| 1. |
- Björk Brämberg, Elisabeth, et al.
(författare)
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Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden
- 2012
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Ingår i: Nursing & Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 14:2, s. 244-249
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Tidskriftsartikel (refereegranskat)abstract
- This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, the diabetes nurse specialist as the conductor of the visit, and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care.
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| 2. |
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| 3. |
- Anberg Högeryd, Susanne M., et al.
(författare)
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Expert midwives’ experiences of security in their professional practice : I’m the captain of a jet
- 2014
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Ingår i: International Journal of Nursing and Midwifery. - 2141-2456. ; 6:2, s. 16-23
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Tidskriftsartikel (refereegranskat)abstract
- Obstetric units have become larger, with patients being knowledgeable and demanding. Also, established team works at maternity wards require that midwives are secure in their role. A descriptive study with a phenomenological approach was used. A maternity unit in a hospital located in Western Sweden was chosen. Five expert midwives with vast experience of obstetric care who worked in a maternity unit were interviewed. Data were collected by audio-taped interviews. The data were analysed by means of Giorgi’s phenomenological method. The results showed that security was constituted by an inherent sense of security as well as confidence in self and in life. Education and practical group training in the workplace provided theoretical knowledge and practical experience. Support for others in the working team and open communication also constituted security. Also, clear leadership, guidelines and routines provided a framework and had a positive effect on expert midwives’ sense of security. When security was absent, midwife became worried, the joy and harmony diminished. In order to ensure midwife security and ultimately safe patient care, it was important to allow time for rest, to reflect on and evaluate their work. Expert midwives can create the prerequisites for their professional security. Several constituents combine to shape midwives’ sense of professional security; an inherent sense of security, own knowledge and experience, team collaboration, visible and clear leadership.
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| 4. |
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| 5. |
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| 6. |
-
Att bli sjuksköterska- en introduktion till yrke och ämne
- 2010
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Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Syftet med denna bok är att introducera yrket och det vetenskapliga ämnet för studenter som påbörjat sjuksköterske-utbildningen. I boken ges en beskrivning av yrkets historik, dess etiska och ämnesmässiga grund samt samhällets krav på sjuksköterskan. Utöver detta presenteras några av sjuksköterskans viktigaste kompetensområden. Boken är tänkt att fungera som en karta över yrkets innehåll och skall kunna användas tidigt i utbildningen för att ge en helhetsförståelse av vad yrket innebär. Först ges en presentation av yrkets framväxt, ett mer övergripande teoretiskt ämnesinnehåll samt sjukvårdens lagstiftning och organisation. Den andra delen är en fördjupning av några av sjuksköterskans olika kompetens- och ansvarsområden. Samtliga författare är sjuksköterskor, lärare och aktiva forskare vid olika sjuksköterskeutbildningar i Sverige. Dagens yrke innehåller fortfarande många av Florence Nightingales vårdprinciper. Trots detta har hon oförtjänt fått stå som förebild för, i första hand, kvinnors oavlönade arbete. I själva verket ansåg Florence Nightingale att vård inte stod i motsättning till en god ekonomisk ersättning och hon verkade för att kvinnor skulle få utbildning och därmed en egen inkomst. Författarna vill förtydliga att sjuksköterskeyrket är en profession som kräver omfattande teoretisk och praktisk kunskap och förhoppningen är att boken skall ge inspiration under utbildningen. Sjuksköterskeyrket är ett yrke med en kunskapspotential som ger makt att påverka och förbättra vården – ett yrke att vara stolt över. Boken kan även användas av andra yrkeskategorier inom vård och omsorg, för att få en bild av sjuksköterskans formella kompetens.
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| 7. |
- Bergh, Anne-Louise, et al.
(författare)
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Perpetuating ‘New Public Management’ at the expense of nurses’ patient education : a discourse analysis
- 2015
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Ingår i: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 22:3, s. 190-201
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Tidskriftsartikel (refereegranskat)abstract
- This study aimed to explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development of nurses’ pedagogical competence. They used organisational, financial, medical and legal reasons for explaining their failure to support nurses’ provision of patient education. The organisational discourse was an umbrella term for ‘things’ such as cost-effectiveness, which were prioritised over patient education. There is a need to remove managerial barriers to the professional development of nurses’ patient education. Managers should be responsible for ensuring and overseeing that nurses have the prerequisites necessary for providing patient education as well as for enabling continuous reflective dialogue and opportunities for learning in practice.
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| 8. |
- Bergh, Anne-Louise, 1952-, et al.
(författare)
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Registered Nurses’ Patient Education in Everyday Primary Care Practice: : Managers Discourses
- 2015
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Ingår i: Global Qualitative Nursing Research.. - : Sage Publications. - 2333-3936. ; 2
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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.
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| 9. |
- Boman, Åse, 1957-, et al.
(författare)
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Fathers' encounter of support from paediatric diabetes teams : the tension between general recommendations and personal experience
- 2013
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Ingår i: Health & Social Care in the Community. - : Hindawi Limited. - 0966-0410 .- 1365-2524. ; 21:3, s. 263-270
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this grounded theory study was to explore and discuss how fathers involved in caring for a child with type 1 diabetes experienced support from Swedish paediatric diabetes teams (PDTs) in everyday life with their child. Eleven fathers of children with type 1 diabetes, living in Sweden and scoring high on involvement on the Parental Responsibility Questionnaire, participated. Data were collected from January 2011 to August 2011, initially through online focus group discussions in which 6 of 19 invited fathers participated. Due to high attrition, the data collection continued in eight individual interviews. A semi-structured interview guide was used, and the fathers were asked to share experiences of their PDT's support in everyday life with their child. A simultaneous and constant comparison approach to data collection and analysis allowed the core category to emerge: the tension between general recommendations and personal experience. This core category illuminates how the fathers experienced tension between managing their unique everyday life with their child and balancing this to meet their PDT's expectations with regard to blood glucose levels. The core category was supported by two categories: the tension between the fathers'and their PDT's knowledge, whereby fathers reported discrepancies between their PDT's medical knowledge and their own unique knowledge of their child; and the tension between the fathers'and their PDT's goals, whereby the fathers identified differences between the familys' and their PDT's goals. As a dimension of the core category, fathers felt trust or distrust in their PDT. We conclude that to achieve high-quality support for children with diabetes and to enhance their health and well-being, involved fathers' knowledge of their unique family situation needs to be integrated into the diabetes treatment.
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| 10. |
- Boman, Åse
(författare)
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Fathers involved in children with type 1 diabetes : finding the balance between disease control and health promotion
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Background:Type I diabetes is a chronic disease that places great demands on the child and family. Parental involvement has been found to be essential for disease outcome. However, fathers’ involvement has been less studied, even though high paternal involvement has been correlated with less disease impact on the family and higher quality of life among adolescents.Aim: The overall aim of the study was to explore and analyze constructions of fathers’ involvement in their child’s everyday life with type 1 diabetes from an ecological and health promotion perspective. Four specific aims were applied: 1) explore and describe discourses in health care guidelines for children with type 1 diabetes in Nordic countries, focusing on parents' positioning (I), 2) analyze how Swedish pediatric diabetes teams perceived and discussed fathers’ involvement in the care of their child with type 1 diabetes, and to discuss how the teams’ attitudes toward the fathers’ involvement developed during a focus group process (II), 3) explore and discuss how fathers involved in caring for their child with type 1 diabetes experience support from their pediatric diabetes team in everyday life with their child (III), and 4) analyze how involved fathers to children with type 1 diabetes understand their involvement in their child’s daily life and to discuss their perceptions from a health promotion perspective (IV).Material and methods: A qualitative and inductive approach was applied. Data were collected and analyzed during 2010-2012. The sample consisted of three pediatric guidelines originating from Norway, Denmark and Sweden (I), three Swedish pediatric diabetes teams (PDTs) (II), and 11 (III) and 16 (IV) fathers of children with type 1 diabetes who scored high involvement on the Parental Responsibility Questionnaire. Data were collected through repeated focus group discussions with the PDTs (II), online focus group discussions (III) and individual interviews (III, IV) with the fathers. Three analysis methods were applied: analysis of discourses (I), Constructivist Grounded Theory (II, III) and content analysis (IV).Findings: The findings illuminated the complex interaction between the pediatric guidelines, the PDTs and the fathers. Fathers highly involved in their child’s daily life experienced different levels of tension between the general recommendations and their personal experiences of living with a child with type 1 diabetes (III). The fathers regarded their involvement in their child’s diabetes care as additional to their general parenting, and a fine balance was identified between a health promotion perspective and a controlling involvement. The common denominator between the highly involved fathers was their use of parental leave (IV). The PDTs initially perceived fathers’ involvement as gendered and balanced on the mother’s agement, but as focus was set on fathers’ engagement the PDTs increased their awareness of this and started to identify and encourage their engagement II). At the macro-level, parents’ voices were diminished in Nordic pediatric diabetes guidelines in favor of an expert discourse (I).Conclusions: Fathers’ involvement concerning a child with type 1diabetes is constructed in a complex way, based on an interaction between the fathers’ perceptions of their additional involvement and the support provided by the PDTs; the PDTs’ perceptions of the fathers’ involvement; and how parents/fathers are constructed in pediatric diabetes guidelines. In order to promote the health and well-being of children with type 1 diabetes, fathers’ involvement needs to be taken into account in the pediatric guidelines as well as in clinical practice.
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| 11. |
- Boman, Åse, et al.
(författare)
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Fathers of Children With Type 1 Diabetes : Perceptions of a Father's Involvement From a Health Promotion Perspective
- 2014
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Ingår i: Journal of Family Nursing. - : SAGE Publications. - 1074-8407 .- 1552-549X. ; 20:3, s. 337-354
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Tidskriftsartikel (refereegranskat)abstract
- This study describes how fathers of children diagnosed with type 1 diabetes understand their involvement in their child's daily life from a health promotion perspective. Sixteen Swedish fathers of children living with type 1 diabetes were interviewed. Manifest and latent content analysis was used to identify two themes: the inner core of the father's general parental involvement and the additional involvement based on the child's diabetes. The former was underpinned by the fathers' prioritization of family life and the fathers being consciously involved in raising the child, and the latter by the fathers promoting and controlling the child's health and promoting and enabling the child's autonomy. The results highlight that the quality of the fathers' involvement is essential in the management of a child's chronic illness. It is important for pediatric diabetes health care professionals to assess the quality of fathers' involvement to promote the child's health.
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| 12. |
- Boman, Åse, 1957-, et al.
(författare)
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If dad comes, we are happy - if mom fails to appear, we become desperate : A Grounded Theory study of Swedish diabetes teams perecption of fathers’ involvement in their child's everyday life
- 2011
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Ingår i: 4th International Research Seminar on SALUTOGENESIS and meeting of the IUP-GWG-SAL. ; , s. 1-12
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Konferensbidrag (refereegranskat)abstract
- Background: Since parental involvement is essential to the outcome of diabetes type 1 treatment in childhood and high paternal engagement in everyday life promote the child's health, it is of value to explore how professionals, the diabetes teams (DT), perceive fathers' involvement in their child with diabetes type 1.Method: The study design was Constructivist Grounded Theory and data was collected by Repeated Focus Groups discussions with three Swedish pediatric diabetes teams, between May 2010 and January 2011.Results: The core category for the diabetes teams' perception of fathers' involvement was If dad comes, we are happy – if mom fails to appear, we become desperate. The core category relied on three subcategories. Societal and cultural context where DTs perceived fathers involvement as having specific properties and specific areas of responsibility, Balancing where the DTs balanced the father's involvement against the mother's engagement and Becoming aware where the DTs raised awareness of the fathers from being a indistinct parents-unit till to identify and appreciate the father's engagement.Conclusions: Perceiving fathers as equal caregivers, and becoming aware of fathers as a health resource, could support an active health promotion perspective in pediatric diabetes care.
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| 13. |
- Boman, Åse, 1957-, et al.
(författare)
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Parents' discursive resources : Analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 1
- 2012
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 26:2, s. 363-371
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Tidskriftsartikel (refereegranskat)abstract
- The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.
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| 14. |
- Boman, Åse, 1957-, et al.
(författare)
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Swedish pediatric diabetes teams' perception of fathers' involvement : A Grounded Theory study
- 2013
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Ingår i: Nursing and Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 15:2, s. 179-185
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to analyze how Swedish pediatric diabetes teams perceived and discussed fathers' involvement in the care of their child with type 1 diabetes. It also aimed to discuss how the teams' attitudes towards the fathers' involvement developed during the data collection process. The Constructivist Grounded Theory design was used and data were collected during three repeated focus group discussions with three Swedish pediatric diabetes teams. The core category of the teams' perception of fathers' involvement emerged as: If dad attends, we are happy – if mom doesn't, we become concerned. Initially the teams balanced their perception of fathers' involvement on the mother's role as the primary caregiver. In connection with the teams' directed attention on fathers, in the focus group discussions, the teams' awareness of the importance of fathers increased. As a consequence, the team members began to encourage fathers' engagement in their child's care. We conclude that by increasing the teams' awareness of fathers as a health resource, an active health promotion perspective could be implemented in pediatric diabetes care.
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| 15. |
- Dahlborg Lyckhage, Elisabeth, 1974-, et al.
(författare)
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A Theoretical Framework for Emancipatory Nursing With a Focus on Environment and Persons’ Own and Shared Lifeworld : A Theoretical Framework for Emancipatory Nursing
- 2018
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Ingår i: Advances in Nursing Science. - 0161-9268 .- 1550-5014. ; 41:4, s. 340-350
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Tidskriftsartikel (refereegranskat)abstract
- By giving a brief overview of the meta concepts in nursing, with a focus on environment, we sketch a theoretical framework for an emancipatory perspective in nursing care practice. To meet the requirements of equality in care and treatment, we have in our theoretical framework added a critical lifeworld perspective to the anti oppressive practice, to meet requirements of equity in health care encounter. The proposed model of emancipatory nursing goes from overall ideological structures to ontological aspects of the everyday world. Based on the model, nurses could identify what kind of theoretical critical knowledge and thinking they require to conduct equal care and encounter the person behind the patient role.
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| 16. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Analysis of discourses in a health care context
- 2010
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Ingår i: Challenging the Boundaries, Vancouver, Canada, 3-5 October 2010.
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Konferensbidrag (refereegranskat)abstract
- Abstract To develop nursing as a critical normative science (Kirkevold, 2009), a description of the various care areas and different health phenomena is needed. This is being done on the basis of various qualitative methods´; hence within nursing discourse analysis is used to a limited extent. The aim of this paper is to exemplify phenomenon and topics within nursing that have been studied by using discourse analysis. The examples are from studies conducted during the previous years by the authors. Discourses within palliative care based on documents and observations (2009), nursing as a subordinated profession, based on media analysis (2009), and an ongoing study about discourses within care of children with diabetes based on policy documents in the Nordic countries. Discourse analysis provides data, such as interviews, actions and documents to be analyzed in a broader system of knowledge (Wilkinson & Kitzinger, 2000., Lupton, 1993). A discourse is a “systems of thought and systematic ways of carving out reality and is composed by structures of knowledge that influences systems of practice” (Chambon, 1999). All discourses are textual and an inter-textual drawing upon other texts, contextually embedded in historical political and cultural settings. A given text also transforms in a manner that is socially constrained and conditional upon relations of power (Foucault 1979). As Bacchi (2005) urges it is possible to adopt a more comprehensive dual-focus agenda in discourse analysis, taking into account the dual movement of discourse: the way discourse speaks us and the way we speak the discourse.
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| 17. |
- Dahlborg Lyckhage, Elisabeth, 1956-
(författare)
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Att analysera berättelser (narrativer)
- 2012. - 2
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Ingår i: Dags för uppsats. - Lund. - 9789144073231 ; , s. 162-173
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Bokkapitel (populärvet., debatt m.m.)
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| 18. |
- Dahlborg Lyckhage, Elisabeth, 1956-
(författare)
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Att analysera diskurser
- 2012. - 2
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Ingår i: Dags för uppsats. - Lund. - 9789144073231 ; , s. 145-160
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Bokkapitel (populärvet., debatt m.m.)
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| 19. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Changing essay writing in undergraduate nursing education through action research: a Swedish example
- 2013
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Ingår i: Nursing Education Perspectives. - : Ovid Technologies (Wolters Kluwer Health). - 1536-5026 .- 1943-4685. ; 34:4, s. 226-232
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Tidskriftsartikel (refereegranskat)abstract
- This article describes the development of literature-based models for bachelor degree essays in Swedish undergraduate nursing education. Students' experiences in a course with literature-based models for bachelor degree essays are discussed. The ever-growing body of nursing research and specialized and complex health care practices make great demands on nursing education in terms of preparing students to be both skilled practitioners and users of research. Teaching to help students understand evidence-based practice is a challenge for nursing education. Action research was used to generate knowledge of and practical solutions to problems in everyday locations. Six models were developed: concept analysis, contributing to evidence-based nursing by means of quantitative research, contributing to evidence-based nursing by means of qualitative research, discourse analysis, analysis of narratives, and literature review. Action research was found to be a relevant procedure for changing ways of working with literature-based, bachelor degree essays. The models that were developed increased students' confidence in writing essays and preparedness for the nursing role.
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| 20. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Competing discourses in palliative care.
- 2010
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Ingår i: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. - : Springer Science and Business Media LLC. - 1433-7339. ; 18:5, s. 573-582
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Palliative care focuses on early identification as well as prevention and alleviation of suffering. Previous studies have established that palliative care is a disciplinary area in a state of transformation due to the involvement of different professional categories and that nursing care in the palliative context is influenced by the dominance of the medical perspective. AIM: This study aimed to describe palliative care from a nursing perspective prior to the implementation of a palliative care programme. PATIENTS AND METHODS: The approach was inspired by the ethnographic method and a constructionist perspective was used as a theoretical framework, as the focus was on existing palliative care discourses. Field studies were conducted on a ward where palliative care was provided to patients at the end of life. Approval for the study was granted by the Ethics Committee at Sahlgrenska Academy. Data were collected by means of participant field studies, informal deliberations and other relevant documents. MAIN RESULTS: Four different discourses were discerned: caring, non-caring, curing and the organisation. CONCLUSIONS: The ethos on the ward was strongly linked to the medical discourse. We consider that a prerequisite for the organisation of palliative care is an expressed caring perspective based on the patients' experiences of suffering, which perspective is lacking in the curing and organisational discourses.
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| 21. |
- Dahlborg Lyckhage, Elisabeth, 1956, et al.
(författare)
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Competing discourses in palliative care
- 2010
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Ingår i: SUPPORTIVE CARE IN CANCER. - 0941-4355. ; 18:5, s. 573-582
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Tidskriftsartikel (refereegranskat)
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| 22. |
- Dahlborg Lyckhage, Elisabeth, et al.
(författare)
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Gränshinder : en kvalitativ och kvantitativ studie av samverkandesjukvård
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- The project "Health care interaction" among different care providers was introduced as a trial activity in the municipalities of Strömstad and Tanum in the spring of 2010. The aim of health care interaction is to provide citizens health care adapted to their specific need within shortest possible time frame; Is emergency care not needed, the aim is to avoid that the care seeker ends up in an emergency room at the hospital. In this study experiences from health care interaction is described with quantitative as well as qualitative data. Empirical data is based on available medical statistics, focus group interviews with nurses with long experience from pre-hospital emergency care and home health care, questionnaires data gathered from other health professionals involved in the activity, individual interviews with nurses and physicians at call centers for medical information, primary health care centers, home health care, pre-hospital health care and elderly care. The analysis of the data reveal opportunities and expectations among the personnel as well as their willingness to develop and improve the health care. It's also evident that the general impression among health care personnel is that increased interaction among health care providers improves the quality of the health care given. Health care interaction also contributes to improved opportunities for person-centered care with an increased degree of continuity and participation for the patient. The study also reveals that collaboration between colleagues promotes development of individual and collective knowledge. Conclusions drawn from the study is that the documentation and information system used in health care interaction needs to strengthen the participation of the care seekers as well as to improve in accessibility for the personnel involved. In order for health care interaction to evolve and develop through close follow-up and evaluation, a more transparent and uniform system for documentation is recommended. It's also concluded from the study that the call center for medical information (1177) as one of the major actors in the health care interaction program has the best potential to instigate an expansion and development of the health care interaction among care providers.
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| 23. |
- Dahlborg Lyckhage, Elisabeth, 1974-, et al.
(författare)
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Health care systems in transition: Equality, access and health literacy in three Scandinavian welfare states. : “The Emperor’s new clothes”: discourse analysis on how the patient is constructed in the new Swedish Patient Act
- 2017
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Konferensbidrag (refereegranskat)abstract
- The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig’s analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient’s entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act’s provisions in daily healthcare work.
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| 24. |
- Dahlborg Lyckhage, Elisabeth, 1956-
(författare)
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I backspegeln : en historisk återblick
- 2010. - 1
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Ingår i: Att bli sjuksköterska. - Lund : Studentlitteratur. - 9789144054117 ; , s. 39-57
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 25. |
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| 26. |
- Dahlborg-Lyckhage, Elisabeth, et al.
(författare)
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Kvinnor, män och vårdens språk
- 2007
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Ingår i: Vårdens språk – en antologi. - : Liber. - 9789147084159
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 27. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Living in Liminality : Being Simultaneously Visible and Invisible: Caregivers' Narratives of Palliative Care
- 2013
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Ingår i: Journal of Social Work in End-of-Life & Palliative Care. - : Routledge. - 1552-4256 .- 1552-4264. ; 9:4, s. 272-288
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Tidskriftsartikel (refereegranskat)abstract
- Palliative care is an integral part of care and takes place in many settings—including the home, special accommodations, and hospitals. However, research shows that palliative care often ends with a death in the hospital due to the heavy burden on the primary caregiver. This study explores the meaning of being the primary caregiver of a close one who is terminally ill and is based on qualitative interviews with six primary caregivers of a terminally ill individual at home. The findings are discussed in the light of the theoretical concepts of liminality, lived body, and power. A potential impending risk exists of being abandoned when one is the primary caregiver to a close one who is terminally ill. This situation calls for professional caregivers to take responsibility and to respond to these, often unspoken, needs. This is particularly important concerning bodily care and the medical treatment regimen. In addition, when friends and relatives are absent, there is an ethical demand on professional caregivers to compensate for this lack and to compensate for this need. Palliative home care demands care that is person-centered—including the individual’s history, family and loved ones, and individual strengths and weaknesses.
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| 28. |
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| 29. |
- Dahlborg Lyckhage, Elisabeth, 1956-
(författare)
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Praxis i vårdvetenskap
- 2010. - 1
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Ingår i: Lärande i och för det nya arbetslivet. - Lund : Studentlitteratur. - 9789144070629 ; , s. 139-154
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 30. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Predominant discourses in Swedish nursing
- 2009
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Ingår i: Policy, Politics & Nursing Practice. - : SAGE Publications. - 1527-1544 .- 1552-7468. ; 10:2, s. 163-71
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to elucidate the predominant discourse in the field of Swedish nursing in 2000, 25 years after nursing was introduced as an academic discipline in Sweden. The method used was content analysis and deconstructive analysis of discourses. Laws, statutes, regulations, and examination requirements, including official reports, recruitment campaigns, and media coverage, were analyzed. The findings uncovered competing discourses striving to gain hegemony. In the public sector, official requirements competed against the media fixation on gender stereotypes and the realities of local recruitment campaigns. Media has a major role in disseminating prevailing conceptions and conventions pertaining to the nursing profession. As a result, decision makers, students, patients, and family members could get lower expectations of the professional competence of nursing practitioners than would otherwise have been the case in the absence of media exposure.
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| 31. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Prerequisites for person-centered care : As described by community care nurses
- 2015
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Ingår i: Clinical Nursing Studies. - : Sciedu Press. - 2324-7940 .- 2324-7959. ; 3:1, s. 5-13
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe nurses’ experiences of person-centered care within an integrated care chain.Method: The study included four data sets: Two focus group interviews with a total of 22 nurses; an open questionnaire answered by 17 nurses; and individual follow-up interviews with 4 volunteers from among the 17 nurses. In total, 39 informants were included in this study. Qualitative content analysis was carried out to identify the latent content of the focus group and interview data, and the manifest content of the questionnaire data.Results: The results showed that learning about, from and with each other were prerequisites for achieving person-centered care. The ability to provide person-centered care was influenced by factors that could be related to both the organization and to the individual nurse. Important factors were organizational transparency and structure, leadership and collaboration between healthcare centers, partnership, sole caregiver attitudes and skills.Conclusion: In order to develop person-centered care, it is crucial that an integrated care chain feature a joint documentation system; efficient use of the resources allocated to the needs of the various healthcare centers; and a change of focus from the professional to the person seeking care.
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| 32. |
- Dahlborg Lyckhage, Elisabeth, 1956-
(författare)
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Sjuksköterskan, vem är det?
- 2010. - 1
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Ingår i: Att bli sjuksköterska. - Lund : Studentlitteratur. - 9789144054117 ; , s. 21-37
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 33. |
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| 34. |
- Dahlborg Lyckhage, Elisabeth, 1974-, et al.
(författare)
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"The Emperor's new clothes" : discourse analysis on how the patient is constructed in the new Swedish Patient Act.
- 2017
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Ingår i: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 24:2
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Tidskriftsartikel (refereegranskat)abstract
- The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig's analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient's entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act's provisions in daily healthcare work.
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| 35. |
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| 36. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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The influence of gender in academia: a case study of a university college in Sweden
- 2011
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Ingår i: Equality, Diversity and Inclusion. - : Emerald Group Publishing Limited. - 2040-7149 .- 2040-7157. ; 30:5, s. 379-393
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The aim of this paper is to describe senior lecturers' experiences of and reflections on the influence of gender on their work and career possibilities.Design/methodology/approach – Eight informants, four female and four male university teachers, representing different schools at a Swedish university college were interviewed. A qualitative content method was used for analysis.Findings – The findings revealed that the lecturers at the university college had an experience of academic gender neutrality. The findings also pointed to experiences of gendered practice that had been internalized and made normal. It also revealed that the lecturers did not consider or reflect on the gap between experiences of and reflections on gender neutrality and gendered practice.Research limitations/implications – Even if the number of informants is small, the findings have something important to tell about the gap between gender-neutral academia and practice in academia.Originality/value – The findings imply that although the Swedish model of equality work has been successful in many ways, a confrontation on the micro-political level is required to achieve a gender equality workplace environment and to increase women's career possibilities.
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| 37. |
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| 38. |
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| 39. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Work-Integrated Learning
- 2014
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Ingår i: Advances in Nursing Science. - 0161-9268 .- 1550-5014. ; 37:1, s. 61-69
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Tidskriftsartikel (refereegranskat)abstract
- Praxis is a concept that is both vague and overused in nursing science. Hence, a more stringent use of the concept praxis could help clarify the connections between theory and practice. The purpose of this theoretical article was to highlight the advantages of developing praxis in nursing education. By using praxis as a dialectic concept, nurse educators can make significant contributions to clinical practice by clarifying that theory and practice are perceived as 2 sides of same coin, leading to a move from "being in praxis" to "being of praxis," a way to develop the professionÊs autonomy. © 2014 Lippincott Williams and Wilkins.
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| 40. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(författare)
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Young Women With Anorexia Nervosa
- 2015
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Ingår i: SAGE Open. - : SAGE Publications. - 2158-2440. ; 5:1
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe how young women living with self-identified anorexia narrate about their lives by blogging. Thirteen Swedish blogs were chosen and analyzed by means of qualitative content analysis. The results described falling ill, the illness itself, and the path to recovery. Low self-esteem, depressed state of mind, and self-destructive behavior were typical signs at the start of the illness. The women’s lives were characterized by a need for controlling their body by tormenting it and by the illness demanding all their concentration and energy. The women suffered from the feeling of being a disappointment to their family members. The illness was like an enemy that had to be defeated with the help of family members, health care professionals, and by means of therapy. A turning point occurred when the women felt at their worst or had tired of the illness and could concentrate on something other than their body and the eating disorder. Suffering from self-identified anorexia was described as experiencing low self-esteem. The illness took all of the women’s time and energy. For a turning point to be reached, the women needed support from family, friends, and health care professionals, including the use of distractions.
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| 41. |
- Eriksson, Henrik, et al.
(författare)
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Om Genus - introduktion
- 2017. - 3
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Ingår i: Genusperspektiv på vård och omvårdnad. - Lund : Studentlitteratur AB. ; , s. 15-30
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 42. |
- Frejd, Lisa, et al.
(författare)
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Att bli transplanterad : En studie av patientens upplevelse
- 2008
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Ingår i: Vård i Norden. - Köpenhamn : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 28:2, s. 14-18
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Tidskriftsartikel (refereegranskat)abstract
- Background: Transplantation is a well established form of treatment for terminal organs failure. Most patients that undergo this treatment havebeen through a period of severe illness and suffering. In the care of the patient the nurse can ease the suffering.The aim of this study was to describe how patients experience organ transplantation.Methods: Nine kidney transplanted and five liver transplanted patients were interviewed concerning their experience of transplantation.Interviews with semi constructed questions were performed at two occasions during the first month post transplanted. The text was then analyzedwith the qualitative content analysis.Results: After text analysis seven categories and two themes emerged. The themes were – physical suffering and physical well-being. Aftertransplantation the recollection of illness was very strong and despite severe disease trust in the health care and in the careers remained high.Conclusions:It is central that nurses are aware of that process – to go from a life threatening illness to an experience of well-being – is slow.If nurses are conscious about this, an opportunity to persist patients trust toward the health care and health careers, is given.
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| 43. |
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| 44. |
- Isane Torheim, Henny, et al.
(författare)
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Kan en felles læringsarena gi sykepleiestudenter økt klinisk kompetanse?
- 2021
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Ingår i: Nordisk tidsskrift for helseforskning. - : UiT The Arctic University of Norway. - 1504-3614 .- 1891-2982. ; 17:2
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Tidskriftsartikel (refereegranskat)abstract
- Is a common learning arena a "Room of Possibility” that gives nursing students increased clinical competence?The aim of the study was to find out whether collaboration days between students, practice supervisors and nurse teachers can provide learning that facilitates students' development of clinical competence. The place, space and social interaction are important for learning processes, according to Etienne Wenger and Kari Martinsen. "The Third Room" is used as a metaphor about the room where people with competence in theoretical knowledge and practical knowledge collaborate with students. Collaboration days between students, practical nurse supervisors and nurse teachers were conducted for four second-year student groups (N=23). Focus groups were used to collect data. The transcribed interviews have been analyzed through meaning condensation. An essential structure of the students 'experiences from the collaboration days describes The Third Room as a good arena where the students' clinical competence was stimulated and increased. Four themes describe the student’s experiences; preparedness for practice, confidence, reflection and collaborative learning. A strengthened collaboration between universities and hospitals through working communities in The Third Room can facilitate nursing students' learning.
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| 45. |
- Johansson, Bosse, et al.
(författare)
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Praxis and Work Integrated Learning as Pedagogical Approach in Nursing Education
- 2014
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The move from student to nurse has been described as difficult and tough for new nurses. New nurses' feeling of lacking competence can reduce the opportunity to develop professional competence.They also reported fears of being "exposed" as clinically incompetent, and failing to provide safe care.Entering the nursing profession requires a high degree of adaptation where graduates are shown what skills are needed.There is a qualitative difference between the professional competence conveyed during education and the competence demanded in working life.The aim of this paper is to discuss and propose hown urses ́praxis can be developed by means of Work Integrated Learning as a pedagogical approach.The study departs from a model which shows processes newly registered nurses must manage to achieve a sense of competence. These processes will behighlighted by discussing the model's processes related to praxis in the Aristotelian tradition, situated learning, social construction and WIL.One idea behind this paper is to,by using the concept of praxis, hold up the potential of WIL It is concluded that WIL may provide an analytical perspective using reflection where the student is given the opportunity to develop metacognitive skills to reflectt heir experiences in orde rto create understanding and manifest praxis by learning in and by clinical practice, the move from being a student to becoming a nurse. The intent of praxis and WIL is to integrate scientific knowledge with practical knowledge as a pedagogical approach that provide an analytical perspective where the student is given the opportunity to develop metacognitive skills and to test their experiences in order to create understanding and manifest their praxis by learning in and by clinical practice, the move from being a student to becoming a nurse.One way to do it is by using praxis as a component in WIL and to identify knowledge that is generated in practical knowledge, professional nursing activities and endeavors by nurses on the one hand and scientific knowledge that is generated in the academy on the other hand, in order to elaborate ways to mixt hem and create a certain kind of knowledge that is neither theoretical nor purely practical.The result of this study will be proposed as a complement to nursing program curriculum in clinical practice, to identify special challenges facing students when managing and developing their professional competence
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| 46. |
- Jonsson, Bosse, et al.
(författare)
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From work integrated learning to learning integrated work : A pedagogical model to develop praxis in nursing education
- 2014
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Ingår i: Journal of Nursing Education and Practice. - : Sciedu Press. - 1925-4040 .- 1925-4059. ; 4:11, s. 91-100
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Tidskriftsartikel (refereegranskat)abstract
- The move from student to nurse has been described as difficult for newly registered nurses. Newly registered nurses’ feelings of lacking competence can reduce the opportunity to develop professional competence. Entering the nursing profession requires a high degree of adaptation. The difference between the professional competence conveyed during education and the competence demanded in working life is substantial and needs to be taken seriously. The aim of this paper is to propose a model for developing professional competence. The theoretical discussion starts with a model showing processes newly registered nurses must manage to achieve a sense of competence. These processes are highlighted by discussing how they relate to praxis in the Aristotelian tradition, situated learning and Work Integrated Learning (WIL). Learning Integrated Work (LIW) is a pedagogical approach aiming to integrate scientific knowledge with practical knowledge, and to provide an analytical perspective where students have the opportunity to develop metacognitive skills and praxis by learning in and by clinical practice experiences. One way to achieve this is to learn from the knowledge and skills used when performing practical work. The aims of WIL and LIW are to identify both practical knowledge generated by nurses in the course of their professional activities and theoretical knowledge generated in the academy, and to elaborate an understanding constituting the essence of both theoretical and practical knowledge. By integrating theoretical and practical vocational knowledge, one promotes professionalization, including the ability to perform the expected tasks and to have a critical and development-oriented attitude in daily work.
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| 47. |
- Jonsson, Bosse, 1956-, et al.
(författare)
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Work Integrated Learning and Learning Integrated Work : An Approach to Unite Theory and Practice to Praxis
- 2016
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Ingår i: Handbook of Research on Quality Assurance and Value Management in Higher Education. - Hersey, PA : IGI Global. - 9781522500247 - 1522500243 - 9781522500254 ; , s. 139-159
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Bokkapitel (refereegranskat)abstract
- The difference between the professional competence conveyed during education and the competence demanded in working life is substantial and needs to be taken seriously. In this chapter where the case is nursing education, Work Integrated Learning (WIL) and Learning Integrated Work (LIW), are suggested as pedagogical approaches in Higher Education aiming to integrate scientific knowledge and with practical knowledge, and to provide an analytical perspective where students have the opportunity to develop metacognitive skills and praxis by learning through experiences during internship. One way to achieve this in vocational education to learn from the knowledge and skills used when performing inpractice. By integrating scientific and practical vocational knowledge, one promotes professionalization that is exhibited as Learning Integrated Work (LIW), i.e. the capability to perform the expected tasks and learn at work by using a critical and development-oriented attitude in daily work and actively participate in renewals of work assignments.
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| 48. |
- Krupic, Ferid, et al.
(författare)
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Preoperative information provided to Swedish and immigrant patients before total hip replacement.
- 2012
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Ingår i: Medicinski arhiv. - : ScopeMed. - 0350-199X .- 1986-5961. ; 66:6, s. 399-404
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Tidskriftsartikel (refereegranskat)abstract
- Total hip replacement is an operation that usually leads to pain relief and improved health related quality of life (HRQoL). Previous studies have demonstrated the importance of information about upcoming surgery. Therefore, it was of interest to study how both immigrants, whose first language was not Swedish, and Swedish patients described pre-operative information.
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| 49. |
- Lidén, Eva, 1955, et al.
(författare)
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Att samordna och planera med personal i annan organisation
- 2010
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Ingår i: Att bli sjuksköterska - en introduktion till yrke och ämne. - : Studentlitteratur. - 9789144054117 ; , s. 223-238
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Kapitlet handlar om samverkan mellan olika vårdgivare och yrkesgrupper inom hälso- och sjukvården. Framför allt handlar kapitlet om vilka möjligheter och problem som finns när de gäller att åstadkomma en omvårdnad som kännetecknas av en helhetssyn när patienter skrivs ut från sjukhus och behöver fortsatt vård i det egna hemmet eller i kommunens särskilda boenden. Att bidra till denna samverkan är en viktig uppgift och en utmaning för alla sjuksköterskor oavsett om du arbetar på sjukhus eller inom hemsjukvården.
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| 50. |
- Lindahl, Berit, et al.
(författare)
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Att vårda på evidensbaserad grund
- 2010
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Ingår i: Att bli sjuksköterska - en introduktion till yrke och ämne. - : Lund: Studentlitteratur AB. - 9789144054117 ; , s. 181-204
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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