| 1. |
- Hommel, Ami, et al.
(författare)
-
The Patient's View of Nursing Care after Hip Fracture
- 2012
-
Ingår i: ISRN Nursing. - : Hindawi Publishing Corporation. - 2090-5483 .- 2090-5491. ; 2012, s. 1-6
-
Tidskriftsartikel (refereegranskat)abstract
- Background. The pathway for patients with a hip fracture described in this study is a fast track. Many studies have focused on prevention of various complications but, so far, the patient’s view of nursing care has not been highlighted. Aim. The aim of the study is to illuminate the patient’s view on nursing care when treated for a hip fracture. Method. Ten patients were interviewed. A content analysis design was conducted. Findings. From the analysis, four main categories emerged: waiting times; pain/pain relief and mobilisation; attitude/information and sense of security; complications. Conclusion. Patients generally felt satisfied with the nursing provided. The staff created a feeling of security and showed interest and empathy for the patient. However, patients experienced a stressful waiting for surgery, and patients who developed confusion waited more than 24 hours for surgery. Therefore, waiting time must be decreased. Furthermore, patients’ descriptions of a variety of pain problem show, for example, that good collaboration between the nurse and physiotherapist is critical for achieving good pain relief before mobilisation. Nursing staff need to be attentive and should elicit the patient’s feelings through patient-focused communication in order to relieve anxiety about going home.
|
|
| 2. |
- Werntoft, Elisabet, et al.
(författare)
-
Decision makers' experiences of prioritisation and views about how to finance healthcare costs.
- 2009
-
Ingår i: Health Policy. - : Elsevier BV. - 1872-6054 .- 0168-8510. ; 92, s. 259-267
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: Prioritisation in healthcare is an issue of growing importance due to scarcity of resources. The aims of this study were firstly to describe decision makers' experience of prioritisation and their views concerning willingness to pay and how to finance healthcare costs. An additional aim was to compare the views of politicians and physicians. METHODS: The study was a cross-sectional study based on a questionnaire administered to 700 Swedish politicians and physicians. This was analysed using both quantitative and qualitative methods. RESULTS: A majority of the decision makers (55%) suggested that increasing costs should be financed through higher taxation but more physicians than politicians thought that higher patient fees, private health insurance and a reduction in social expenditure were better alternatives. Prioritisation aroused anxiety; politicians were afraid of displeasing voters while physicians were afraid of making medically incorrect decisions. CONCLUSIONS: This study do not answer the question about how to make prioritisation in health care but the result highlights the different ways that the decision makers view the subject and thereby elicit that publicly elected politicians and physicians perhaps not always work with the same goal ahead. There are needs for more research but also more media focus on the subject so the citizens will be aware and take part in the debate.
|
|
| 3. |
- Werntoft, Elisabet, et al.
(författare)
-
Effect of acupressure on nausea and vomiting during pregnancy. A randomized, placebo-controlled, pilot study
- 2001
-
Ingår i: Journal of Reproductive Medicine. - 0024-7758. ; 46:9, s. 835-839
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To compare the antiemetic effect of acupressure at the Neiguan point (P6) in a group of healthy women with normal pregnancy and nausea and vomiting during pregnancy (NVP) with a similar group receiving acupressure at a placebo point and another, similar group not receiving any treatment. STUDY DESIGN: A randomized, placebo-controlled, pilot study involving 60 women. RESULTS: It is possible to reduce NVP significantly with acupressure at P6 as compared to acupressure at a placebo point or no treatment at all in healthy women with normal pregnancies. Relief from nausea appeared one day after starting treatment in both the P6 and placebo groups but lasted for only six days in the placebo group. The P6 group, however, experienced significantly less nausea after 14 days as compared to the other two groups. CONCLUSION: This study involved 60 healthy women with normal pregnancy and suffering from NVP. According to the results, in healthy women with normal pregnancy it is possible to reduce NVP significantly at P6 as compared to acupressure at a placebo point and to no treatment.
|
|
| 4. |
- Werntoft, Elisabet, et al.
(författare)
-
Lack of support structures in prioritization decision making concerning patients and resources : interviews with Swedish physicians
- 2011
-
Ingår i: Scandinavian Journal of Public Health. - 1403-4948 .- 1651-1905. ; 39:6, s. 627-633
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: To investigate physicians' experiences in relation to prioritization and financing in health care in order to gain a deeper understanding of the reasons behind their standpoints. Methods: Eighteen physicians, seven women and eleven men, aged 30 to 69 years were interviewed and the text was analyzed using an inductive approach, also described as conventional qualitative content analysis. Results: Experience of setting healthcare priorities and difficult decision making differed widely among the physicians and seemed to be related to the number of years in professional practice. Their view of how resources should be allocated between disciplines/patients showed that they wanted politicians to make the decisions, with support from medical professions. The overwhelming impression of their reasoning showed that they lacked support structures for their decision making and could be understood under the following categories: Prioritisation, easier in theory than in practice, and Increasing costs threaten the Swedish welfare model. Conclusions: The findings of this study highlight the importance of practical national guidelines concerning vertical prioritization, also as an important measure to make prioritization more distinct and transparent. The physicians further had a need for tools to increase patients' awareness of their health. The findings of this study also showed that an awareness of the actual costs involved might increase the responsibility among both physicians and patients. The physicians' lack of support structures implies an urgent need for practical national guidelines, especially concerning vertical prioritization. This will also make prioritization appear clear and transparent for citizens.
|
|
| 5. |
- Werntoft, Elisabet, et al.
(författare)
-
Lack of support structures in prioritization decision making concerning patients and resources : interviews with Swedish physicians
- 2011
-
Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications Ltd. - 1403-4948 .- 1651-1905. ; 39:6, s. 627-633
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: To investigate physicians' experiences in relation to prioritization and financing in health care in order to gain a deeper understanding of the reasons behind their standpoints. Methods: Eighteen physicians, seven women and eleven men, aged 30 to 69 years were interviewed and the text was analyzed using an inductive approach, also described as conventional qualitative content analysis. Results: Experience of setting healthcare priorities and difficult decision making differed widely among the physicians and seemed to be related to the number of years in professional practice. Their view of how resources should be allocated between disciplines/patients showed that they wanted politicians to make the decisions, with support from medical professions. The overwhelming impression of their reasoning showed that they lacked support structures for their decision making and could be understood under the following categories: Prioritisation, easier in theory than in practice, and Increasing costs threaten the Swedish welfare model. Conclusions: The findings of this study highlight the importance of practical national guidelines concerning vertical prioritization, also as an important measure to make prioritization more distinct and transparent. The physicians further had a need for tools to increase patients' awareness of their health. The findings of this study also showed that an awareness of the actual costs involved might increase the responsibility among both physicians and patients. The physicians' lack of support structures implies an urgent need for practical national guidelines, especially concerning vertical prioritization. This will also make prioritization appear clear and transparent for citizens.
|
|
| 6. |
- Werntoft, Elisabet, et al.
(författare)
-
Older people's reasoning about age-related prioritization in health care
- 2007
-
Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 14:3, s. 399-412
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the reasoning of people aged 60 years and over about prioritization in health care with regard to age and willingness to pay. Healthy people (n = 300) and people receiving continuous care and services (n = 146) who were between 60 and 101 years old were interviewed about their views on prioritization in health care. The transcribed interviews were analysed using manifest and latent qualitative content analysis. The participants' reasoning on prioritization embraced eight categories: feeling secure and confident in the health care system; being old means low priority; prioritization causes worries; using underhand means in order to be prioritized; prioritization as a necessity; being averse to anyone having precedence over others; having doubts about the distribution of resources; and buying treatment requires wealth.
|
|
| 7. |
- Werntoft, Elisabet, et al.
(författare)
-
Older People's Reasoning About Age-Related Prioritization in Health Care.
- 2007
-
Ingår i: Nursing Ethics. - : SAGE Publications. - 1477-0989 .- 0969-7330. ; 14:3, s. 399-412
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe the reasoning of people aged 60 years and over about prioritization in health care with regard to age and willingness to pay. Healthy people (n = 300) and people receiving continuous care and services (n = 146) who were between 60 and 101 years old were interviewed about their views on prioritization in health care. The transcribed interviews were analysed using manifest and latent qualitative content analysis. The participants' reasoning on prioritization embraced eight categories: feeling secure and confident in the health care system; being old means low priority; prioritization causes worries; using underhand means in order to be prioritized; prioritization as a necessity; being averse to anyone having precedence over others; having doubts about the distribution of resources; and buying treatment requires wealth.
|
|
| 8. |
- Werntoft, Elisabet
(författare)
-
Older people's views of prioritisation and resource allocation in health care
- 2006
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of this thesis was to investigate older people's views and experience of prioritisation and resource allocation in health care, which is important because older people are the group that use public health care and service most. The aim was also to investigate differences in the view of prioritisation and resource allocation in relation to age, gender, housing, health-related quality of life, financial situation and degree of dependency between the participants receiving and those not receiving care and service. A further aim was to describe older people's reasoning about prioritisation in health care. The sample was identified in a longitudinal cohort study in southern Sweden called Good Ageing in Skane (GAS), 902 participants not receiving care and service, aged 60?93 years, and 146 participants receiving care and service, aged 66?100 years. Data were collected in personal interviews based on a questionnaire. The total sample was divided into the age groups young-old (60?75 years), old-old (76?84 years) and oldest old (85?100 years). Quantitative descriptive statistics, comparative statistics and multinomial and multiple logistic regression analyses as well as qualitative analyses were used when analysing the data. Eighty-one percent of the participants not receiving care and service and 85 % of the participants receiving care and service did not want age to be a criterion for prioritisation (Papers I and III) but their reasoning revealed that they experienced that being old meant low priority (Paper IV). In their reasoning the participants saw prioritisation as a necessity but also emphasised that all people are of equal value and that everyone should have the same rights to health care regardless of age (Paper IV). It was clearly stated that the participants wanted physicians to decide who should be prioritised (Papers I and III). The findings also showed that the oldest-old and men prioritised younger people to a higher extent than the other two age groups, while women prioritised older patients to a higher extent (Paper I). The participants not receiving care and service were furthermore reluctant to give priority to treatment for lifestyle-related diseases than participants receiving care and service (Framework). The participants? reasoning in relation to the willingness to pay for treatment revealed that they experienced that buying treatment requires wealth (Paper IV). Most of the participants not receiving care and service (63 %) but only 48 % of participants receiving care and service wanted to pay ?1100 to get cataract surgery at once instead of being on a waiting list for 18 months, but significantly fewer participants receiving care and service actually had access to ?1500 (p<0.001) (Framework). Women were also less willing to pay for treatment than men, which also seemed to be associated with a worse economic situation (Paper II). The results showed that older people did not emphasise age as a criterion for prioritisation, which is in contrast to earlier studies including younger people. This thesis further showed that age, gender, financial situation and receiving care and service or not, influenced the way the respondents viewed prioritisation and resource allocation, while housing, grade of dependency and HRQoL seemed to have limited influence.
|
|
| 9. |
|
|
| 10. |
- Werntoft, Elisabet, et al.
(författare)
-
Older people's views of prioritization in health care : the applicability of an interview study
- 2005
-
Ingår i: Journal of Clinical Nursing. - 0962-1067 .- 1365-2702. ; 14:8B, s. 64-74
-
Tidskriftsartikel (refereegranskat)abstract
- AIM: Older people's views of prioritization in health care. The applicability of an interview study. Old age has been stated as a criterion for prioritization in health care, although older people are seldom asked for their opinions. The aim of this pilot study was to investigate the applicability of a questionnaire as a base for an interview study to explore older people's experiences and views of prioritization in health care. DESIGN: Descriptive, with a qualitative and quantitative approach. Fifty-four persons, 32 women and 22 men (aged 60-93 years), were asked to participate in a structured, tape-recorded interview covering their experience and views of the priorities applied in health care. RESULTS: The questions in the interview manual appeared to be applicable for collecting data concerning views of prioritization, but the analysis revealed that certain questions, particularly on economic matters, were missing. The procedure, a personal structured interview had advantages, for example, in capturing the respondents' reflections on the questions. The respondents emphasized the equal value of all human beings and that age is not a basis for prioritization within health care. The respondents also showed an unwillingness to precede anyone in rank. IMPLICATIONS: The questions used proved to be adequate but to be really complete further questions need to be added. This pilot study indicates that older people's views on priorities in health care differ from those expressed by the younger population. The study therefore needs to be replicated in a larger sample to be fully able to understand older people's views of prioritization, which will require exploring gender and age differences as well as other aspects that may explain variations.
|
|
