| 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. |
- 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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| 3. |
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| 4. |
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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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| 5. |
- 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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| 6. |
- 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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| 7. |
- 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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| 8. |
- 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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| 9. |
- 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
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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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| 10. |
- 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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| 11. |
- 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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| 12. |
- 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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| 13. |
- 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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| 14. |
- 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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| 15. |
- 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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| 16. |
- 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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| 17. |
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| 18. |
- 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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| 19. |
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| 20. |
- 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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| 21. |
- 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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| 22. |
- 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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| 23. |
- 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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| 24. |
- 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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| 25. |
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| 26. |
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| 27. |
- 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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| 28. |
- 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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| 29. |
- 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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| 30. |
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| 31. |
- 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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| 32. |
- 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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| 33. |
- Nykvist, Maria, et al.
(författare)
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‘It’s about me’ – a narrative analysis of female smokers with chronic obstructive pulmonary disease (COPD) and their relationship to smoking
- 2013
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 28:2, s. 373-380
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Tidskriftsartikel (refereegranskat)abstract
- Background Chronic obstructive lung disease is a disease that is common among the smoking population. In Sweden, more women than men are smokers. The most effective treatment to improve the symptoms of COPD is to quit smoking but still many women continue to smoke, despite their illness. Aim The aim of this study was to describe how a group of smoking women with chronic obstructive lung disease (COPD) experienced their everyday life and their relationship to smoking. Method A qualitative study based on narratives from six women with COPD was conducted. The narratives focused on the women′s everyday life and their relationship to smoking. The interviews were analysed into four themes and a new story, based on these themes were constructed. Findings The new story describes a woman with COPD that knows what she must do but cannot find the power within herself to take action. She talks about herself like a young bird that is going fly for the first time. Conclusion The study indicates that these women need some form of individual help to find the inner strength that they lack. Their self-respect as well as their self-image needs to be boosted in order to strengthen their belief that they are going to cope without the cigarette.
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| 34. |
- Pratt-Eriksson, Darcia, et al.
(författare)
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Don't ask don't tell : Battered Women living in Sweden encounter with healthcare personnel and their experience of the care given
- 2014
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 9, s. 23166-
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Tidskriftsartikel (refereegranskat)abstract
- In recent years there has been increased intimate partner violence (IPV) toward women. Research on the care provided to victims of IPV is limited. The purpose of the study was to gain a deeper understanding of women's lived experience of IPV and their encounters with healthcare professionals, social workers, and the police following IPV. A phenomenological hermeneutic method inspired by the philosophy of Paul Ricoeur was used. The method is based on text interpretation and gives voice to women's lived experience. Twelve women living at a women's shelter in Sweden narrated their IPV experiences. The study revealed that the women experienced retraumatization, uncaring behaviors, and unendurable suffering during their encounter with healthcare professionals. They were disappointed, dismayed, and saddened by the lack of support, care, and empathy. Nurses and other healthcare professionals must understand and detect signs of IPV as well as provide adequate care, as these women are vulnerable. IPV victims need to feel that they can trust healthcare professionals. Lack of trust can lead to less women reporting IPV and seeking help.
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| 35. |
- Pratt-Eriksson, Darcia, et al.
(författare)
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Identifying lifetime and occurrence of intimate partner violence among women in Sweden seeking emergency care
- 2015
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Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; 5:6, s. 548-557
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Tidskriftsartikel (refereegranskat)abstract
- Background: Sweden is known for its strong views on equality between men and women. Nevertheless, if one scratches the surface, one will realize that intimate partner violence (IPV) is a problem meriting much closer attention. Emergency nurses have an important role in identifying women who have IPV experiences. Objective: To identify and investigate the occurrence of reported experienced IPV during their lifetime among women seeking emergency care. Design: An explorative and comparative design was used based on answers on the Abuse Assessment Screen questionnaire and some demographic data. The data was described and analyzed using the Statistical Package for the Social Sciences version 21. Results: Of the 300 invited women visiting an emergency department in a small town, 234 completed the questionnaire. Of these 234, 82 (35%) reported having experienced emotional; physical or sexual violence and 31 (13%) reported to being afraid of their partner. Of the women 181 had one child or more and 58 (32%) of these reported having been abused. Of all women, with four or more children, 75% (15) reported to have been abused, while only 25% (5) reported no abuse. Of the 82 women who reported having been abused 12 (15%) reported being abused in the course of the year prior to pregnancy and 9 (11%) during pregnancy, often several times. The main abuser was the woman’s husband, boyfriend, cohabitating partner, ex-partner, or someone else who was seen as a relative, e.g., a parent. Conclusion: Using the questionnaire AAS may contribute to identifying victims of intimate partner violence and increasing health care practitioners’ attentiveness concerning the type of injury, frequency of care seeking and actions that may indicate such violence lead to changes of the woman’s situation.
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| 36. |
- Tengelin, Ellinor, 1982-, et al.
(författare)
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Nursing teachers’ reflections on their own norm-critical competence
- 2016
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Nursing education in Sweden generally lacks norm-critical perspectives, even though this could help unveil normative judgements of patients in nurses’ daily work. To pursue work-integrated learning about norm criticism for nursing teachers at a small university college in Sweden, all teachers involved in nursing education were offered the course Norm-Aware Caring.Aim: To describe how norm criticism in nursing education is constructed by nursing teachers’ discussions.Methods: After the course Norm-Aware Caring, 20 of the participating 33 nursing teachers were interviewed in five focus groups about their reflections on their new knowledge. The interview transcripts were analyzed on the basis of Fairclough’s discourse analysis, in which words and social practice are seen as mutually constituting each other.Results: Discursive constructions related to teaching, caring and learning were seen in the text. Norm critical teaching was constructed as a practice of much consideration not to insult any student. Norm criticism as a basic caring value was closely related to person-centered care. Their own, personal learning was expressed as fear to use their new knowledge in a wrong way. The teachers themselves considered norm-criticism as something to learn in order to improve the understanding of people who does not fit into majority norms. This perspective of tolerance was consistent in the construction of all discourses.Discussion: It appears that the teachers’ social practice is influenced by a perspective that divides the “normal” from the “deviant”. This may prevent an internalization of norm-critical knowledge, a perspective that aims to question categorizations of normality. Therefore, it is important to continuously scrutinize and reflect over the role of social norms as part of work-integrated learning for nursing teachers.ReferencesAGENCY FOR HEALTH CARE ANALYSIS 2014. A more equal care is possible. Analysis of unmotivated differences in care, encounters and treatment. Report 2014:7. Stockholm: Agency for Health Care Analysis.FAIRCLOUGH, N. 1989/2015. Language and power, London, Routledge.KIRKEVOLD, M. 2009. Nursing Science – epistemological deliberations]. In: ÖSTLINDER, G., SÖDERBERG, S. & ÖHLÉN, J. (eds.) Caring as an Academic Subject: Report from a Working Conference. Swedish Association for Nurses.VAN HERK, K. A., SMITH, D. & ANDREW, C. 2011. Examining our privileges and oppressions: incorporating an intersectionality paradigm into nursing. Nursing Inquiry, 18, 29-39.
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| 37. |
- Yin Kwan Ho, Agnes, et al.
(författare)
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Diabetes empowerment related to Pender's Health Promotion Model: A meta-synthesis
- 2010
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Ingår i: Nursing & Health Sciences. - : Blackwell. - 1442-2018 .- 1441-0745. ; 12:2, s. 259-267
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Tidskriftsartikel (refereegranskat)abstract
- Diabetes self-management is a challenge for both clients and health-care professionals. Empowerment plays a vital role in helping clients to achieve successful self-management. This study adopted a meta-ethnographic approach. Nine qualitative studies were synthesized in order to contribute to a deeper understanding of what clients perceive as being important in an effective empowerment strategy for diabetes self-management. Four central metaphors that influenced empowerment were identified: trust in nurses' competence and awareness, striving for control, a desire to share experiences, and nurses' attitudes and ability to personalize. The lines-of-argument synthesis suggested the need for an evaluation system to appraise clients' diabetes knowledge, health beliefs, and negative emotions, as well as the outcome of interventions. Based on Pender's Health Promotion Model, this study emphasizes the fact that health-care professionals need to understand and address modifiable behavior-specific variables. The study suggests that an effective empowerment strategy would be to use activity-related affect, as well as interpersonal and situational influences, as a means of facilitating and enhancing clients' health-promoting behaviors
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