| 1. |
- Eriksson, Henrik, et al.
(författare)
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Supporting a caring fatherhood in cyberspace : an analysis of communication about caring within an online forum for fathers
- 2013
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Ingår i: Scandinavian Journal of Caring Sciences. - Oxford : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 27:1, s. 63-69
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Tidskriftsartikel (refereegranskat)abstract
- Background: Today’s parents seek out social support on the Internet. A key motivation behind the choice to go online is the need for more experience based information. In recent years, new fathers have increasingly taken on an active parental role. Men’s support for their caring activities for infants on the Internet needs attention.Aim: The aim was to describe communication about caring activities for infants among men who visited an Internet-based forum for fathers and elaborate on the dimensions of support available in the forum.Method: An archival and cross-sectional observational forum study was undertaken using principles for conducting ethnographic research online: “nethnography”. A total of 1203 pages of data from an Internet forum for fathers were gathered and analysed.Result: Support for a caring fatherhood in cyberspace can be understood as fathers’ communicating encouragement, confirmation and advice. The findings show that important ways of providing support through the forum included a reciprocal sharing of concerns – how to be a better father – in relation to caring for an infant. Concerns for their child’s well-being and shared feelings of joy and distress in everyday life were recurrent supportive themes in the communication. Information gained from contacting others in similar situations is one important reason for the fathers’ use of the Internet.Discussion: Support offered in this kind of forum can be considered as a complement to formal support. Professionals can use it to provide choices for fathers who are developing themselves as caregivers without downplaying the parental support offered by formal health care regimes.Further research: Online support will probably be one of the main supporting strategies for fathers in Scandinavia. Caring and nursing researchers need to closely monitor support activities that develop, and over time, as these ill likely become an important source of support for people.
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| 2. |
- Jans, Jessica, et al.
(författare)
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Nurse anesthetists’ reflections and strategies when supervising master's students
- 2021
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Ingår i: Nurse Education in Practice. - : Elsevier. - 1471-5953 .- 1873-5223. ; 54
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThe objective was to describe registered nurse anesthetists’ reflections and strategies in relation to supervision of specialist nursing students in anesthetic care.BackgroundIn anesthesiology care, registered nurse anesthetists work with advanced care in a high-technology environment. The complexity of working with production requirements, time pressure and patient safety creates great challenges. Registered nurse anesthetists have a unique position and are responsible for the patient’s life during surgery. At the same time, they must supervise students without risking patient safety. Little research to date has focused on the clinical supervisory role in this context.DesignA qualitative design was used.MethodsThe data were collected in 2018 from qualitative interviews with a purposive sample of twelve student registered nurse anesthetists from a large hospital in Sweden. The data were analyzed using content analysis.ResultsThe results demonstrated that the dual role of registered nurse anesthetist and supervisor was experienced as satisfying, important and promoting development, although it also involved several challenges. Creating opportunities for supervision and learning in perioperative care improved supervisors’ prerequisites for supporting students and helping them develop. Being a supervisor was also rewarding, and given the interplay with students, supervision was viewed as a process of mutual growth.ConclusionBy focusing on students and their learning, we can help produce well-qualified registered nurse anesthetists who have positive experiences of the workplace and who want to stay in their profession.
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| 3. |
- Jordal, Malin, et al.
(författare)
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Escorting Students into Responsibility and Autonomy (ESRA) : A Model for Supervising Degree Project
- 2021
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Ingår i: Advances in Medical Education and Practice. - : Dovepress. - 1179-7258. ; 12, s. 1165-1173
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Tidskriftsartikel (refereegranskat)abstract
- Background: Several models for how to support students and provide them with the skills needed to write their degree projects have been proposed. However, few attempts have been made to present a general model for students’ academic work based on reasoning and communication skills rather than memorizing and mimicking their supervisors during their independent degree project.Objective: In the present paper, we propose a well-structured model that assists supervisors in promoting students’ responsibility and autonomy, while at the same time maintaining a high level of support.Presentation: We present a step-by-step protocol based on a partnership model with a contractual style that focuses on students’ academic work with their own texts through a process of alternating between abstract and concrete writing. This protocol, which is called the ESRA (Escorting the Students into Responsibility and Autonomy) model, can be utilized regardless of the content, specific aim and scope of the individual student’s degree project.Discussion and Conclusions: We argue that this model promotes high levels of engagement and assumption of responsibility among students, while also offering a feasible structure for ensuring the steps to empowerment and autonomy. Use of the ESRA model is suitable when a constructive interaction between students and supervisors is desirable as a tool to achieve the learning outcomes of the degree project. Thus, the proposed model is one step toward giving a new generation of nurses the skills and ability they need to adapt in the changing world of the 21st century and to make promoting health a core mission of their profession.
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| 4. |
- Jordal, Malin, 1973-, et al.
(författare)
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Escorting Students into Responsibility and Autonomy (ESRA): A Model for Supervising Degree Projects
- 2021
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Ingår i: Advances in Medical Education and Practice. - : Dovepress. - 1179-7258. ; 12, s. 1165-1173
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Tidskriftsartikel (refereegranskat)abstract
- Background: Several models for how to support students and provide them with the skills needed to write their degree projects have been proposed. However, few attempts have been made to present a general model for students’ academic work based on reasoning and communication skills rather than memorizing and mimicking their supervisors during their independent degree project.Objective: In the present paper, we propose a well-structured model that assists supervisors in promoting students’ responsibility and autonomy, while at the same time maintaining a high level of support.Presentation: We present a step-by-step protocol based on a partnership model with a contractual style that focuses on students’ academic work with their own texts through a process of alternating between abstract and concrete writing. This protocol, which is called the ESRA (Escorting the Students into Responsibility and Autonomy) model, can be utilized regardless of the content, specific aim and scope of the individual student’s degree project.Discussion and Conclusions: We argue that this model promotes high levels of engagement and assumption of responsibility among students, while also offering a feasible structure for ensuring the steps to empowerment and autonomy. Use of the ESRA model is suitable when a constructive interaction between students and supervisors is desirable as a tool to achieve the learning outcomes of the degree project. Thus, the proposed model is one step toward giving a new generation of nurses the skills and ability they need to adapt in the changing world of the 21st century and to make promoting health a core mission of their profession.
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| 5. |
- Klarare, Anna, et al.
(författare)
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Social rights in relation to digitalization, mobile phone, and internet use – experiences of women in homelessness : A qualitative study
- 2024
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Ingår i: Critical Public Health. - : Informa UK Limited. - 0958-1596 .- 1469-3682. ; 34:1, s. 1-16
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Tidskriftsartikel (refereegranskat)abstract
- Given the fact that women in homelessness face considerable health inequities, the question of how digitalization can be understood in relation to social rights and right to health surfaces. The objective of this qualitative interview study was to explore the use of mobile phones and internet for women experiencing homelessness. Women (n = 26) shared experiences of healthcare access by using a mobile phone or internet. Data were analyzed using NVivo software. The results are presented in two themes: Conditions and circumstances of having a mobile phone; and Structural and intrapersonal challenges affecting social rights. The results show that digitalization actively influenced everyday life for women experiencing homelessness. Whether women wanted it to or not, digitalization presents a line of demarcation for participation and inclusion or exclusion, in health- and social-care services.
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| 6. |
- Kneck, Åsa, 1973-, et al.
(författare)
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Reflections on health among women in homelessness : A qualitative study
- 2022
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Ingår i: Journal of Psychiatric and Mental Health Nursing. - : Wiley. - 1351-0126 .- 1365-2850. ; 29:5, s. 709-720
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Mental health issues are common among women in homelessness, alongside undertreated chronic physical conditions leading to serious and unnecessary complications. Even though homelessness and risks of impaired health have been researched, broader perspectives of health are absent.Aim: To describe reflections on health among women with experiences of homelessness.Method: We conducted thirteen interviews with women in homelessness using researcher-driven photo elicitation. Together with an advisory board of women with lived experience of homelessness, researchers were guided by the DEPICT model for collaborative data analysis and performed a thematic analysis.Findings: Women with experiences of homelessness emphasized three main resources for achieving health and well-being: feelings of having a home, being involved in authentic relationships and experiences of preserved dignity.Implication for practice: Healthcare needs to integrate the perceived resources for health and well-being when caring for women in homelessness. It is imperative since women will return to the healthcare setting only if they feel safe and secure, and only if dignity is preserved or restored. The results promote utilization of an integrative nursing approach; understanding that the health of women in homelessness is inseparable from their environment and social determinants for health, such as housing and social integration.
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| 7. |
- Kneck, Åsa, 1973-, et al.
(författare)
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“Stripped of dignity” - Women in homelessness and their perspectives of healthcare services : A qualitative study
- 2021
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Ingår i: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 120
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Tidskriftsartikel (refereegranskat)abstract
- Background: A much more substantial European evidence base on the accessibility of healthcare services among women experiencing homelessness across healthcare systems in Europe is warranted.Objective: To give voice to women with experiences of homelessness, and to explore their perspectives of healthcare services in an EU country with universal healthcare.Design: The study is part of a research program striving to promote equal healthcare through co-production with women in homelessness. An advisory board of women with lived experience of homelessness was established and a qualitative, interpretive and exploratory design was employed.Participants: 26 women with experience of homelessness were interviewed. Their median age was 46 years (range 42) and 70% were roofless/houseless.Methods: Data were analyzed with content analysis. Co-production and joint analyses were conducted by researchers and three women with experience of homelessness, using the DEPICT model for collaborative analysis. Results: The analysis resulted in one overall theme: Visiting healthcare from the outskirts of society, comprising three sub-themes: Demand for a life in order - Exclusion in action; Unwell, unsafe and a woman - Multifaceted needs challenge healthcare; and Abuse versus humanity – power of healthcare encounters to raise or reduce. Women's experiences of care encounters were disparate, with prevalent control, mistrust and stigma, yet healthcare professionals that demonstrated respect for the woman's human dignity was described both as life-altering and lifesaving.Conclusions: Women in homelessness live on the outskirts of society and have multiple experiences of exclusion and loss of dignity within healthcare services. The multifaceted care needs challenge healthcare, leading to women feeling alienated, invisible, disconnected and worthless. We urge registered nurses to take actions for inclusion health, i.e. focusing health efforts of people experiencing extreme health inequities. We can lead the way by speaking up and confronting discriminating behaviors, protecting and restoring human dignity in caring relationships, and framing healthcare services for all citizens.
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| 8. |
- Krantz, Jaana, et al.
(författare)
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Experiences of burnout syndrome and the process of recovery: A qualitative analysis of narratives published in autobiographies
- 2021
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Ingår i: European Journal of Mental Health. - Budapest : Semmelweis University, Institute of Mental Health. - 1788-4934 .- 1788-7119. ; 16:1, s. 20-37
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Tidskriftsartikel (refereegranskat)abstract
- Burnout syndrome limits work capacity and the ability to manage a social and family life. Such limitations may lead to alienation from oneself and can result in frustration and anger. The recovery process may include a search for quick fixes from professionals but responsibility is in the hands of the ill with support from professionals, family, and work. Learning about limitations, the need to rest and accepting illness, are vital in the recovery process, but they are also associated with feelings of shame and blaming oneself for causing one’s own burnout by neglecting bodily signals. Objective: Burnout syndrome affects the individual as a whole because it involves emotional exhaustion, depersonalization, and a low sense of personal accomplishment. Research into burnout syndrome has predominantly focused on treatment outcomes measured using quantitative methods. The existing qualitative research has deepened theoretical insights from a lifeworld perspective, although, methodologically speaking, previous qualitative studies have been restricted to interviews. The qualitative interview method is somewhat limited. Hence, the objective of the present study was to analyze how autobiographers narrate their experiences of burnout syndrome and to describe their recovery process. Design: An inductive qualitative approach with a descriptive design was used to gain insights into the authors’ experience of burnout and recovery process, as expressed in writing. Setting/Subjects: The data comprised six autobiographies written by authors from Sweden. Results: The results are presented in three categories: 1) descriptions of estrangement from one’s own body, 2) descriptions of how the phenomenon is manifested in everyday life, and 3) descriptions of recovery processes. Conclusion: Burnout syndrome intersects both work life and family life and reveals the individual as a whole, integrated being. It is vital for healthcare professionals to adopt a person-centered approach that sees the individual as an integrated whole, consisting of body, mind, and soul.
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| 9. |
- Mattsson, Elisabet, 1959-, et al.
(författare)
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Voices of women in homelessness during the outbreak of the COVID-19 pandemic : a co-created qualitative study
- 2023
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Ingår i: BMC Women's Health. - : BioMed Central (BMC). - 1472-6874. ; 23
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundWomen in homelessness face extreme health- and social inequities. It could be postulated that during societal crises, they become even more vulnerable. Thus, the aim was to explore experiences related to the COVID-19 pandemic among women in homelessness.MethodsTen interviews were conducted with women in homelessness, in Stockholm, Sweden, using researcher-driven photo elicitation. The data analysis was guided by the DEPICT model for collaborative data analysis and a qualitative content analysis was performed. A collaborative reference group of women with lived experience of homelessness contributed to the research process through designing the data collection, performing the data analysis, and providing feedback during report writing.ResultsFor women in homelessness, the COVID-19 pandemic was adding insult to injury, as it significantly affected everyday life and permeated most aspects of existence, leading to diminished interactions with others and reduced societal support. Thus, in an already dire situation, the virus amplified health- and social issues to another level. The women strived to find their balance on the shifting sands of guidelines and restrictions due to the pandemic. Adhering to the new social distancing rules and guidelines in line with the rest of society, was simply impossible when experiencing homelessness. However, for some women the pandemic was nothing but a storm in a teacup. The harsh reality continued irrespectively, living one day at a time and prioritizing provision for basic human needs.ConclusionsThe COVID-19 pandemic and homelessness can be viewed as two intersecting crises. However, the women’s aggregated experiences were greater than the sum of experiencing homelessness and meeting the threat of the virus. Gender, exposure to violence, poverty, social isolation, and substance use were additional factors that further marginalized the women during the pandemic. To rebuild a better and more sustainable post-pandemic future for all, global commitment to ending homelessness is crucial. In addition, addressing social determinants of health must be the number one health intervention.
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| 10. |
- Olsson, Annakarin, et al.
(författare)
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A scoping review of complexity science in nursing
- 2020
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Ingår i: Journal of Advanced Nursing. - : John Wiley & Sons, Ltd. - 0309-2402 .- 1365-2648. ; 76:8, s. 1961-1976
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Forskningsöversikt (refereegranskat)abstract
- Abstract: Aim To describe how complexity science has been integrated into nursing.Design: A scoping review. Data source/review method Academic Search Elite, Scopus, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, PubMed and Web of Science were searched November 2016, updated in October 2017 and January 2020. The working process included: problem identification, literature search, data evaluation, synthesizing and presentation. Results Four categories were found in the included 89 articles: 1) how complexity science is integrated into the nursing literature in relation to nursing education and teaching; 2) patients? symptoms, illness outcome and safety as characteristics of complexity science in nursing; 3) that leaders and managers should see organizations as complex and adaptive systems, rather than as linear machines; and 4) the need for a novel approach to studying complex phenomena such as healthcare organizations. Lastly, the literature explains how complexity science has been incorporated into the discourse in nursing and its development.Conclusion: The review provided strong support for use in complexity science in the contemporary nursing literature. Complexity science is also highly applicable and relevant to clinical nursing practice and nursing management from an organizational perspective. The application of complexity science as a tool in the analysis of complex nursing systems could improve our understanding of effective interactions among patients, families, physicians and hospital and skilled nursing facility staff as well as of education.Impact: Understanding complexity science in relation to the key role of nurses in the healthcare environment can improve nursing work and nursing theory development. The use of complexity science provides nurses with a language that liberates them from the reductionist view on nursing education, practice and management.
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| 11. |
- Olsson, Annakarin, et al.
(författare)
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Follow the protocol and kickstart the heart : Intensive care nurses' reflections on being part of rescue situations in interdisciplinary teams
- 2021
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 8:6, s. 3325-3333
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Tidskriftsartikel (refereegranskat)abstract
- AIM: To describe intensive care nurses' reflections on being part of interdisciplinary emergency teams involved in in-hospital cardiopulmonary resuscitation.DESIGN: A qualitative descriptive design.METHODS: Eighteen intensive care nurses from two regions and three hospitals in Sweden were interviewed. The data were analysed with General Inductive Analysis.RESULTS: The work for intensive care nurses in the emergency team was reflected in three phases: prevention, intervention and mitigation-referred as before, during and after the CPR situation.CONCLUSIONS: The findings describe the complexity of being an intensive care nurse in an interdisciplinary emergency team, which entails managing advanced care with limited and unknown resources in a non-familiar environment. The present findings have important clinical implications concerning the value of having debriefing sessions to reflect on and to talk about obstacles to and prerequisites for performing successful resuscitation.
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| 12. |
- Olsson, Annakarin, et al.
(författare)
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Restraint and seclusion portrayed via images posted on Twitter : what are the implications for healthcare professionals?
- 2020
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Ingår i: Cultura de los Cuidados. - : University of Alicante. - 1699-6003 .- 1138-1728. ; 24:56, s. 223-243
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To map areas of discussion about use of seclusion and restraint in healthcare, as expressed in motifs posted on Twitter.Materials and method: We adopted a qualitative approach with an archival and cross-sectional observational design. 188 images from Twitter postings were analyzed.Results: Five categories were identified: Informative and educational messages; Equipment as artifacts; Spatiality; The restrained subjects; Sociopolitical connotations of restraint.Conclusions: Based on our results we conclude that restraint and seclusion images posted on Twitter included several aspects; the intention to educate others, show the spatiality in relation to restraint, imagining characterized by objects and persons, and a sociopolitical connotation. This in turn means that Twitter posts offer nurses a chance to engage in social marketing and connoting an ethical dimension to a person associated with measures used to exert power over others. This is because communication surrounding certain controversial issues in healthcare is free from hierarchies on Twitter.
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| 13. |
- Rudberg, Ingela, et al.
(författare)
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Adjustments in Interprofessional Communication: A Focus Group Study in Psychiatric Outpatient Units
- 2024
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Ingår i: Issues in Mental Health Nursing. - : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 45:4, s. 417-428
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Tidskriftsartikel (refereegranskat)abstract
- Communication in healthcare extends beyond patient care, impacting the work environment and job satisfaction. Interprofessional communication is essential for fostering collaboration, but challenges arise from differences in training, roles, and hierarchies. The study aimed to explore psychiatric outpatient clinicians’ experiences of interprofessional communication and their perceptions of how the communication intersects the organizational and social work environment of healthcare. Qualitative research involved focus group interviews with clinicians from five psychiatric outpatient units in Central Sweden, representing diverse professions. The authors analyzed semi-structured interview data thematically to uncover clinicians’ perspectives on interprofessional communication. An overarching theme, “Adjustment of communication,” with subthemes “Synchronized communication” and “Dislocated communication,” emerged. Clinicians adapted communication strategies based on situations and needs, with synchronized communication promoting collaboration and dislocated communication hindering it. Communicating with each other was highly valued, as it contributed to a positive work environment. The study underscores the importance of an open, supportive environment that fosters trust, and respect among healthcare clinicians. Consistent with prior research, collaboration gaps underscore the urgent need to improve interprofessional communication.
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| 14. |
- Rudberg, Ingela, et al.
(författare)
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Interprofessional communication in a psychiatric outpatient unit – an ethnographic study
- 2023
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Ingår i: BMC Nursing. - : BioMed Central Ltd. - 1472-6955. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Communication in healthcare has been extensively studied, but most research has focused on miscommunication and the importance of communication for patient safety. Previous research on interprofessional communication has mainly focused on relationships between physicians and nurses in non-psychiatric settings. Since communication is one of the core competencies in psychiatric care, more research on interprofessional communication between other clinicians is needed, and should be explored from a broader perspective. This study aimed to explore and describe interprofessional communication in a psychiatric outpatient unit. Method: During spring 2022, data consisting of over 100 h of fieldwork were collected from observations, formal semi-structured interviews and informal conversations inspired by the focused ethnography method. Data was collected at an outpatient unit in central Sweden, and various clinicians participated in the study. The data analysis was a back-and-forth process between initial codes and emerging themes, but also cyclical as the data analysis process was ongoing and repeated and took place simultaneously with the data collection. Results: We found that a workplace’s history, clinicians´ workload, responsibilities and hierarchies influence interprofessional communication. The results showed that the prerequisites for interprofessional communication were created through the unit’s code of conduct, clear and engaging leadership, and trust in the ability of the various clinicians to perform new tasks. Conclusion: Our results indicate that leadership, an involving working style, and an environment where speaking up is encouraged and valued can foster interprofessional communication and respect for each other´s professional roles is key to achieving this. Interprofessional communication between different clinicians is an important part of psychiatric outpatient work, where efficiency, insufficient staffing and long patient queues are commonplace. Research can help shed light on these parts by highlighting aspects influencing communication.
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| 15. |
- Salzmann-Erikson, Martin, 1977-, et al.
(författare)
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A Mapping Review of Netnography in Nursing
- 2023
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Ingår i: Qualitative Health Research. - : Sage. - 1049-7323 .- 1552-7557. ; 33:8-9, s. 701-714
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Tidskriftsartikel (refereegranskat)abstract
- People use the Web to seek health-related information and to discuss health issues with peers. Netnography, a qualitative research methodology, has gained the attention of researchers interested in people’s health and health issues. However, no previous reviews have accounted for how netnography is used in nursing research. The purpose of this mapping review was to generate a map of netnographic research in nursing. The search was conducted in PubMed, Academic Search Elite, the Cumulative Index to Nursing and Allied Health Literature, Medline, PsycINFO, Scopus, and Web of Science. Data were extracted from 53 original articles. The results show an increasing trend in published netnographies over time; 34% of the total sample was published in 2021. Of the total, 28% originated from Sweden, and 81% had used a covert approach. In studies in which the researchers used more participatory designs, the time spent on online forums ranged between 4 weeks and 20 months. Informed consent is found to be an issue in netnographic studies. We discuss the fact that nursing researchers have used netnography to address a wide range of research topics of concern and interest, from self-care support in an online forum for older adults to nursing students’ perspectives on effective pedagogy. In line with the digital transformation in society in general, we discuss the fact that netnography as a research methodology offers great opportunities for nurse researchers to monitor new spaces and places that presuppose online methodological knowledge.
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| 16. |
- Salzmann-Erikson, Martin, 1977-, et al.
(författare)
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Achieving equilibrium within a culture of stability : cultural knowing in nursing care on psychiatric intensive care units
- 2011
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Ingår i: Issues in Mental Health Nursing. - New York, United States : Informa UK Limited. - 0161-2840 .- 1096-4673. ; 32:4, s. 255-265
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Tidskriftsartikel (refereegranskat)abstract
- This article presents intensive psychiatric nurses' work and nursing care. The aim of the study was to describe expressions of cultural knowing in nursing care in psychiatric intensive care units (PICU). Spradley's ethnographic methodology was applied. Six themes emerged as frames for nursing care in psychiatric intensive care: providing surveillance, soothing, being present, trading information, maintaining security and reducing. These themes are used to strike a balance between turbulence and stability and to achieve equilibrium. As the nursing care intervenes when turbulence emerges, the PICU becomes a sanctuary that offers tranquility, peace and rest.
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| 17. |
- Salzmann-Erikson, Martin, 1977-
(författare)
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An Integrative Review on Psychiatric Intensive Care
- 2023
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Ingår i: Issues in Mental Health Nursing. - : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 44:10, s. 1035-1049
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Forskningsöversikt (refereegranskat)abstract
- Psychiatric intensive care units (PICUs) provide care and treatment when psychiatric symptoms and behaviors exceed general inpatient resources. This integrative review aimed to synthesize PICU research published over the past 5 years. A comprehensive search in MEDLINE, PsycINFO, PubMed and Scopus identified 47 recent articles on PICU care delivery, populations, environments, and models. Research continues describing patient demographics, and high rates of challenging behaviors, self-harm, and aggression continue being reported. Research on relatives was minimal. Patients describe restrictive practices incongruent with recovery philosophies, including controlling approaches and sensory deprivation. Some initiatives promote greater patient autonomy and responsibility in shaping recovery, yet full emancipatory integration remains limited within PICU environments. Multidisciplinary collaboration is needed to holistically advance patient-centered, equitable, and integrative PICU care. This review reveals the complex tensions between clinical risk management and emancipatory values in contemporary PICU settings. Ongoing reporting of controlling practices counters the recovery movement progressing in wider mental healthcare contexts. However, care innovations centered on patient empowerment and humane environments provide hope for continued evolution toward more liberation-focused PICU approaches that uphold both patient and provider perspectives.
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| 18. |
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| 19. |
- Salzmann-Erikson, Martin, 1977-
(författare)
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Caring in intensive psychiatry : rhythm and movements in a culture of stability
- 2013
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of this thesis is to describe and explore the concept of caring in intensive psychiatry. An initial inventory was made of nursing care activities in a PICU, based on an analysis of critical incidents. This inventory resulted in four categories: supporting, protecting and use of the structured environment (Study I). Caring in intensive psychiatry was also studied through ethnographic fieldwork that that led to the conceptualization of the PICU staff as projecting a culture of stability. Within this culture, the overall goal was to prevent, maintain and restore stability as turbulence occurred. Cultural knowing, as expressed through nursing care, was further described in terms of providing surveillance, soothing, being present, trading information, maintaining security, and what has been termed reducing (Study II). A focused approach was applied to study the staff’s different approaches to observing patients in relation to the practice of surveillance in psychiatric nursing care. PICU staff moved flexibly between a latent and a manifest approach to surveillance (Study III). Having conceptualized the culture as one of stability, a concept analysis was conducted upon the concept of stability. The analysis revealed that stability is by no means a static condition; it fluctuates and can be distorted. Intervening with nursing care when turbulence occurs, can involve both the use of active and passive stability systems (Study IV). Further, I argue that caring in intensive psychiatry can be accurately described as the projection of rhythm and movements. Nursing care in terms of movements creates fluctuations in stability as it entails a rhythm of caring in intensive psychiatry. In conclusion, physical boundaries and incorporated control along with tactful sensibility involve rhythm and movements within limited structures and closeness in care. This thesis contributes to articulating advanced nursing practice within intensive psychiatry
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| 20. |
- Salzmann-Erikson, Martin, 1977-
(författare)
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Cyberomvårdnad i virtuella miljöer
- 2014
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Ingår i: Vårdvetenskap och postmodernitet. - Lund : Studentlitteratur. - 9789144059099 ; , s. 145-188
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 21. |
- Salzmann-Erikson, Martin, 1977-
(författare)
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Digital inclusion: A mixed-method study of user behavior and content on Twitter
- 2023
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Ingår i: Digital Health. - : Sage. - 2055-2076. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- ObjectiveThis study is the first to explore user behavior and characterize the content shared about digital inclusion on Twitter.MethodsThis mixed-methods research consists of 14,000 tweets featuring the hashtag “#digitalinclusion,” posted on Twitter over 15 months. A machine learning technique, latent Dirichlet allocation, was utilized to discover abstract topics within the tweets statistically. The algorithm identified important keywords and text associated with each topic by modeling the underlying word co-occurrence patterns in the dataset. A manual qualitative content analysis was applied to the qualitative data (1000 tweets).ResultsTweets containing #digitalinclusion are driven by four motives: 1) warning against the risks of digital exclusion; 2) tweets that promote actions to increase digital inclusion; 3) tweets that call for others to take action to improve digitalization; and 4) tweets that are neutral but fuel the debate by being active. Quantitative analysis revealed that users discussing digital inclusion come from various continents, including the USA, Europe, Africa, and Asia. There were 3931 unique user accounts, with individuals posting between one and 368 tweets. Approximately half of the tweets contained some embedded media.ConclusionThe study concludes that digital inclusion is a subject that engages Twitter users worldwide. Tweets that were associated with community and local initiatives and sustainable development had the highest engagement in terms of the number of retweets and likes. The interpretation is that digital inclusion is crucial for achieving equity in living conditions and enhancing access to health information and services. While initiatives to increase digital inclusion are underway, Twitter users call for more efforts to prevent growing digital exclusion. Twitter, as a social media platform, is valuable for studying the motivations that drive digital inclusion and help counter digital exclusion.
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| 22. |
- Salzmann-Erikson, Martin, 1977-, et al.
(författare)
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Hospital shoes and their owners : expressed team identity among healthcare staff by signs of their footwear
- 2024
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Ingår i: International Journal of Fashion Design, Technology and Education. - : Taylor & Francis Group. - 1754-3266 .- 1754-3274. ; 17:1, s. 115-122
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Tidskriftsartikel (refereegranskat)abstract
- Fashion is a way to express identity and affiliations with specific social networks, and sociocultural organisations of health care facilities are no exception. Employees in hospitals must adhere to strictly regulated dress code policies, albeit shoes are one of few markers that are not regulated.The aim of this study was to analyse the expressed team identity among healthcare staff by studying signs of personality traits they share with colleagues, as found in their choice of footwear. A total of 213 images of hospital footwear, posted on Instagram, were analysed utilising thematic content analysis.The results show that choice of footwear signals seven different personality traits: the anonymous, an understated conformist; the discreet standout, a subtle individualist; the doer on the move, an active and ready contributor; the naturist, a barefoot enthusiast; the superior tourist, a temporarily elite visitor; the outsider, an unconventional maverick; and the legend, a battle-scarred veteran.
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| 23. |
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| 24. |
- Salzmann-Erikson, Martin, 1977-, et al.
(författare)
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Intensive psychiatric care
- 2010
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Ingår i: European psychiatry. - Paris, France : Elsevier. - 0924-9338 .- 1778-3585. ; 25, s. 635-635
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The first psychiatric intensive care unit (PICU) opened in the early 1970's in New York. This ward was designed to manage patient that did not respond to treatment in open psychiatric wards. There are about 15 PICUs in Sweden but the concept has not been specified by any public organs. In many county hospitals, both acute and intensive care units exists parallel.Aims: Therefore, the aim of this study was to describe the core characteristics of PICU in Sweden and to describe the care activities provided for patients admitted to PICU.Method: Critical incident technique was used. In the study, eighteen caregivers at a PICU participated by completing a semi-structured questionnaire. Additional, in-depth interviews with three nurses and two assistant nurses also constitute the data.Results: Four categories were identified that characterise the core of PICU: the dramatic admission, protests and refusal of treatment, escalating behaviours and temporarily coercive measure. Care activities for PICU were also analysed and identified as controlling - establishing boundaries, protecting - warding off, supporting - giving intensive assistance and structuring the environment.Conclusions: PICU were interpreted as a level of care as it is composed by limited structures and closeness in care.
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| 25. |
- Salzmann-Erikson, Martin, 1977-
(författare)
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Kvinnor i hemlöshet – längtan efter hälsa men fråntagen värdighet i möte med vården
- 2023
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Ingår i: Abstracts: Psykiatriska Riksföreningen för Sjuksköterskor Årskonferens 2023. ; , s. 23-
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- SyfteI tidigare forskning om hemlöshet har fokus varit hur hemlöshet påverkar hälsa negativt. Få studier har lyft fram vad hälsa innebär för kvinnor som lever i hemlöshet. Syftet med våras tudier var att utforska och beskriva hur kvinnor i hemlöshet ser på begreppet ”hälsa” samt deras erfarenheter av möte med sjukvården.MetodForskningen grundar sig i ”Public Involvement” och innebär att vi inte bara har forskat om kvinnor i hemlöshet utan genomfört forskning tillsammans med kvinnorna. Data har samlats in genom kvalitativa intervjuer där ”photo-elicitation” har använts, dvs. kvinnorna har fått titta på vardagliga fotografier och tänkt högt kring hur bilderna relaterar till deras eget liv. En referensgrupp av kvinnor med erfarenhet av hemlöshet var högst delaktig genom hela dataanalysen genom att välja ut citat, bekräfta forskarnas tolkningar och tematiseringar.ResultatAtt ha en ett hem ansågs som en förutsättning för hälsa och stabilitet i livet. Hälsa var nära förbundet med ”Hemmet”. Hemmet representerade rogivande samtidigt som det förpliktigade ett ansvar, men också en förutsättning för sociala relationer. Hälsa associerades med att vara i autentiska relation och inspirerade till hopp om en bättre framtid. Hälsa associerades också till värdighet och att bli bemött på lika villkor som andra. I kontakt med socialtjänst och sjukvård upplevde kvinnorna snarare att de blev i fråntagen sin värdighet. Sjukvården ställde krav på kvinnorna på ett sätt som de inte kunde uppfylla, ex. att ha ID-kort eller kontaktuppgifter. Kvinnorna beskrev också hur delas värdighet fråntogs dem genom sjukvårdens brist på bemötande.
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| 26. |
- Salzmann-Erikson, Martin, 1977-, et al.
(författare)
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LiLEDDA : a six step forum-based netnographic research method for nursing science
- 2012
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Ingår i: Aporia. - Ottawa : University of Ottawa. - 1918-1345. ; 4:4, s. 7-18
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Tidskriftsartikel (refereegranskat)abstract
- Internet research methods in nursing science are less developed than in other sciences. We choose to present an approach to conducting nursing research on an internet-based forum. This paper presents LiLEDDA, a sixstep forum-based netnographic research method for nursing science. The steps consist of:1. Literature review and identification of the research question(s)2. Locating the field(s) online3. Ethical considerations4. Data gathering5. Data analysis and interpretation and6. Abstractions and trustworthiness.Traditional research approaches are limiting when studying non-normative and non-mainstream life-worlds and their cultures. We argue that it is timely to develop more up-to-date research methods and study designs applicable to nursing science that reflect social developments and human living conditions that tend to be increasingly online based.
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| 27. |
- Salzmann-Erikson, Martin, 1977-, et al.
(författare)
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Netnography in the Healthcare and nursing sector
- 2021. - 1
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Ingår i: Netnography Unlimited. - New York : Routledge. - 9780367425654 - 9781003001430 - 9780367431426 ; , s. 71-82
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Bokkapitel (refereegranskat)
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| 28. |
- Salzmann-Erikson, Martin, 1977-, et al.
(författare)
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Panoptic power and mental health nursing-space and surveillance in relation to staff, patients and neutral places
- 2012
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Ingår i: Issues in Mental Health Nursing. - Philadelphia, USA : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 33:8, s. 500-504
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Tidskriftsartikel (refereegranskat)abstract
- Mental health nurses use manifest and latent approaches for surveillance and observation of patients in the context of mental health care. Patient spaces in mental health organizations are subtly linked to these different means of surveillance. This article investigates these approaches, focusing in particular on the variety of spaces patients occupy and differences in the intensity of observation that can be carried out in them. The aim is to elaborate on space and surveillance in relation to the patients’ and nurses’ environment in psychiatric nursing care. Places where patients were observed were operationalized and categorized, yielding three spaces: those for patients, those for staff, and neutral areas. We demonstrate that different spaces produce different practices in relation to the exercise of panoptic power and that there is room for maneuvering and engaging in alternatives to “keeping an eye on patients” for nurses in mental health nursing. Some spaces offer asylum from panoptic observations and the viewing eyes of psychiatric nurses, but the majority of spaces in mental health nursing serve as a field of visibility within which the patient is constantly watched.
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| 29. |
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| 30. |
- Salzmann-Erikson, Martin, 1977-
(författare)
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Stability in intensive psychiatry : a concept analysis
- 2014
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Ingår i: Perspectives in psychiatric care. - : Hindawi Limited. - 0031-5990 .- 1744-6163. ; 50:2, s. 122-131
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this concept analysis is to describe, explore, and explain stabilityin the context of mental health nursing in intensive psychiatry.DESIGN AND METHODS: A modified version of Wilson’s method of conceptanalysis was used.FINDINGS: Stability is the ability to be resistant to changes. Stability can take differentdirections after a distortion: re-gaining, neo-gaining, and apo-gaining. Stabilitymay also be achieved through active (adding or using power, making adjustments,parrying, and idling) and passive systems (environmental conditions and constituentmaterials).PRACTICE IMPLICATIONS: This article contributes by providing knowledge and insight for nurses on the roles they play in intensive psychiatry as stabilizers.
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| 31. |
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| 32. |
- Salzmann-Erikson, Martin, 1977-
(författare)
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The intersection between logical empiricism and qualitative nursing research: a post-structuralist analysis
- 2024
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 19:1
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Tidskriftsartikel (refereegranskat)abstract
- PurposeTo shed light on and analyse the intersection between logical empiricism and qualitative nursing research, and to emphasize a post-structuralist critique to traditional methodological constraints.MethodsIn this study, a critical examination is conducted through a post-structuralist lens, evaluating entrenched methodologies within nursing research. This approach facilitates a nuanced exploration of the intersection between logical empiricism and qualitative nursing research, challenging traditional methodological paradigms.ResultsThe article focusing on the “what abouts” of sample size, analytic framework, data source, data analysis, and rigour and methodological considerations, challenging the predominance of semi-structured interviews and the reliance on spoken voice as primary data sources, and re-evaluating the conventional notion of “rigour”.ConclusionsI advocate for a shift from qualitative positivism towards more interpretive and post-qualitative inquiries, this work proposes new trajectories through interpretive, critical, post-qualitative, and artistic turns in nursing research, aiming to transcend positivist limitations and foster a plurality of perspectives and research as praxis. Implications emphasize the need for nursing researchers to expand methodological horizons, incorporating visual and artistic methods to enrich understanding and representation of health experiences, moving beyond positivist norms towards a more inclusive and ethically sound research paradigm.
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| 33. |
- Sjöberg, Fredric, et al.
(författare)
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Experiences of patient violence in Swedish intensive care units
- 2023
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Konferensbidrag (refereegranskat)abstract
- Introduction: In the intensive care unit (ICU), every second patient develops acute brain dysfunction and delirium, because of severe illness and/or medical treatment (1). ICU patients may have delusions and even believe that the healthcare personnel try to infict harm upon them (2). This belief in combination with psychomotor agitation may lead to violent incidents in intense resistance (3). Except for debilitating consequences for patients, violent incidents are major problems in healthcare causing physical and psychological harm to healthcare workers (4–6). However, systematic approaches to describe healthcare workers’ experiences and management of aggressive ICU patients are needed.Objectives: To explore ICU healthcare workers’ experiences and perceptions of violent behaviors in patients with acute brain dysfunction.Methods: A qualitative descriptive design including focus group interviews with 36 ICU healthcare workers (physicians, nurses, nurse assistants and physiotherapists) in 4 Swedish ICUs who had experience of managing aggressive patients with acute brain dysfunction. A six-step refective thematic analysis was used to analyse data.Results: Nurses and assistant nurses were perceived to be at a nincreased risk of being exposed to violence, while physicians were mostly exposed to verbal assaults and threats from relatives. Delusions were perceived to be associated with a higher risk of violence in bedside work. The healthcare workers stated that incidents were under-reported, where only serious threats or physical assaults were reported. Most violent situations were experienced as unavoidable due to the patients’ illness.Conclusions: This study contributes an understanding of workplace violence in the ICU and may serve as a basis for development of violence prevention strategies useful in care and treatment of delirious patients.
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| 34. |
- Sjöberg, Fredric, et al.
(författare)
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The paradox of workplace violence in the intensive care unit: a focus group study
- 2024
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Ingår i: Critical Care. - : Springer. - 1364-8535 .- 1466-609X. ; 28:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundConflicts with patients and relatives occur frequently in intensive care units (ICUs), driven by factors that are intensified by critical illness and its treatments. A majority of ICU healthcare professionals have experienced verbal and/or physical violence. There is a need to understand how healthcare professionals in ICUs experience and manage this workplace violence.MethodsA qualitative descriptive analysis of four hospitals in Sweden was conducted using semi-structured focus-group interviews with ICU healthcare professionals.ResultsA total of 34 participants (14 nurses, 6 physicians and 14 other staff) were interviewed across the four hospitals. The overarching theme: “The paradox of violence in healthcare” illustrated a normalisation of violence in ICU care and indicated a complex association between healthcare professionals regarding violence as an integral aspect of caregiving, while simultaneously identifying themselves as victims of this violence. The healthcare professionals described being poorly prepared and lacking appropriate tools to manage violent situations. The management of violence was therefore mostly based on self-taught skills.ConclusionsThis study contributes to understanding the normalisation of violence in ICU care and gives a possible explanation for its origins. The paradox involves a multifaceted approach that acknowledges and confronts the structural and cultural dimensions of violence in healthcare. Such an approach will lay the foundations for a more sustainable healthcare system.
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| 35. |
- Thunborg, Charlotta, 1965-, et al.
(författare)
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The Swedish translation of Perceptions of Restraint Use Questionnaire (PRUQ) : A test-retest reliability study in two dementia nursing homes
- 2021
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Ingår i: BMC Geriatrics. - : BMC. - 1471-2318. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The Perceptions of Restraint Use Questionnaire measures perception of restraint in a 17-item questionnaire. The aim of this study was to assess the test-retest reliability of the PRUQ as a measure of staff attitudes to restraint in elderly older persons care for people with dementia from two different nursing homes, and its ability to produce reliable results.Methods: Twenty-six staff members from two different nursing homes completed the 17-item PRUQ twice with 14–21 days between time points. As the questionnaire has already been translated in another study, the current study evaluated total item scores, mean, internal consistency, and intraclass correlation for reliability purposes.Results: The internal consistency Cronbach’s Alpha were ˃ ≥0.726. The Intraclass correlation (ICC) between test and retest was moderate to good for the three subscales, with ICC (A,1) and ICC (C,1) values approximately equal and in the range 0.480–0.962. A Bland-Altman plot of the PRUQ total mean scores illustrates no systematic change in the mean.Conclusions: The Swedish version of the PRUQ shows mainly good reliability. Therefore, we suggest that researchers continue to develop the PRUQ to be an even higher reliable questionnaire of health care professionals’ perceptions of measure for restraint use in nursing homes for persons with dementia
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