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- Bjurling-Sjöberg, Petronella, et al.
(författare)
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Intensive care nurses' conceptions of a critical pathway in caring for aortic-surgery patients : A phenomenographic study
- 2013
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Ingår i: Intensive & Critical Care Nursing. - : Elsevier BV. - 0964-3397 .- 1532-4036. ; 29:3, s. 166-173
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to identify and describe intensive care nurses' different conceptions of a critical pathway in caring for patients that have undergone aortic-surgery. Individual semi-structured interviews with eight specialist registered nurses at a Swedish intensive care unit were conducted and phenomenographically analysed. Three descriptive categories, with a total of five sub-categories, constituted the outcome-space of how the pathway was conceived of in caring: as a guide open to individual patients needs (clinical judgement governs caring and patient autonomy governs caring), as an instrument to promote patient safety (a source of knowledge, a planning tool and a reference standard) and as a source of support for professional confidence. In accordance with current literature, the nurses in the present study identified a number of advantages in applying the pathway in caring even if they were also conscious that the use of a pathway can give rise to unreflective standardisation. The nurses' conceptions indicate that the pathway prescribed for managing patients who have undergone aortic surgery is supportive and facilitates patient safety without jeopardising respect for the patient's individual care needs. This insight may be used to influence a thoughtful dialogue about the practice of pathways in intensive care.
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| 2. |
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| 3. |
- Rydlo, Cecilia
(författare)
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Fighting for the otherness : student nurses' lived experiences of growing in caring
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In Swedish nursing education, student nurses should gain a bachelor degreein the main field of study. However, five designations of the main field ofstudy exist among the higher education institutions and the present thesisfocuses on the main field of study caring science. Former studies show thatthe acquisition of knowledge in caring by student nurses is characterized bytroubles, uncertainty and confusion. The aim was to describe how growingin caring is experienced by student nurses during education.The theoretical perspective was caring science with focus on caringscience didactics, while the epistemological frame constituted of a phenomenological lifeworld approach. Data was gathered with interviews andwritten narratives at different occasions during the education in order tograsp the general structure of growing in caring.The findings illuminated that growing in caring means a struggle forone’s own caring beliefs to exist and survive in a world filled with diverseexpectations of caring. Through recognizing expectations of caring, studentnurses discover the complexity of caring. In this complexity, they understand themselves as being different and the otherness appears. The otherness consists of unique beliefs about caring based on former experiences. Inorder to give evidence for the otherness, concepts from caring theories thatagree with one’s own caring beliefs are found, which transform the concepts from being meaningless to being essential in caring. The conceptsstrengthen the student nurses’ growth in caring and constitute a support intheir discussions about caring. In this struggle for gaining access with theirotherness, they become convinced that they can make changes for the patient and strength arises to fight for their otherness.The study showed that the otherness appears as the hub in the studentnurse’s world, which gains nourishment to discover paths to think, feel andact in a caring manner. This gives an incentive that innovative learningstrategies that both grasp the student nurses’ lifeworld as well as bringknowledge in caring into awareness for them are needed to be developed.
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| 5. |
- Salzmann-Erikson, Martin, et al.
(författare)
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Getting to know the person behind the illness - the significance of interacting with patients hospitalised in forensic psychiatric settings
- 2016
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 25:9-10, s. 1426-1434
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives: To describe what nurses want to accomplish in relationships with patients who are hospitalised in forensic psychiatric settings. Background: Relationships between staff and patients in forensic psychiatric settings should be grounded in trust and confidence, and the patients need opportunities for emotional reconciliation. However, relationships can be challenging for nurses, who sometimes distance themselves from patients' expressions of suffering. The role of forensic mental health nurses is nebulous, as are the prescriptives and the implementation of nursing practices. Design: Qualitative descriptive design. Methods: In-depth interviews with five nurses who all work in forensic psychiatric settings. Results: We present a descriptive analysis of what nurses want to accomplish in relationships with patients who are hospitalised in forensic psychiatric settings. The results are presented in two main categories: (1) getting to know the person behind the illness and (2) making a difference. Conclusion: Care in forensic psychiatry needs to shift towards a more long-term view of the role of nursing, focusing less on the traditional and stereotypical identity of the productive nurse and more on the care given when nurses slow down and take the time to see the patients as individuals. Establishing trusting relationships with patients in forensic psychiatric settings is viewed as a less oppressive way to control patients and guide them in directions that are preferable for the nurses and for the society. Relevance to clinical practice: Nurses may use simple strategies in their daily practice such as sitting on the sofa with patients to establish trust. We stress that nurses should abandon policing roles and custodial activities in favour of guiding principles that promote individual recovery, treatment and health-promoting care.
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