting Mrs NN within the framework of a person-focused approach to the same question. The majority was unable to see the client a as anything else than what the diagnosis said. The purpose of paper III was to investigate twenty care providers' experiences of job satisfaction, whose work involves taking care of clients suffering from dementia and elements of ' aggressiveness' and 'psychomotor agitation'. The individual narrative interviews indicated exposure, insufficiency, a feeling of not being valued and doubt, as well as respect and importance and devotion towards the residents. The interpretation of the narrations showed that an ambiguous and complex core-theme: 'job satisfaction as a process moving between breaking down and occasionally building up the working person'. The care providers experienced that they only got support from each other and the positive relationship with colleagues was mentioned as the primary reason for care providers' continuing to work at the group dwellings. The organisation and resident behaviours were seen as very negative. Just a small degree of support was experienced from the side of the organisation. In paper IV the aim was to investigate how clients at two psychiatric group dwellings spend their time using the Patient Activity Classification (PAC). The clients who displayed a predominant picture of negative symptoms were left alone for 84% of the day. Of this 29.5% could be explained by their illness. The results indicated that, even if the dwellings had a creative climate, there was a negative process in terms of care providers' well-being with a moderate degree of emotional exhaustion, depersonalisation, and personal accomplishment. In paper V the aim was to investigate the connections between the time spent together and the care providers' opinion of client behaviour and social functioning in community-based psychiatry. Twenty nine clients' were assessed by 30 care providers, who answered the Global Assessment of Functioning Scale (GAF) and the Positive and Negative Syndrome Scale (PANSS). The PAC instrument revealed that clients spent, an average of 60.8 per cent of time alone, while only 20 per cent of their daily time was spent with the care providers. Four groups of clients were created based on the GAF scores, high and low, and a PANSS scores, high and low, related factor analysis. The clients in the group judged as having a low level of social functioning in combination with high degrees of psychiatric symptoms, receive less staff attention (18%) and are the clients who spend the most time alone (73.4%). Finally, in paper VI, the professional role of care providers in social psychiatry is in the midst of a period of role re-definition towards a recovery, client-focused perspective. In three focus group interviews 13 care providers discussed their views and experiences of their professional role at a social PGD (Psychiatric Group Dwelling) context when caring for clients suffering from severe mental illness. Thematic content analysis was conducted. Four themes were formulated: 'Being a general human factotum not unlike the role of parents', 'Having a complex and ambiguous view of clients', 'Working in a mainly "strangled" situation', and 'Feeling overwhelming frustration'.The findings showed that when aspects of the care were related to Kari Martinsen's ontological theory of care, including a practical, relational- and moral dimension, the moral dimension seemed to cause the care providers suffering. Furthermore, a figure is presented to illuminate how the findings contributing to different levels of the features of municipal EGD (Elderly Group Dwelling) and PGD care can be understood and related to each other. There is a hope that the results of this research could be used as a foundation to develop educational- and "contact" programs for care providers and others with the interpretation and the power to decide. This might, in a longer perspective, lead to a positive development for all identified levels, with special focus on a higher degree of experienced quality of life for both elderly and psychiatric clients.
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| 9. |
- Kristiansen, Lisbeth Porskrog, 1965-, et al.
(författare)
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Strengthening adolescent well-being project - Qualitative outcomes from a pilot in a Swedish upper-secondary school
- 2019
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Ingår i: British Journal of School Nursing. - London : Magnolia Press. - 1752-2803 .- 2052-2827. ; 14:8, s. 390-397
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Tidskriftsartikel (refereegranskat)abstract
- While a majority of Swedish school children enjoy a good health, mental health problems are increasing among young people in Sweden. According to Swedish law all school staff members (teachers and student health professionals) have mutual responsibility to provide a safe school environment and health. Since 2010, there is an emphasis on health promotion in schools. The aim of this study is to qualitatively describe the feasibility of a health-promoting intervention targeting healthy high school students (the Strengthening Adolescent Wellbeing [SAW] project). A descriptive design was used with an intervention group that was assessed before and after the implementation of the programme using quantitative methods. The study was based on the Medical Research Council Framework. The study and the data collection were performed during the autumn of 2016 and the early spring of 2017. Public high school students' health professionals (school nurses), student counsellors and specialist educators, facilitated a research-based intervention consisting of eight sessions with education and mind-body practices. Pre- and post-testing were carried out. The main findings showed that participating students and staff members were satisfied that the content and the implementation of the intervention were meaningful.
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| 10. |
- Lundberg, Kristina
(författare)
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Aspects of Health Promotion Practice in Swedish primary healthcare : Perspectives from staff and patients related to working conditions of district nurses and lifestyle habit management in patients with risk factors for cardiovascular disease
- 2021
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of present thesis was to generate knowledge about aspects of Health Promotion Practice (HPP) related to district nurses’ working conditions and their professional patient-related work. Further, the aim was to study lifestyle habit management and experiences of caring encounters in patients with risk factors of developing CVD. Various approaches of both a qualitative and quantitative nature were used. In Study I, data were collected by interviews to describe district nurses ׳ experiences of working with health promotion actions among patients with risk factors for cardiovascular disease (CVD). Study II was performed as a pilot using an intervention consisting of Motivational Interviewing (MI) and Physical Activity on Prescription (PAP), aiming to investigate exercise levels in patients. Study III was a feasibility study using an intervention of the “Attending Nurse Caring Model” (ANCM) among district nurses, to describe working life and working health. In Study IV, interviews were performed to describe patients’ experiences of the caring encounter between district nurses and patients. From the district nurses’ perspective, HPP was viewed as the essence of their work but organizational structures in primary healthcare were regarded as obstacles that complicated the prioritization of HPP, and their reports of dissatisfaction and stress due to not being able to complete their HPP were also a distinguishing feature (Study I). MI and PAP were piloted and studied concerning the impact on patients suffering from risk factors for CVD. This resulted in improvements in various health variables, both physical and psychosocial, among the patients studied (Study II). The feasibility of the ANCM was studied concerning district nurses’ own experiences of stress, burnout, empathy, and self-care in connection with work. Improvements were observed in all variables and indicated increased awareness of their patterns of action in their work (Study III). Moreover, the ANCM feasibility study also showed a strengthening in the caring encounter between patients and district nurses (Study IV). A theory-guided nursing practice consisting of elements that strengthened reflection activities of self-care and self-awareness in the district nurses was regarded as a valuable addition to a health-promoting working life as well as beneficial to their patients.
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