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- Björvell, Catrin, et al.
(författare)
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Improving documentation using a nursing model
- 2003
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Ingår i: Journal of Advanced Nursing. - : Wiley-Blackwell. - 0309-2402 .- 1365-2648. ; 43:4, s. 402-410
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Tidskriftsartikel (refereegranskat)abstract
- Background. The present investigation is part of a study where the Registered Nurses on three hospital wards received a 2 year intervention programme on nursing documentation in accordance with a keyword structure based on the nursing process. Aim. To describe the Registered Nurses’ perceptions of and attitudes towards the effects of the intervention, and to generate hypotheses for further research. Method. Focus group discussions were used to collect data, with a qualitative content analysis method for the processing of the data. Findings. The most interesting finding in these group discussions was the statements made by participants that the structured way of documenting nursing care made them think more, and think in a different way about their work with their patients. Two types of role changing were reported; from a medical technical focus to a more nursing expertise orientation and from a ‘hands on clinician’ to more of an administrator and secretary. Conclusion. A number of issues debated among the participants in this study could be seen as organizational matters and lead to the important issue of multidisciplinary and organizational work when implementing innovations within nursing.
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| 5. |
- Edlund-Sjöberg, M., et al.
(författare)
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Ethical reflection on patient care situations : a study in a group of Swedish nurse students
- 2001
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Ingår i: International Nursing Perspectives. - : Societa Editrice Universo. - 1592-6478. ; 1:1, s. 15-22
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Introduction: In a nurse's future practical work, which is rapidly developing and changing, ethics will play an important role. A nurse student needs her/his own experience from patient care as well as training in reflecting upon ethical matters to manage future work situations. The aim of the study behind this article was to find the ethical problems that engage students, how they can correlate theoretical knowledge with practical experience and what insights in ethics they may achieve by reflecting on the experiences.Method: The study entailed examining written assignments, submitted by the students during their clinical education in medicine and surgery. Data consisted of 46 students' reports describing practical patient care situations on which the students had made reflections from an ethical point of view.Results: The most common ethical problem described by the students was the violation of the integrity of either a patient or his relative as well as disrespect of their autonomy. The actions taken by the students in these situations most often followed two lines: either taking a clear active part for the patient, or playing a passive role, not taking the action considered to be appropriate. Their passivity was due to fear of not being accepted by the staff. The insight and understanding gained by the students from these ethical dilemmas were: to act differently in a similar situation in the future, to be confident, and to listen to the patient in order to understand his/her needs. The students clearly showed their ability to correlate theoretical knowledge with practical experience the dynamics of their reasoning.Conclusion: The study indicated that reflections made by students can lead to an increased awareness of the need for knowledge about nursing, about own actions and behaviour, and the feelings and values that influence actions. It seems possible that the ethical competence gained by the students reflecting on situations with moral dilemmas, could be improved, if they were helped to develop and absorb certain virtues or abilities. In the students' reflections some qualities emerged as important, e.g. courage, sensitivity, judgement, and ability to perform a dialogue.
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- Ehnfors, Margareta, 1941-, et al.
(författare)
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Mapping VIPS concepts for nursing interventions to the ISO reference terminology model for nursing actions : A collaborative Scandinavian analysis
- 2006
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Ingår i: Consumer-Centered Computer-Suppported Care for Healthy People. - Amsterdam, Netherlands : IOS Press. - 9781586036225 ; , s. 401-5, s. 401-5
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Konferensbidrag (refereegranskat)abstract
- The aims of this study were to analyze the coherence between the concepts for nursing interventions in the Swedish VIPS model for nursing recording and the ISO Reference Terminology Model for Nursing Actions and to identify areas in the two models for further development. Seven Scandinavian experts analyzed the VIPS model's concepts for nursing interventions using prototypical examples of nursing actions, involving 233 units of analyses, and collaborated in mapping the two models. All nursing interventions in the VIPS model comprise actions and targets, but a few lack explicit expressions of means. In most cases, the recipient of care is implicit. Expressions for the aim of an action are absent from the ISO model. By this mapping we identified areas for future development of the VIPS model and the experience from nursing terminology work in Scandinavia can contribute to the international standardization efforts.
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| 8. |
- Ehnfors, Margareta, 1941-, et al.
(författare)
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Towards basic nursing information in patient records
- 1991
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Ingår i: Vård i Norden. - : SAGE Publications. - 0107-4083 .- 1890-4238. ; 11:3-4, s. 12-31
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Forskningsöversikt (refereegranskat)abstract
- Four key concepts for good nursing care and a list of key words for nursing documentation in patient records were established and to some extent tried in clinical practice in Sweden. The method consisted of the following steps: extensive literature review, review of nursing records, development of a list of key words on two levels, a first level corresponding to the nursing process, and a second level consisting of subdivisions for possible use in practice, use and assessment in clinical practice by nurses and students, expert panel judgement and refinement of the key words including an examination of semantic accuracy of the Swedish key words by an expert in Nordic languages. The proposed key words are presented both in English and Swedish and explanations, comments and references are given. The version of key words presented here is subject to further testing for possible modifications.
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| 9. |
- Ehnfors, Margareta, et al.
(författare)
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VIPS-boken
- 2021. - 3
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Bok (övrigt vetenskapligt/konstnärligt)
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| 10. |
- Ehrenberg, Anna, 1957-, et al.
(författare)
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Nursing documentation in patient records : experience of the use of the VIPS model
- 1996
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Ingår i: Journal of Advanced Nursing. - Oxon, United Kingdom : Blackwell Publishing. - 0309-2402 .- 1365-2648. ; 24:4, s. 853-67
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Tidskriftsartikel (refereegranskat)abstract
- The VIPS model for the documentation of nursing care in patient records was scientifically developed and published in 1991, with the aim of supporting the systematic documentation of nursing care and promoting individualized care. As the model seemed to be accepted and used in many parts of Sweden, a study was conducted in order to gather further information on the validity of the model, to describe the clinical and educational experience of its use and to refine it. Experience of the use of the model was gathered from a review of the scientific papers and other reports on it, from questionnaires addressed to nurses (n = 514), from comments by key informants, and from interviews with faculty members at all the nursing schools in the country. The findings showed that an intense process of change and development was occurring regarding nursing documentation. However, there were limitations in the use of the entire nursing process, especially in the specification of patient problems and the formulation of nursing diagnoses and nursing interventions. The keywords (Swedish spelling) of the VIPS model had good content validity in different areas of nursing care. The findings also indicated the need for further elaboration and revision of some of the keywords. A revised version of the VIPS model based on these findings is presented.
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