| 1. |
- Asp, Margareta, 1958-
(författare)
-
Rest : A Health-Related phenomenon and concept in Caring Science
- 2015
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 2
-
Tidskriftsartikel (refereegranskat)abstract
- Rest is a health-related phenomenon. Researchers have explored the phenomenon of rest, but further concept development is recommended. The aim of my study was to develop and describe a concept of rest, from interviews with a total of 63 participants about their lived experiences of rest. I performed the developing process in two stages: first with descriptive phenomenology and second with a hermeneutic approach. The concept of rest is comprised of the essences of both rest and “non-rest,” and there is a current movement between these two conditions in peoples’ lives. The essence of rest is being in harmony in motivation, feeling, and action. The essence of non-rest is being in disharmony in motivation, feeling, and action. The essences reveal some meaning constituents. Health care professionals and researchers can use the concept as a frame of reference in health care praxis and in applied research.
|
|
| 2. |
- Backlund, Maja, et al.
(författare)
-
Nurses' Experiences as Care Providers for Refugees in Emergency and Critical Care in Jordan: A Qualitative Interview Study
- 2021
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 8
-
Tidskriftsartikel (refereegranskat)abstract
- During the global refugee crisis of the 2010s, hundreds of thousands of Syrians fled to Jordan. As displaced Palestinians have had refugee status for several decades in Jordan already, this study aimed to explore nurses' perceptions of caring for Palestinian and Syrian refugees within the context of critical and emergency care. The qualitative design was executed through twelve semi-structured interviews with nurses working in refugee camps and public hospitals. Three main themes were identified describing the nurses' empathetic understanding of the refugees' situation, various challenging factors, as well as different aspects of the opportunities that they perceived in critical care and emergency care. The experiences of publicly employed nurses generally differed from those working in the camps. In addition, the findings indicate the importance of further research conducted locally, as it suggests several elements that have a negative impact on the quality of advanced healthcare for refugees.
|
|
| 3. |
- Bergh, Anne-Louise, 1952-, et al.
(författare)
-
Registered Nurses’ Patient Education in Everyday Primary Care Practice: : Managers Discourses
- 2015
-
Ingår i: Global Qualitative Nursing Research.. - : Sage Publications. - 2333-3936. ; 2
-
Tidskriftsartikel (refereegranskat)abstract
- Nurses’ patient education is important for building patients’ knowledge, understanding, and preparedness for self-management.The aim of this study was to explore the conditions for nurses’ patient education work by focusing on managers’ discoursesabout patient education provided by nurses. In 2012, data were derived from three focus group interviews with primary caremanagers. Critical discourse analysis was used to analyze the transcribed interviews. The discursive practice comprised adiscourse order of economic, medical, organizational, and didactic discourses. The economic discourse was the predominantone to which the organization had to adjust. The medical discourse was self-evident and unquestioned. Managers reorganizedpatient education routines and structures, generally due to economic constraints. Nurses’ pedagogical competencedevelopment was unclear, and practice-based experiences of patient education were considered very important, whereastheoretical pedagogical knowledge was considered less important. Managers’ support for nurses’ practical- and theoreticalbasedpedagogical competence development needs to be strengthened.
|
|
| 4. |
- Bielsten, Therese, et al.
(författare)
-
Controlling the Uncontrollable : Patient Safety and Medication Management From the Perspective of Registered Nurses in Municipal Home Health Care
- 2022
-
Ingår i: Global Qualitative Nursing Research. - : Sage Publications. - 2333-3936. ; 9
-
Tidskriftsartikel (refereegranskat)abstract
- Most adverse events in health care are related to medication management and they are almost always preventable. Increased knowledge of patient safety related to medication management in home health care is an urgent issue to provide safe care for all patients regardless of where the health care takes place. This study explored patient safety within medication management in municipal home health care. Vignettes were used as stimulus during qualitative interviews with registered nurses. Three main themes with related subthemes were identified as challenges to patient safety within medication management in home health care: (1) challenges to information transfer, (2) challenges related to delegation, and (3) challenges of advanced medical treatments in the home. The issue of transfer of information permeated our findings. Coordinating medications, delegating tasks, along with more advanced care require clear communication between care providers to be compatible with patient safety within medication management in home health care.
|
|
| 5. |
- Forsberg, Anna, et al.
(författare)
-
Understanding the Perceived Threat of the Risk of Graft Rejections : A Middle-Range Theory
- 2015
-
Ingår i: Global Qualitative Nursing Research. - : Sage Publications. - 2333-3936. ; 2
-
Tidskriftsartikel (refereegranskat)abstract
- From a clinical viewpoint, graft rejection is one of the greatest threats faced by an organ transplant recipient (OTR). We propose a middle-range theory (MRT) of Perceived Threat of the Risk of Graft Rejection (PTRGR) as a contribution to the practice of transplant nursing. It could also apply to the detection of risky protective behavior, that is, isolation, avoidance, or non-adherence. The proposed MRT covers the following concepts and the relationship between them: transplant care needs, threat reducing interventions, intervening variables, level of PTRGR, protective strategies, and evidence-based practice. Parts of this theory have been empirically tested and support the suggested relationship between some of the concepts. Further tests are needed to strengthen the theoretical links. The conceptual framework might serve as a guide for transplant nurses in their efforts to promote post-transplant health and reduce threat-induced emotions.
|
|
| 6. |
- Hamdan Alshehri, Hanan, et al.
(författare)
-
Healthcare Professionals’ Perspective on Palliative Care in Intensive Care Settings: An Interpretive Descriptive Study
- 2022
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 9
-
Tidskriftsartikel (refereegranskat)abstract
- There is a growing need to integrate palliative care into intensive care units and to develop appropriate knowledge translation strategies. However, multiple challenges persist in attempts to achieve this objective. In this study, we aimed to explore intensive care professionals’ perspectives on providing palliative and end-of-life care within an intensive care context. We used an interpretive description approach and interviewed 36 intensive care professionals at four hospitals in Saudi Arabia. Our findings reflect a discourse about end-of-life care driven by a do-not-resuscitate classification and challenges associated with family involvement in care goals. We provide key insights of importance for the development of strategies for the integration and knowledge translation of palliative care into intensive care contexts.
|
|
| 7. |
- Höye, Sevald, et al.
(författare)
-
A Healthy Person : The Perceptions of Indonesian and Scandinavian Nursing Students
- 2016
-
Ingår i: Global qualitative nursing research. - : Sage Publications. - 2333-3936. ; 3
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this exploratory study was to investigate how nursing students in Indonesia and Scandinavia characterize a healthy person. Two hundred thirty-two nursing students from Indonesia, 50 students from Sweden, and 119 students from Norway participated by answering an open-ended question. Qualitative content analysis was used to identify patterns of health in a cultural and national context. The characteristics of a healthy person were summarized in the theme “external and inner balance,” which are intertwined because of the wholeness of self-image and appearance. The subcategories were having a strong and positive body image, feeling well and having inner harmony, following the rules of life, coping with challenges, and acting in unison with the environment. There were more similarities than differences between the Indonesian and Scandinavian nursing students’ understanding of being a healthy person. The difference is that the Scandinavian students mentioned individuality, whereas the Indonesian students referred to collective values.
|
|
| 8. |
- Iyengar, Kirti, et al.
(författare)
-
"Who Wants to Go Repeatedly to the Hospital?" : Perceptions and Experiences of Simplified Medical Abortion in Rajasthan, India
- 2016
-
Ingår i: Global qualitative nursing research. - : SAGE PUBLICATIONS INC. - 2333-3936. ; 3
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to explore women's experiences and perceptions of home use of misoprostol and of the self-assessment of the outcome of early medical abortion in a low-resource setting in India. In-depth interviews were conducted with 20 women seeking early medical abortion, who administered misoprostol at home and assessed their own outcome of abortion using a low-sensitivity pregnancy test. With home use of misoprostol, women were able to avoid inconvenience of travel, child care, and housework, and maintain confidentiality. The use of a low-sensitivity pregnancy test alleviated women's anxieties about retained products. Majority said they would prefer medical abortion involving a single visit in future. This study provides nuanced understanding of how women manage a simplified medical abortion in the context of low literacy and limited communication facilities. Service delivery guidelines should be revised to allow women to have medical abortion with fewer visits.
|
|
| 9. |
- Kitzmüller, Gabriele, et al.
(författare)
-
Filling the void : the role of adult siblings caring for a brother or sister with severe mental illness
- 2023
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 10
-
Tidskriftsartikel (refereegranskat)abstract
- Little is known about the role of adult siblings’ caregiver role within the context of mental illness. Therefore, our purpose was to explore how siblings narrate their experiences of being the main caregivers of a brother or sister with severe mental illness and how they cooperate with their ill sibling and their family of origin. We used a narrative hermeneutic approach and performed a secondary analysis of two interviews of siblings derived from a study of peoples’ experiences of hearing voices. The findings illuminate the participants’ multifaceted roles and how differently siblings might deal with the multiple challenges of caring for an ill sibling. The mediating role between their ill sibling and their family of origin to reestablish the broken family bonds was a significant aspect. Nurses’ awareness of the important and multidimensional role of caregiving siblings can improve the provision of family support and promote involvement of siblings in the treatment of an ill family member.
|
|
| 10. |
- Melin-Johansson, Christina, et al.
(författare)
-
The Recovery Process When Participating in Cancer Support and Rehabilitation Programs in Sweden
- 2015
-
Ingår i: Global qualitative nursing research. - : Sage Publications. - 2333-3936. ; 2
-
Tidskriftsartikel (refereegranskat)abstract
- The aim was to illuminate the meaning of participating in support and rehabilitation programs described by people diagnosed with cancer. Nineteen persons were interviewed in focus groups and face-to-face. Data were analyzed with a qualitative phenomenological hermeneutical method for researching lived experiences. Interpretation proceeded through three phases: naïve reading, structural analysis, and comprehensive understanding. Three themes were disclosed: receiving support for recovery when being most vulnerable, recapturing capabilities through supportive activities, and searching to find stability and well-being in a changed life situation. Participating in the programs was an existential transition from living in an unpredictable situation that was turned into something meaningful. Recovery did not mean the return to a state of normality; rather, it meant a continuing recovery from cancer treatments and symptoms involving recapturing capabilities and searching for a balance in a forever changed life. This study provides new insights about the experiences of participating in cancer support and rehabilitation programs.
|
|
| 11. |
- Olaya-Contreras, Patricia, 1964, et al.
(författare)
-
Perceptions and Practices of Physical Activity Among Colombian Overweight/Obese Schoolchildren.
- 2016
-
Ingår i: Global qualitative nursing research. - : SAGE Publications. - 2333-3936. ; 3
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to explore the contexts that shape obese children's engagement in physical activity (PA) focusing on children's perceptions. The qualitative design consisted of non-participant observations, and unstructured and semi-structured focus group and individual interviews. Data were analyzed by use of conventional content analysis. Participants were overweight/obese children from a public school in Colombia. The findings show that the main context where PA took place was during physical education (PE) classes at school and in the children's neighborhoods. The participants perceived the PE classes to be too competitive and demotivating. PA taking place outside school was associated with fun, but occurred only on an infrequent basis and was challenged by living in insecure neighborhoods. Adapting a health promotion approach that emphasizes participation and social environments might motivate obese children to become physically active at school as well as during leisure time.
|
|
| 12. |
- Saarnio, Lotta, 1978-, et al.
(författare)
-
Enabling At-Homeness for Older People With Life-Limiting Conditions: A Participant Observation Study From Nursing Homes
- 2019
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 6
-
Tidskriftsartikel (refereegranskat)abstract
- At-homeness, as an aspect of well-being, can be experienced despite living with life-limiting conditions and needs for a palliative approach to care. In nursing homes, older residents with life-limiting conditions face losses and changes which could influence their experience of at-homeness. The aim of this study was to explore how nursing staff enable at-homeness for residents with life-limiting conditions. Interpretive description was employed as the design using data from participant observations and formal and informal interviews related to nursing care situations. The strategies found to be used to enable at-homeness comprising nursing staff presenting themselves as reliable, respecting the resident's integrity, being responsive to the resident's needs, collaborating with the resident in decision-making, and through nurturing comforting relationships. The result on how to enable at-homeness could be used as strategies for a person-centered palliative approach in the care for residents in nursing homes.
|
|
| 13. |
- Siouta, Eleni, et al.
(författare)
-
Patient Centeredness from a Perspective of History of the Present : A Genealogical Analysis
- 2020
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936 .- 2333-3936. ; 7
-
Tidskriftsartikel (refereegranskat)abstract
- The overall aim of this study, performed in Sweden, was to problematize the contemporary national and transnational discourse on patient centeredness, which during recent decades has become a given, having become established as a dogma in conversations, writing, and thinking about patients and health care. We did that by showing that ideas such as patient centeredness can be seen differently from the way they are depicted in contemporary discourses about health care. In the presented analysis, we drew on Foucault's concepts of governmentality, 'history of the present' and genealogy. This means that we reflected on contemporary conceptions of how phenomena, such as the care seeker, have been constructed within other discourses about health care. Empirically, we used different health policy documents-government reports from three different historical periods. The analysis showed that contemporary narratives about centeredness are neither more, nor less, care seeker-centered than the narratives of yesteryear. Rather, the phenomenon of the care seeker is given different frames and meanings within the framework of different economic and historical discourses about health care. Our analysis raised questions about the contemporary construction of patient centeredness. In a world with such huge economic differences between nations, as well as between citizens within most nations, the contemporary discourse may be limited as it does not problematize structural issues in the same way as previous discourses had done. Perhaps what is needed today are national and international patient-centered or person-centered discourses which also discuss policies and practices that are population- and social group-centered. In the final discussion of the analysis, we identified a new patient-centered discourse, which views the patient as a resource among other resources. The most important limitation of this type of study is that it is only about discourses and policy issues and not about daily practical activities.
|
|
| 14. |
|
|
| 15. |
- van Vliet, Marja, et al.
(författare)
-
A Mind Body Skills Course Among Nursing and Medical Students : A Pathway for an Improved Perception of Self and the Surrounding World
- 2018
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 5
-
Tidskriftsartikel (refereegranskat)abstract
- Despite increased recognition of self-care and self-awareness as core competences for health care professionals, little attention is paid to these skills during their education. Evidence suggests that a Mind-Body (MB) skills course has the potential to enhance self-care and self-awareness among medical students. However, less is known about the meaning of this course for students and how it affects their personal and professional life. Therefore, we examined the lived experiences with an MB skills course among Dutch medical and Swedish nursing students. This course included various MB techniques, such as mindfulness meditation and guided imagery. Guided by a phenomenological hermeneutical method, three main themes were identified: "ability to be more present," "increased perception and awareness of self," and "connection on a deeper level with others." Overall, participation in the MB skills course served as a pathway to inner awareness and supported connecting with others as well as with the surrounding world.
|
|
| 16. |
- Ventura, Filipa, et al.
(författare)
-
Purposeful Agency in Support Seeking During Cancer Treatment From a Person-Centered Perspective.
- 2016
-
Ingår i: Global qualitative nursing research. - : SAGE Publications. - 2333-3936. ; 3
-
Tidskriftsartikel (refereegranskat)abstract
- People diagnosed with early-stage breast cancer (ESBC) manifest high supportive needs. eHealth supportive programs successfully satisfy those needs, but the process of generating supportive outcomes is less understood. We conducted this study to explore patients' efforts to satisfy their supportive needs throughout the treatment course, not limited to but particularly considering their use of the Internet. Guided by interpretive description, 19 women undergoing treatment for ESBC participated in two phases of focus group meetings. Our results disclose women as self-driven resourceful agents, a perspective that underlay the process of reaching out as women appraised their need for support and intentionally engaged their supportive resources. Our findings convey a need to shift the paradigm of professionals' provision of support in scheduled appointments toward achieving a continuous reciprocal care partnership. This is especially significant for the development of eHealth supportive programs, which assist in the enhancement of the health care accessibility.
|
|
| 17. |
- Wallengren Gustafsson, Catarina, et al.
(författare)
-
Challenges When Translating and Culturally Adapting a Measurement Instrument: The Suitability and Comprehensibility of Materials (SAM+CAM)
- 2018
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 5
-
Tidskriftsartikel (refereegranskat)abstract
- There is evidence that low suitability and comprehensibility of printed education materials (PEMs) affects patients' and relatives' ability to read and comprehend information. However, few instruments measure the suitability of written information, and none exist in the Swedish language. The aim was to describe the translation and adaptation of the Suitability and Comprehensibility of Materials (SAM+CAM) instrument into the Swedish language and health care context and to explore challenges related to this process. The SAM+CAM instrument was translated and culturally adapted in five steps: forward translation, synthesis, back translation, expert review, and pretests. Differences were found when translating and culturally adapting the SAM+CAM instrument in the areas of semantic, idiomatic, and experiences. Participants revealed several clarity inconsistencies between items. They also identified linguistic differences and unfamiliar wording; they found that the instrument was perplexing to use and lacked knowledge regarding the specific health care areas in the examined PEMs. The cultural perspective is a significant factor that influences the usability of PEMs. Therefore, expert groups of participants are useful when adapting instruments to different cultures. The Swedish SAM+CAM instrument requires experienced and highly qualified raters.
|
|
| 18. |
- Wood, B, et al.
(författare)
-
"They Should Be Asking Us": A Qualitative Decisional Needs Assessment for Women Considering Cervical Cancer Screening
- 2018
-
Ingår i: Global qualitative nursing research. - : SAGE Publications. - 2333-3936. ; 5, s. 2333393618783632-
-
Tidskriftsartikel (refereegranskat)abstract
- In this study, we examine from multiple perspectives, women’s shared decision-making needs when considering cervical screening options: Pap testing, in-clinic human papillomavirus (HPV) testing, self-collected HPV testing, or no screening. The Ottawa Decision Support Framework guided the development of the interview schedule. We conducted semi-structured interviews with seven screen-eligible women and five health care professionals (three health care providers and two health system managers). Women did not perceive that cervical screening involves a “decision,” which limited their knowledge of options, risks, and benefits. Women and health professionals emphasized how a trusted primary care provider can support women making a choice among cervical screening modalities. Having all cervical screening options recommended and funded was perceived as an important step to facilitate shared decision making. Supporting women in making preference-based decisions in cervical cancer screening may increase screening among those who do not undergo screening regularly and decrease uptake in women who are over-screened.
|
|
| 19. |
- Øfsti, Ruth, et al.
(författare)
-
“Looking for Deviations” : Nurses’ Observations of Older Patients With COPD in Home Nursing Care
- 2020
-
Ingår i: Global Qualitative Nursing Research. - : SAGE Publications Inc. - 2333-3936. ; 7
-
Tidskriftsartikel (refereegranskat)abstract
- Nurses working in home care play a significant role in observing and identifying changes in the health status of patient with chronic obstructive pulmonary disease (COPD). The aim of this study was to explore and describe nurses? observations of older patients with COPD when providing home nursing care. In this qualitative explorative study, data were collected through observations of 17 home care visits using the think-aloud technique, followed up with individual interviews with the nurses. Qualitative content analysis was used to analyze the data. The findings showed that the nurses? observations (focus, methods, and interpretation) were characterized by their search for deviations from what they judged to be the patient?s habitual state. The nurses did not use any tool or guidelines, nor did they follow a standard procedure. Instead, when observing and interpreting, they performed a complex process guided by their experience and knowledge of the patient, and the patient?s individual and contextual circumstances. This knowledge contributes to warranted reflection on nurses? practice in this context to secure COPD patients? safety and quality of life.
|
|
| 20. |
- Öhlén, Joakim, 1958, et al.
(författare)
-
Empirical Phenomenological Inquiry: Guidance in Choosing Between Different Methodologies.
- 2023
-
Ingår i: Global Qualitative Nursing Research. - 2333-3936. ; 10
-
Tidskriftsartikel (refereegranskat)abstract
- Empirical phenomenological inquiry and analyses are of high relevance and applicability for nursing and health care. Phenomenology has clear roots in philosophy, which needs to be brought into an empirical phenomenological inquiry. However, all study of phenomena and experience does not qualify as phenomenological inquiry. The aim of this article is to provide guidance for how to relate different empirical phenomenological methodologies that are in play in the broader field of healthcare research, and thus support healthcare researchers in navigating between these methodologies. For pedagogical purposes, we present commonalities and differences as related to descriptive and interpretive phenomenological inquiries throughout the research process. The merits and criticisms of empirical phenomenological inquiry are commented on.
|
|
