| 1. |
- Durante, Angela, et al.
(författare)
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Psychological Health Among Older Adults During and After Quarantine: A Multi-Method Study
- 2023
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Ingår i: Western Journal of Nursing Research. - : SAGE PUBLICATIONS INC. - 0193-9459 .- 1552-8456.
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Depression among older adults is a growing problem. With aging being a risk factor for COVID-19 infection, depression in this population may have been exacerbated. This study aimed to describe experiences and changes in depressive symptoms and well-being of older adults during and after the COVID-19 first wave in Spain. Methods: The study used a multi-method design. Participants self-reported depressive symptoms (Geriatric Depression Scale) and well-being (Cantril Ladder of Life). Participants were asked about changes in depressive symptoms or well-being during quarantine. If a change was perceived, they were asked to describe the change. In addition, the Patient Global Impression of Change scale was used. Both quantitative and qualitative analyses were performed on the data. Results: 111 participants (mean age: 71 +/- 5 years; 76% women) completed the study. Sixty-three percent reported mild and 2% reported major depressive symptoms. Nearly half (47.7%) reported changes in depressive symptoms during the lockdown. While 37% reported feeling better during the lockdown, about 11% reported depressive symptoms were worse now compared with during the lockdown. 60% reported worsening well-being during the quarantining period. The qualitative analysis revealed 2 main themes: (1) psychological discomfort (mood deflection, fear/worries, and boredom/inactivity) and (2) social issues (inability to go out, missing family members and others). Conclusions: Worsening depressive symptoms and lowering of well-being were noticed in this sample of older adults during and post-COVID lockdowns. Evaluation of mental health in the primary care setting and providing referrals for mental health services is essential for older adults who experienced COVID-19-related lockdowns.
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| 2. |
- Edvardsson, David, et al.
(författare)
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Psychometric evaluation of the english language person-centered climate questionnaire--patient version
- 2009
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Ingår i: Western Journal of Nursing Research. - : SAGE Publications. - 0193-9459 .- 1552-8456. ; 31:2, s. 235-244
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to evaluate psychometric properties of a questionnaire measuring to what extent the climate of health care settings are perceived as being person-centered. The English Person-Centered Climate Questionnaire-Patient version (PCQ-P) was distributed to a sample of hospital patients (n = 108) and data were subjected to psychometric evaluation using statistical estimates of validity and reliability. Content and construct validity of the PCQ-P was satisfactory in literature reviews and factor and item analysis. Cronbach's alpha was satisfactory for the total scale (0.90) and also for sub-scales: safety = 0.96 and hospitality = 0.89. The intraclass correlation coefficient indicating test-retest reliability was 0.70 with a 95% confidence interval ranging between 0.63 and 0.77. Even though the sample should be considered, the results indicate that the PCQ is a valid and reliable contribution for assessing to what extent the climate of health care settings are perceived to be person-centered by patients.
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| 3. |
- Emami, A, et al.
(författare)
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An ethnographic study of a day care center for Iranian immigrant seniors
- 2000
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Ingår i: Western Journal of Nursing Research. - THOUSAND OAKS : SAGE PUBLICATIONS INC. - 0193-9459 .- 1552-8456. ; 22:2, s. 169-188
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Tidskriftsartikel (refereegranskat)abstract
- Late-in-life immigrants are often at risk for psychological stress and social isolation because of language problems, small social networks, and cultural differences from the host society. Community intervention programs can reduce such stress and isolation. In this article, the authors describe a Swedish municipality's culturally appropriate intervention program for elderly Iranian immigrants based on ethnographic data gathered during a 12 month period The description includes the activities provided by the program and the experiences of the elderly Iranian immigrants who participate regularly in these activities. The findings document the positive impact of regular participation in the center's activities on the elders' well-being and health.
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| 4. |
- Emami, A, et al.
(författare)
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Health as continuity and balance in life
- 2000
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Ingår i: Western Journal of Nursing Research. - THOUSAND OAKS : SAGE PUBLICATIONS INC. - 0193-9459 .- 1552-8456. ; 22:7, s. 812-825
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Tidskriftsartikel (refereegranskat)abstract
- Research on immigrant health emphasizes that the elderly are more vulnerable than other age groups in many immigrant populations. This study describes the meanings of health, illness, and disease for Iranian elderly immigrants in Sweden and their relationships with life disruptions. Analysis of interviews using an interprerive-phenomenological method illustrates that the participants experience health as continuity and balance in life. Any disruption of this balance creates a sense of illness that is only partially related to the emergence of disease. Participants did nor view health and disease as polarized. Rather disease is just one component among many that may disrupt the experience of health. Health is perceived as a sense of well-being, can be achieved in spite of disease, and can be disrupted even in the absence of disease. This description of the meaning of health, disease, and illness contrasts with the Western biomedical perspective and is similar in its holism to various non-Western medical systems and complementary approaches. This knowledge can foster more culturally sensitive care.
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| 5. |
- Fagerberg, Ingegerd, et al.
(författare)
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First-year Swedish nursing students' experiences with elderly patients.
- 1997
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Ingår i: Western Journal of Nursing Research. - : SAGE Publications. - 0193-9459 .- 1552-8456. ; 19:2, s. 177-89
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Tidskriftsartikel (refereegranskat)abstract
- Nursing students' attitudes toward elderly people have frequently been found to be negative. This study's aim was to describe the experiences of first-year nursing students with elderly people. Thirty students from 3 Swedish nursing colleges, interviewed during the last weeks of their first year, were asked to describe a memorable event that had occurred when they were caring for an elderly patient. The narratives were analyzed phenomenologically. Three perspectives emerged: the students' perceptions of the patients, the staff's roles, and their own roles. From these, two phenomena were identified: patients' helplessness and students' identification/nonidentification of the individual patient. Students described difficult situations for elderly patients; patients with difficult diseases, anxiety, pride; and conflicting views of how to treat patients.
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| 6. |
- Fagerberg, Ingegerd, et al.
(författare)
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Swedish nursing students' transition into nursing during education
- 1998
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Ingår i: Western Journal of Nursing Research. - : SAGE Publications. - 0193-9459 .- 1552-8456. ; 20:5, s. 605-623
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Tidskriftsartikel (refereegranskat)abstract
- The transition from student to nurse involves the influence of several different educational aspects. The aim of this study is to elucidate the transition to the role of a nurse, which Swedish nursing students underwent during their 3 years in nursing education, as described from the perspective of their experiences with elderly patients. Interviews were conducted with the students at the end of each academic year, and the students wrote diaries about their clinical education in the second and third years. The narratives were analyzed with a phenomenological-hermeneutic method, and six themes appeared vital for the transition into nursing. The study implies a continuous process during education, involving many aspects of the transition from a student with a genuine and natural interest to care for others to a registered nurse ready to take up her first position. Cooperation with other team members had a strong influence on the students.
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| 7. |
- Gotell, E, et al.
(författare)
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Caregiver singing and background music in dementia care
- 2002
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Ingår i: Western Journal of Nursing Research. - THOUSAND OAKS : SAGE PUBLICATIONS INC. - 0193-9459 .- 1552-8456. ; 24:2, s. 195-216
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Tidskriftsartikel (refereegranskat)abstract
- Caregiver singing and background music were incorporated into the interaction between caregiver and patient, the aim being to illuminate the meaning of verbal communication between persons with severe dementia and their caregivers. In the absence of music, patients communicated with cognitive and behavioral symptoms associated with dementia. In these situations, caregivers devoted their verbal communication to narrating and explaining their caring activities to the patient. The patient and caregiver. however had difficulties understanding one another. In the presence of background music, caregivers decreased their verbal instructing rind narrating while the patient communicated with an increased understanding of the situation, both verbally and behaviorally. During caregiver singing, a paradoxical effect was observed such that despite an evident reduction in the amount of verbal narration and description by the caregiver. the patient implicitly understood what was happening.
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| 8. |
- Karlsson, Veronika, et al.
(författare)
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ICU Professionals' Experiences of Caring for Conscious Patients Receiving MVT
- 2015
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Ingår i: Western Journal of Nursing Research. - : SAGE Publications. - 0193-9459 .- 1552-8456. ; 37:3, s. 360-375
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Tidskriftsartikel (refereegranskat)abstract
- Over the last decade, caring for patients who are conscious while receiving mechanical ventilator treatment has become common in Scandinavian intensive care units. Therefore, this study aimed to describe anesthetists', nurses', and nursing assistants' experiences of caring for such patients. Nine persons were interviewed. A hermeneutic method inspired by Gadamer's philosophy was used to interpret and analyze the interview text. Staff members found it distressing to witness and be unable to alleviate suffering, leading to ethical conflicts, feelings of powerlessness, and betrayal of the promises made to the patient. They were frustrated about their inability to understand what the patients were trying to say and often turned to colleagues for help. When caring for conscious patients, it takes time to get to know them and establish communication and a trusting relationship.
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| 9. |
- Kim, Hyejin, et al.
(författare)
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Characteristics and Correlates of Perceived Physical and Psychological Health Among Family Caregivers Living With Persons With Advanced Dementia
- 2024
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Ingår i: Western Journal of Nursing Research. - 0193-9459 .- 1552-8456. ; 46:2, s. 104-113
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Tidskriftsartikel (refereegranskat)abstract
- Background:Various factors drive a care setting shift from institutional to home settings for dementia care until the latest stage of the disease, suggesting the critical role of family caregivers living with persons with dementia.Objectives:This study explored the characteristics and correlates of self-reported overall physical and psychological (ie, depressive symptoms and stress) health among family caregivers living with persons with dementia in Sweden.Methods:This cross-sectional, descriptive study used baseline data from an existing music-based intervention study of persons with dementia and their family caregivers (N = 76). Multivariable linear regression analyses were performed.Results:On average, caregivers (n = 38; mean age: 74.8 years) were slightly younger than persons with dementia (n = 38; mean age: 78.6 years). Most caregivers were female (n = 24; 63.2%) and spouses or partners of persons with dementia (n = 37; 97.4%). Caregivers’ perceived relationship with their family members with dementia was the only factor associated with caregivers’ self-reported overall physical health (b = −0.655, p = .046). This suggests caregivers’ more frequent feeling of a good relationship with the persons with dementia was linked to better self-rated physical health among family caregivers living with persons with dementia.Conclusions:This study highlights the importance of family caregivers’ perceived relationship with persons with dementia in the context of caregivers’ self-reported physical health. Future research is needed to explore the perceived relationship from the perspectives of persons with dementia and the determinants of caregiving dyads’ (persons with dementia and family caregivers) perceived relationship with each other.
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| 10. |
- Laanterä, Sari, et al.
(författare)
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Confidence in Breastfeeding Among Pregnant Women
- 2012
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Ingår i: Western Journal of Nursing Research. - : Sage Publications. - 0193-9459 .- 1552-8456. ; 34:7, s. 933-951
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Tidskriftsartikel (refereegranskat)abstract
- Little is known about prenatal breastfeeding confidence, although such knowledge is necessary for developing the content of counseling and tailoring it for individuals. The purpose of this study was to describe women’s prenatal breastfeeding confidence and how their sociodemographic characteristics, breastfeeding knowledge, and attitudes relate to it. The electronic confidence scale was used in data collection, and 123 Finnish women filled in the questionnaire. The mean confidence score was 83.88 when the maximum possible score was 120. Confidence scores varied when parity, breastfeeding knowledge, and attitudes were involved. Variables regarding breastfeeding as difficult, regarding breastfeeding as exhausting, and parity explained 38.1% of the variation of the breastfeeding confidence scores. Pregnant women need information about managing potential breastfeeding problems and the physiology of breastfeeding. Interventions designed to promote breastfeeding confidence need to be focused on primiparas and women with a lack of breastfeeding knowledge.
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| 11. |
- Mattiasson, Anne-Cathrine, et al.
(författare)
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Moral reasoning among professional caregivers in nursing homes
- 1995
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Ingår i: Western Journal of Nursing Research. - : SAGE Publications. - 0193-9459 .- 1552-8456. ; 17:3, s. 277-91
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Tidskriftsartikel (refereegranskat)abstract
- This article examines the responses from a sample of Swedish nursing home staff workers to a hypothetical ethical conflict highlighting the issue of restraint. The responses were analyzed in two ways: first, Piaget's theory of moral development was used to differentiate between "autonomous" and "heteronomous" awareness, and second, the responses were analyzed from the perspective of ethical principles, that is, autonomy, beneficence, nonmaleficence, and justice. The findings indicate that autonomous ethical awareness took precedence over heteronomous ethical awareness. The dominant moral values were the principle of beneficence, followed by the principle of autonomy.
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| 12. |
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| 13. |
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| 14. |
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| 15. |
- Yepes-Baldó, Montserrat, et al.
(författare)
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Job crafting, employee well-being, and quality of care
- 2018
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Ingår i: Western Journal of Nursing Research. - : Sage Publications. - 0193-9459 .- 1552-8456. ; 40:1, s. 52-66
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Tidskriftsartikel (refereegranskat)abstract
- The main objective is to study the effects of job crafting activities of elder care and nursing home employees on their perceived well-being and quality of care in two European countries, Spain and Sweden. The Job Crafting, the General Health, and the Quality of Care questionnaires were administered to 530 employees. Correlations and hierarchical regression analyses were performed. Results confirm the effects of job crafting on quality of care (r = .291, p < .01; β = .261, p < .01; ΔR2 = .065, p < .01) and employees’ well-being (r = .201, p < .01; β = .171, p < .01; ΔR2 = .028, p < .01). A positive linear relationship was found between job crafting and well-being in Spain and Sweden and with quality of care in Spain. On the contrary, in Sweden, the relationship between job crafting and well-being was not linear. Job crafting contributes significantly to employees’ and residents’ well-being. Management should promote job crafting to co-create meaningful and productive work. Cultural effects are proposed to explain the differences found.
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| 16. |
- Zhao, Xiang, PhD, 1987-, et al.
(författare)
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Using Dyadic Modeling in Nursing Research : Introduction of Theory and Application
- 2022
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Ingår i: Western Journal of Nursing Research. - : Sage Publications. - 0193-9459 .- 1552-8456. ; 44:8, s. 788-798
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Tidskriftsartikel (refereegranskat)abstract
- Use of dyadic modeling in nursing has theoretical and practical importance, as the interpersonal processes related to health behaviors can be captured. Theoretical models focusing on dyadic coping with chronic illness and illness management are established in family nursing. However, few studies utilized dyadic designs in empirical research, as most studies are patient-centric or care partner-centric. With theoretical elaborations and examples, we first review how conventional health models have been extended using a dyadic perspective and then briefly review the major dyadic frameworks in nursing. Five frequently used dyadic models are described with examples from health and nursing research fields. Statistical applications and cultural considerations are reviewed. We conclude that dyadic modeling provides a useful lens for nursing research but continues to be underutilized.
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