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Sökning: WFRF:(Wigert Helena 1960)

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1.
  • Hawamdeh, Shurouq, 1982, et al. (författare)
  • Midwives’ attitude towards labour pain: Expectations and perceptions by Jordanian women
  • 2016
  • Ingår i: NJF congress, May 2016, Sweden..
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Background: In Jordan, as in other countries, the majority of women give birth in public hospitals where the midwives are the main birth attendants. Although most women have trust in their midwives; there are studies describing dissatisfaction of childbirth experience, fears associated with experiencing painful births and ineffective pain management during childbirth. Thus, there is a need to understand the Jordanian midwives' attitude towards labour pain from both the midwives and the women’s perspectives. Aim: To explore the Jordanian midwives' attitude towards labour pain by assessing the midwives' knowledge and attitude towards pain and the women's expectations and perceptions of their midwives' approach towards pain. Methods: The research took place in the largest public hospital in Jordan in the postnatal ward and involved midwives and their clients, including 60 midwives (out of 61 randomly sampled midwives), who responded to a study-specific validated survey for midwives (Survey Questionnaire for Midwives), and 360 women (out of 384 sampled women), who responded to a study-specific validated survey for women (Survey Questionnaire for Women). Findings: The study is ongoing. The findings are presented at the NJF conference (May 2016) and as a part of doctoral thesis that should be defended in May 2017.
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2.
  • Arveklev Höglund, Susanna, et al. (författare)
  • Nursing students experiences of learning about nursing through drama
  • 2018
  • Ingår i: Nurse Education in Practice. - Edinburgh : Churchill Livingstone. - 1471-5953 .- 1873-5223. ; 28:1, s. 60-65
  • Tidskriftsartikel (refereegranskat)abstract
    • The ability to understand, interact and create a caring relationship with the patient is a core component in nursing. A shift in nursing education from traditional classroom teaching towards more experiential approaches should be encouraged as this will support learning that links theory with practice. The aim of this study was to describe nursing students' experiences of learning about nursing through drama. This qualitative study was conducted at a university in Sweden. Four focus group interviews were conducted with a total of 16 nursing students and the data was analyzed using a phenomenographic approach.Three themes with their attendant categories emerged through the analysis: "To explore the future professional self", "To develop an understanding of the patient perspective", and "To reflect on the nature of learning". In conclusion this study shows that the use of drama in nursing education can provide opportunities to explore interactions with others which can increase students' self-awareness and ability to reflect on their future professional identity. Acting in role as a patient can provide an opportunity to experience the patient perspective. Also clear was the importance of commitment and engagement ofthe students as a prerequisite for optimizing this form of learning experience through drama
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3.
  • Arveklev Höglund, Susanna, et al. (författare)
  • The use and application of drama in nursing education : An integrative review of the literature
  • 2015
  • Ingår i: Nurse Education Today. - Edinburgh : Churchill Livingstone. - 0260-6917 .- 1532-2793. ; :7, s. e12-e17
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Caring is grounded on universal humanistic values such as kindness, empathy, concern and love for self and others. Nurses need to learn how to implement these values in the care for patients. Nursing students find it hard to assimilate theoretical knowledge in practice. Experiential learning in the form of drama has been used in several studies to enhance nursing students' learning. Aim The aim of this study was to review empirical and theoretical articles on the use and application of drama in nursing education. Design An integrative review of the literature.MethodThe databases CINAHL, PubMed, ProQuest and Academic search elite were searched for articles. Result The search generated 64 articles, with 20 articles meeting the inclusive criteria. Three themes with their attendant subthemes emerged through the analysis. The themes are: The Framing, The Objectives and The Embodiment. Conclusion Drama is effective in entry level courses in nursing education to enhance student learning and can be flexible and adjusted to various contexts. Further research using drama to enroll nursing students as fictive patients and relatives and thereby explore different perspectives is suggested, and more research on the application of drama in nursing education at an advanced level is required.
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4.
  • Arveklev, Susanna H., 1975, et al. (författare)
  • Learning About Conflict and Conflict Management Through Drama in Nursing Education
  • 2018
  • Ingår i: Journal of Nursing Education. - New York : SLACK, Inc.. - 0148-4834 .- 1938-2421. ; 57:4, s. 209-216
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: In the health care settings in which nurses work, involvement in some form of conflict is inevitable. The ability to manage conflicts is therefore necessary for nursing students to learn during their education. Method: A qualitative analysis of 43 written group assignments was undertaken using a content analysis approach. Results: Three main categories emerged in the analysis-to approach and integrate with the theoretical content, to step back and get an overview, and to concretize and practicetogether with the overall theme, to learn by oscillating between closeness and distance. Conclusion: Learning about conflict and conflict management through drama enables nursing students to form new knowledge by oscillating between closeness and distance, to engage in both the fictional world and the real world at the same time. This helps students to form a personal understanding of theoretical concepts and a readiness about how to manage future conflicts.
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6.
  • Berg, Marie, 1955, et al. (författare)
  • Parental participation in the care of their child in neonatal intensive care
  • 2011
  • Ingår i: Thompson G, Dykes F, Downe S. Qualitative Insights in Midwifery and Childbirth: phenomenological Approaches. - Tonbtidge, kent : GreenGate Publishing Services. - 9780415575010
  • Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
    • Qualitative research particularly phenomenology is increasingly popular as a method for midwifery and health-related research. Thsi book brings together a range of phenomenological hermeneutic methods and insights.
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7.
  • Bogren, Malin, 1970, et al. (författare)
  • Shaping the midwifery profession in Nepal – Uncovering actors' connections using a Complex Adaptive Systems framework : Sexual & Reproductive Healthcare
  • 2016
  • Ingår i: Sexual & Reproductive HealthCare. - : Elsevier BV. - 1877-5756. ; 10, s. 48-55
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives To explore how actors connect in a system aiming at promoting the establishment of a midwifery profession in Nepal. Methods A qualitative explorative study based on the framework of Complex Adaptive Systems. Semi-structured interviews were conducted with 17 key people representing eight different organisations (actors) promoting the development of the midwifery profession. Results The actors' connections can be described with a complex set of facilitators for and barriers to promoting the establishment of a midwifery profession. The identified facilitators for this establishment in Nepal are (1) a common goal and (2) a desire to collaborate, whilst the barriers are (1) different political interests and priorities, (2) competing interests of the nursing profession and societal views, (3) divergent academic opinions on a midwifery profession, and (4) insufficient communication. The results also showed that Nepalese society cannot distinguish between nursing and midwifery and that the public support for a midwifery profession was hence minimal. Conclusion The move of midwifery from an occupation to a profession in Nepal is an on-going, challenging process. The study indicates the importance of understanding the motivations of, and barriers perceived by, actors that can promote or obstruct the establishment of the midwifery profession. It also points to the importance of informing the wider public about the role and responsibility of an autonomous midwifery profession.
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8.
  • Bogren, Malin, 1970, et al. (författare)
  • Towards a midwifery profession in Bangladesh - a systems approach for a complex world
  • 2015
  • Ingår i: Bmc Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 15
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: The midwifery profession is crucial for a functioning health system aiming at improved maternal and child health outcomes. Complex Adaptive Systems (CAS) can be used as a tool to understand actors' interactions in the system around midwifery profession for improved maternal and child health. The purpose of this study is to explore how actors connect to promote the Bangladesh's midwifery profession. Methods: An explorative study based on the framework of CAS was performed. Data were collected through semi-structured interviews with 16 key persons representing nine different organisations promoting the establishment of the midwifery profession. Qualitative analysis was used. Results: Findings show that the actors were intertwined and driving towards a common goal; to save lives through education and deployment of 3000 midwives. The unique knowledge contributions of everyone involved were giving the system strength and power to perform. Collaboration was seen as more could be achieved compared to what an individual organisation could do. Significant results of this were that two midwifery curricula and faculty development had been produced. Although collaboration was mostly seen as something positive to move the system forward, the approach to reach the set goal varied with different interests, priorities and concerns, both on individual organisational level as well as at system level. Frequent struggles of individual philosophies versus organisational mandates were seen as competing interests for advancing the national priorities. It would appear that newcomers with innovative ideas were denied access on the same terms as other actors. Conclusions: This study illustrates that CAS thinking can be used as a metaphor to understand how to adapt more emergent ways of working instead of the traditional planned approaches to change and develop in order to deal better with a more complex world. Through examining how actors connect for establishing a midwifery profession, offers insights of shared interests towards stepping up efforts for a competent midwifery profession in Bangladesh and elsewhere. Good relationships, where everyone's expertise and innovations, are used to the full, are crucial for establishing a strong midwifery profession and thus improved maternal and child health.
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9.
  • Bohlin, V., et al. (författare)
  • Child health care nurses' experiences of language barriers during home visits
  • 2022
  • Ingår i: Public Health Nursing. - : Wiley. - 0737-1209 .- 1525-1446. ; 39:1, s. 146-152
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective The aim of the study was to explore the communication tools that child healthcare nurses can use during home visits to families when language barriers exist. Design Qualitative study using data collected from focus group sessions. Sample Six semi-structured focus group interviews with twenty nurses in child healthcare services. Measurements The results were analyzed with a thematic content analysis. Results The analysis resulted in two themes: Using pictures as support in the conversation, with subthemes Not using pictures as support, Wanting to know how to use pictures as support, Pictures as support for invitations, Different types of pictures as support, and Alternative means of communication with the subthemes Possibilities of using an interpreter, Obstacles to using an interpreter, Mixed communication. Conclusion If language barriers are present during home visits, decision-making nurses in Child Health Care (CHC) put families in an unequal position when communicating with them. These results point to a need for more education, guidelines and support regarding alternative and augmentative communication (AAC) tools and structures to assist in overcoming language barriers.
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10.
  • Bry, Anna, 1984, et al. (författare)
  • Need and benefit of communication training for NICU nurses
  • 2023
  • Ingår i: PEC Innovation. - : Elsevier BV. - 2772-6282. ; 2
  • Tidskriftsartikel (refereegranskat)abstract
    • Objectives: To assess the effects of a new communication course for neonatal intensive care unit (NICU) nurses on nurses' confidence in communicating with families, and to explore communication-related issues experienced by the nurses and their relationship to burnout. Study design: Twenty-nine nurses participated in an interactive course based on communication cases from the NICU. Participants' experience of communication with parents was assessed. They completed the Maslach Burnout Inventory. Self-reported communication skills were assessed before and after the course and at four-month follow-up. Results: Only one nurse reported previous nursing-related communication training. High burnout scores were associated with communication-related difficulties, especially lack of time for communication. The course improved participants' confidence in their communication skills in challenging situations, including those where parents express distress or ask questions the nurse cannot answer. Participants found the course highly interesting, useful and necessary for their work. Conclusion: Interactive, learner-centered training addressing issues specific to communication at the NICU was effective and highly appreciated. Innovation: The course centered on a unique variety of reality-based communication cases from the NICU, relevant to the nurses' work and stimulating their reflection. An innovative feature was the emphasis on nurses' perspective and the importance of communication for their coping.
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11.
  • Bry, Anna, 1984, et al. (författare)
  • Organizational climate and interpersonal interactions among registered nurses in a neonatal intensive care unit: A qualitative study
  • 2022
  • Ingår i: Journal of Nursing Management. - : Hindawi Limited. - 0966-0429 .- 1365-2834. ; 30:6, s. 2031-2038
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim The aim of this work is to describe the organizational climate and interpersonal interactions experienced by registered nurses in a level III neonatal intensive care unit. Background Neonatal nurses have a demanding task in caring for a varied, highly vulnerable patient population and supporting patients' families. Nurses' psychosocial work environment affects quality of care as well as nurses' job satisfaction and organizational commitment. Method Semistructured interviews with 13 nurses, covering numerous aspects of their psychosocial work environment, were analyzed using thematic analysis. Results High staff turnover and a preponderance of inexperienced nurses were described as stressful and detrimental to group cohesion. Work at the unit was considered overly demanding for newly qualified nurses, while senior nurses expressed frustration at the work of training new nurses who might not stay. While some were very satisfied with the group climate, others complained of a negative climate and incivilities from some experienced nurses toward new recruits. Conclusions High turnover and variable competence among staff present challenges for maintaining a positive organizational climate. Implications for Nursing Management Management should communicate a clear sense of the nature of neonatal intensive care when recruiting, foster group cohesion (e.g., by creating stable work teams) and reward commitment to working at the unit.
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12.
  • Bry, A., et al. (författare)
  • Psychosocial support for parents of extremely preterm infants in neonatal intensive care: a qualitative interview study
  • 2019
  • Ingår i: BMC Psychology. - : Springer Science and Business Media LLC. - 2050-7283. ; 7:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: Extremely premature infants (those born before 28weeks' gestational age) are highly immature, requiring months of care at a neonatal intensive care unit (NICU). For parents, their child's grave medical condition and prolonged hospitalization are stressful and psychologically disruptive. This study aimed at exploring the needs of psychosocial support of parents of extremely premature infants, and how the NICU as an organization and its staff meets or fails to meet these needs. METHOD: Sixteen open-ended interviews were conducted with 27 parents after their infant's discharge from the NICU. Inductive content analysis was performed. RESULTS: Four themes were identified: Emotional support (with subthemes Empathic treatment by staff, Other parents as a unique source of support, Unclear roles of the various professions); Feeling able to trust the health care provider; Support in balancing time spent with the infant and other responsibilities; Privacy. Parents of extremely premature infants needed various forms of emotional support at the NICU, including support from staff, professional psychological help and/or companionship with other patients' parents. Parents were highly variable in their desire to discuss their emotional state with staff. The respective roles of nursing staff, social workers and psychologists in supporting parents emotionally and identifying particularly vulnerable parents appeared unclear. Parents also needed to be able to maintain a solid sense of trust in the NICU and its staff. Poor communication with and among staff, partly due to staff discontinuity, damaged trust. Parents struggled with perceived pressure from staff to be at the hospital more than they could manage and with the limited privacy of the NICU. CONCLUSIONS: The complex and individual psychosocial needs of parents of extremely preterm infants present many challenges for the NICU and its staff. Increasing staffing and improving nurses' competence in addressing psychosocial aspects of neonatal care would help both nurses and families. Clarifying the roles of different professions in supporting parents and developing their teamwork would lessen the burden on nurses. Communicating with parents about their needs and informing them early in their NICU stay about available support would be essential in helping them cope with their infant's hospitalization.
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13.
  • Bry, Anna, 1984, et al. (författare)
  • Stress and social support among registered nurses in a level II NICU
  • 2021
  • Ingår i: Journal of Neonatal Nursing. - : Elsevier BV. - 1355-1841. ; 28:1, s. 37-41
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To describe sources of stress and workplace social support reported by registered nurses at a level II neonatal intensive care unit. Methods: Thirteen semi-structured interviews with nurses were analyzed using qualitative content analysis. Results: Inexperienced nurses found their work highly demanding and were dependent on help from experienced colleagues. More generally, a high workload and emotionally taxing situations were described as sources of stress. Peers provided valuable support, but the single-family room layout of the unit tended to impede contact among nurses. Support including further education was offered by the organization. Conclusions: Efforts to counteract the disadvantages of the single-family room layout for nurses are needed. While continuing to support new nurses, organizations should also pay attention to the needs of the most experienced. © 2021 The Authors
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14.
  • Bry, Kristina, 1953, et al. (författare)
  • Communication skills training enhances nurses' ability to respond with empathy to parents' emotions in a neonatal intensive care unit
  • 2016
  • Ingår i: Acta Paediatrica. - : Wiley. - 0803-5253 .- 1651-2227. ; 105:4, s. 397-406
  • Tidskriftsartikel (refereegranskat)abstract
    • AimWe quantitatively analysed the effect of a course in communication on the content of nurse-parent encounters and the ability of nurses to respond to the empathic needs of parents in a level III neonatal intensive care unit. MethodsWe evaluated 36 and 45 nurse-parent encounters audio recorded before and after 13 neonatal nurses attended a communication course. The number of empathic opportunities, the nurses' responses to these and the ways they involved parents in their infants' care were studied. ResultsBoth before and after the course, the nurses talked more than the parents during the conversations. This nurse-centredness decreased after the course. The use of empathic or exploring responses to empathic opportunities increased from 19.9 9.0% to 53.8 +/- 8.9% (p = 0.027), whereas ignoring the feelings of the parents or giving inadequate advice decreased from 63.0 +/- 10.0% to 27.5 +/- 8.4% (p = 0.043) after the course. Use of statements expressing caring for the parents and encouragement for parents to participate in the care of their infant increased after the course (p = 0.0034 and p = 0.043, respectively). The nurses felt the course was very useful for their profession. ConclusionA course in communication techniques improved nurses' ability to respond to parents' feelings with empathy.
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15.
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16.
  • Dellenmark-Blom, Michaela, 1983, et al. (författare)
  • Parents`experiences with neonatal home care following initial care in the neonatal intensive care unit: a phenomenological hermeneutical interview study
  • 2014
  • Ingår i: Jornal of Advanced Nursing. - : Wiley. - 1365-2648 .- 0309-2402. ; 70:3, s. 575-586
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim. A descriptive study of parents’ experiences with neonatal home care following initial care in the neonatal intensive care unit. Background. As survival rates improve among premature and critically ill infants with an increased risk of morbidity, parents’ responsibilities for neonatal care grow in scope and degree under the banner of family-centred care. Concurrent with medical advances, new questions arise about the role of parents and the experience of being provided neonatal care at home. Design. An interview study with a phenomenological hermeneutic approach. Methods. Parents from a Swedish neonatal ( n = 22) home care setting were extensively interviewed within one year of discharge. Data were collected during 2011 – 2012. Findings. The main theme of the findings is that parents experience neonatal home care as an inner emotional journey, from having a child to being a parent. This finding derives from three themes: the parents’ experience of leaving the hospital milieu in favour of establishing independent parenthood, maturing as a parent and processing experiences during the period of neonatal intensive care. Conclusions. This study suggests that neonatal home care is experienced as a care structure adjusted to incorporate parents’ needs following discharge from a neonatal intensive care unit. Neonatal home care appears to bridge the gap between hospital and home, supporting the family’s adaptation to life in the home setting. Parents become empowered to be primary caregivers, having nurse consultants serving the needs of the whole family. Neonatal home care may therefore be understood as the implementation of family-centred care during the transition from NICU to home.
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17.
  • Familjecentrerad neonatalvård
  • 2013
  • Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
    • Familjecentrerad neonatalvård Föräldraskapet är förknippat med förväntningar och drömmar om hur det lilla barnet såväl som föräldraskapet och familjelivet ska gestalta sig. När ett barn föds för tidigt eller blir sjukt, blir den första tiden med barnet inte som planerat. Föräldrarna blir mer eller mindre beroende av den specialistvård som erbjuds och deras naturliga omsorg om det lilla barnet får stå tillbaka i olika grad för barnets behov av professionell vård, vilken i hög grad präglas av en teknisk och avancerad intensivvård. Boken fokuserar på omvårdnad inom familjeinriktad neonatalvård som främst utgår från föräldrars perspektiv på att bli förälder till ett för tidigt fött barn eller sjukt nyfött barn och föräldrarnas kontakter med hälso- och sjukvården i samband med barnets födelse samt under barnets första levnadsår. Familjecentrerad neonatalvård vänder sig till studenter på avancerad nivå inom främst hälso- och sjukvårdens specialistutbildningar: barnoch ungdom, distriktssköterska, barnmorska och akut-/intensivvård. Boken riktar sig även till personal inom såväl förlossningsvård som BB-vård, neonatalvård (intensivvård, lättvård) och barnhälsovård.
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18.
  • Fors, Andreas, 1977, et al. (författare)
  • Effects of a person-centred approach in a school setting for adolescents with chronic pain-The HOPE randomized controlled trial
  • 2020
  • Ingår i: European Journal of Pain. - : Wiley. - 1090-3801 .- 1532-2149. ; 24:8, s. 1598-1608
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Chronic pain among adolescents is common but effective interventions applicable in a school setting are rare. Person-centred care (PCC) is a key factor in improving health by engaging persons as partners in their own care. Methods In this randomized controlled trial, a total of 98 adolescents in secondary school or upper secondary school (aged 14 - 21 years) with chronic pain were randomly assigned to a PCC intervention or standard school healthcare. In the intervention group a pain management programme, based on a PCC approach, comprising four face-to-face sessions with a school nurse over a period of 5 weeks was added to standard school healthcare. The main outcome measure was self-efficacy in daily activities (SEDA scale) and rating scales for pain intensity and pain impact were used as secondary outcome measures. Results At the follow-up, no significant differences were found between the groups in the SEDA scale (p = .608) or in the rating scales for pain intensity (p = .261) and pain impact (p= .836). In the sub-group analysis, a significant improvement in the SEDA scale was detected at the secondary school in favour of the PCC intervention group (p = .021). Conclusion In this pain management programme based on a PCC approach, we found no effect in the total sample, but the programme showed promising results to improve self-efficacy in daily activities among adolescents at secondary school. Significance This study evaluates the effects of a pain management programme based on a PCC approach in a school setting addressing adolescents at upper secondary and secondary schools with chronic pain. No overall effects were shown, but results illustrate that the intervention improved self-efficacy in adolescents at secondary school. Implementation of a PCC approach in a school setting may have the potential to improve self-efficacy in daily activities for adolescents with chronic pain at secondary school.
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19.
  • Golsäter, Marie, 1962-, et al. (författare)
  • Dealing with adolescents' recurrent pain problems in school health care—Swedish school nurses' view
  • 2019
  • Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 6:4, s. 1626-1633
  • Tidskriftsartikel (refereegranskat)abstract
    • © 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd. Aim: To explore school nurses' strategies for supporting adolescents with recurrent pain. Design: An explorative inductive qualitative design. Method: Twenty-one Swedish school nurses were interviewed, and the interviews were subjected to content analysis. Results: The findings show that the nurses are aware that recurrent pain problems are common among the adolescents. In their attempt to support these adolescents, the nurses describe how they are striving in attempts to acquire an understanding of the adolescents' situation, to understand the cause of the pain problem and to devise strategies that can be used to help the adolescents handle the situation.
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20.
  • Gund, Anna, 1980, et al. (författare)
  • A randomized controlled study about the use of eHealth in the home health care of premature infants
  • 2013
  • Ingår i: BMC Medical Informatics and Decision Making. - : Springer Science and Business Media LLC. - 1472-6947. ; 13
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: One area where the use of information and communication technology (ICT), or eHealth, could be developed is the home health care of premature infants. The aim of this randomized controlled study was to investigate whether the use of video conferencing or a web application improves parents' satisfaction in taking care of a premature infant at home and decreases the need of home visits. In addition, nurses' attitudes regarding the use of these tools were examined. METHOD: Thirty-four families were randomized to one of three groups before their premature infant was discharged from the hospital to home health care: a control group receiving standard home health care (13 families); a web group receiving home health care supplemented with the use of a web application (12 families); a video group with home health care supplemented with video conferencing using Skype (9 families). Families and nursing staff answered questionnaires about the usefulness of ICT. In addition, semi-structured interviews were conducted with 16 families. RESULTS: All the parents in the web group found the web application easy to use. 83% of the families thought it was good to have access to their child's data through the application. All the families in the video group found Skype easy to use and were satisfied with the video calls. 88% of the families thought that video calls were better than ordinary phone calls. 33% of the families in the web group and 75% of those in the video group thought the need for home visits was decreased by the web application or Skype. 50% of the families in the web group and 100% of those in the video group thought the web application or the video calls had helped them feel more confident in caring for their child. Most of the nurses were motivated to use ICT but some were reluctant and avoided using the web application and video conferencing. CONCLUSION: The families were satisfied with both the web application and video conferencing. The families readily embraced the use of ICT, whereas motivating some of the nurses to accept and use ICT was a major challenge.
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21.
  • Heringhaus, Alina, et al. (författare)
  • Becoming a parent to a child with birth asphyxia- from a traumatic delivery to living with the experience at home
  • 2013
  • Ingår i: Internationell Journal of Qualitative Studies in Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 8, s. 1-13
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study is to describe the experiences of becoming a parent to a child with birth asphyxia treated with hypothermia in the neonatal intensive care unit (NICU). In line with the medical advances, the survival of critically ill infants with increased risk of morbidity is increasing. Children who survive birth asphyxia are at a higher risk of functional impairments, cerebral palsy (CP), or impaired vision and hearing. Since 2006, hypothermia treatment following birth asphyxia is used in many of the Swedish neonatal units to reduce the risk of brain injury. To date, research on the experience of parenthood of the child with birth asphyxia is sparse. To improve today's neonatal care delivery, health-care providers need to better understand the experiences of becoming a parent to a child with birth asphyxia. A total of 26 parents of 16 children with birth asphyxia treated with hypothermia in a Swedish NICU were interviewed. The transcribed interview texts were analysed according to a qualitative latent content analysis. We found that the experience of becoming a parent to a child with birth asphyxia treated with hypothermia at the NICU was a strenuous journey of overriding an emotional rollercoaster, that is, from being thrown into a chaotic situation which started with a traumatic delivery to later processing the difficult situation of believing the child might not survive or was to be seriously affected by the asphyxia. The prolonged parent-infant separation due to the hypothermia treatment and parents' fear of touching the infant because of the high-tech equipment seemed to hamper the parent-infant bonding. The adaption of the everyday life at home seemed to be facilitated by the follow-up information of the doctor after discharge. The results of this study underline the importance of family-centered support during and also after the NICU discharge.
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22.
  • Höglund Arveklev, Susanna, 1975, et al. (författare)
  • Learning about conflict management and conflict management through drama in nursing education. : Learning about conflict management and conflict management.
  • 2017
  • Ingår i: ICN 2017. Barecelona, Spain, 27 May - 01 June 2017.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Conflicts are common in healthcare settings and affect the nursing care negatively causing suffering among the patients and other costs, such as burnout and higher absenteeism among the nursing staff. The ability to manage conflict is therefore a necessary for nursing students to learn during their education. But previous studies show that nursing students lack in preparation to face and handle conflicts. The aim of this study is to present a teaching structure with the purpose of supporting nursing students learning about conflict and conflict management. The teaching structure combines a theoretical lecture, a drama workshop and a group assignment where the students reflect over their learning. In this study, 43 group assignments are being analyzed using qualitative content analysis. The preliminary analysis consists of three main categories with their attendant sub categories (1) To approach and integrate with the theoretical content, (2) To create a distance and get an overview, and (3) To concretize, practice and apply. The final result as well as the conclusions and implications will be presented at the ICN conference in Barcelona, May 2017.
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23.
  • Jenholt Nolbris, Margaretha, 1956, et al. (författare)
  • Using Pedagogical Symbols in A Map in Supervision
  • 2019
  • Ingår i: International Journal of Nursing and Health Care Research. - 1050-1606. ; 4
  • Tidskriftsartikel (refereegranskat)abstract
    • The overall findings of this study for each nurse was that they have new tool to combine their emotions with symbols, which could be one way of own empowerment to prevent burn out. One way in which to raise the quality of nursing in daily practice is to develop and improve the nurses´ reflections on nursing situations. This may be aided by a map that can indicate a possible route to achieving an overview of circumstances and of various choices for improvement, a route to developing one’s own competence and to finding moral courage in the exercise of professional care.
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24.
  • Lepp, Margret, 1954, et al. (författare)
  • Drama, conflict and learning in nursing education
  • 2019
  • Ingår i: International Council of Nursing, ICN Congress (www.icn.ch) in Singapore Poster ID: eP397 Arveklev, S.H., Berg, L., Wigert, H., Morrison-Helme, M., & Lepp, M. (2018). Learning About Conflict and Conflict Management Through Drama in Nursing Education. Journal of Nursing Education. Vol. 57, No. 4. DOI: 10.3928/01484834-20180322-04.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Conclusion Learning about conflict and conflict management through drama can provide nursing students with new theoretical and practical knowledge. Through drama, nursing students can: come closer and form a personal understanding of theoretical concepts of conflict and conflict management develop a readiness about how to approach and manage future conflicts. develop nursing knowledge and practical wisdom in nursing practice provide an effective way to form new knowledge by oscillating between closeness and distance, be engaged both in the fictional and real world at the same time.
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25.
  • Lepp, Margret, 1954, et al. (författare)
  • Dramapedagogik i specialistsjuksköterskeprogrammet med inriktning mot hälso- och sjukvård för barn och ungdomar - studenters lärande om konflikthantering : Dramapedagogik i specialistsjuksköterskeprogrammet
  • 2020
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • Kunskap om konflikthantering är nödvändig då konflikter kan ha en negativ påverkan på såväl patienter, närstående, studenter och vårdpersonal som hälso- och sjukvårdsorganisation. Föreliggande rapport handlar om att med dramapedagogik stödja studenters lärande om konflikthantering i specialistsjuksköterskeprogrammet med inriktning mot hälso- och sjukvård för barn och ungdomar. Ämnena dramapedagogik, omvårdnad, vårdpedagogik och vårdvetenskap integreras i undervisningen för att stödja studenters lärande om konflikthantering. Rapporten belyser ett undervisningsmoment om konflikthantering med dramapedagogik i kursen Avancerad bedömning och vårdhandlingar vid ohälsa hos barn och ungdomar, (OM5510), 15 hp. Undervisningsmomentet bygger på styrdokument, forskningsresultat som berör dramaövningar, Forumspel och teorier om konflikthantering, från det internationella DRACON projekt (DRAma and CONflict resolution). DRACON har utvecklats och genomförts i Australien, Malaysia och Sverige. Kursen ges i specialistsjuksköterskeprogrammet, en gång per år, vid Göteborgs universitet, Sahlgrenska Akademin, Institutionen för vårdvetenskap och hälsa. Rapporten riktar sig till dramapedagoger och lärare som söker kunskap om hur dramapedagogik kan användas på avancerad utbildningsnivå, som exempelvis i specialistsjuksköterskeutbildning.
  •  
26.
  • Lundblad, Barbro, 1947, et al. (författare)
  • Satisfying toilet needs in pre-school - Experiences of 5-6 years old
  • 2016
  • Ingår i: Health. - : Scientific Research Publishing, Inc.. - 1949-4998 .- 1949-5005. ; 8:15, s. 1687-1696
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: It is known that, for reasons of hygiene and/or anxiety, some first year primary school children actively choose to avoid going to the toilet whilst at school, while at the same time many young children’s primary care visits are due to urinary tract and bowel problems. By this age most children can recognise the bodily signals indicating the need for a toilet visit, and can independently perform the associated routines. Aim of this study was to describe the experience of healthy 5 to 6 years old when needing and using toilets whilst at pre-school. Methods: A qualitative descriptive method was used. Seventeen children aged 5 to 6 years were interviewed. Results: Nearly all used the toilet when the need arose, but there were times during the day when their freedom to use the toilet was restricted. Most children experienced periods of waiting outside the toilet and a long wait could result in a decision to not use it. On those occasions when help was needed, it was usually necessary to shout once or more in order to attract the teacher’s attention. Some children found the toilets clean and fresh while others found them dirty and smelly. Privacy during toilet visits was desirable among the children but queue outside the toilet was a cause of worry. Conclusion: The children were mostly able to use the toilet whilst at preschool, despite the challenges to their senses and integrity and occasionally issues with the teacher’s rules. The need for privacy often had to yield to the teacher’s need to control the children or even because toilet doors and/or locks were not adapted to the children’s requirements.
  •  
27.
  • Nahal, M. S. H., et al. (författare)
  • Assessment of health status in adolescents with spina bifida in the West Bank, Palestine: sense of coherence and self-perceived health
  • 2022
  • Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 0963-8288 .- 1464-5165. ; 44:19, s. 5479-5486
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose To assess self-perceived health and sense of coherence (SOC) in adolescents with spina bifida (SB) in the West Bank, Palestine, compared to a healthy reference group. Further, to assess the association between impairment levels in the adolescents with SB and their self-perceived health and SOC. Methods Fifty adolescents with SB and 150 healthy adolescents completed measures of self-perceived health - the Pediatric Quality of Life Inventory (PedsQL(TM) 4.0) - and SOC. The rehabilitation center nurses identified the physical impairments of the adolescents with SB from their medical records, and classified them by impairment severity. Results Adolescents with SB reported lower self-perceived health (PedsQL median 55, IQR 42-67), than the reference group (median 85, IQR 74-90), p < 0.001, and lower SOC (median 47, IQR 44-50) than the reference group (median 55, IQR 44-61), p < 0.001. Impairment level was inversely associated with both self-perceived health and SOC. Conclusions The low self-perceived health and SOC among adolescents with SB in Palestine indicate the need for collaboration between policy makers and providers to improve these adolescents' physical and social environment and to promote the rehabilitation services provided for them.
  •  
28.
  • Nahal, M. S., et al. (författare)
  • Palestinian children's narratives about living with spina bifida: Stigma, vulnerability, and social exclusion
  • 2019
  • Ingår i: Child Care Health and Development. - : Wiley. - 0305-1862 .- 1365-2214. ; 45:1, s. 54-62
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Living with spina bifida in Palestine is a critical issue that might influence various aspects of the individual's life. It is a challenge for children, their families, and health care providers because it requires lifelong treatment and follow-up of care provision. However, little focus has been placed on these children's perceptions about their daily life experiences with spina bifida. Purpose To illuminate the lived experience of children with spina bifida in the West Bank, Palestine. Methods A qualitative study was conducted using the phenomenological hermeneutical method to interpret the meaning of being a child with spina bifida in Palestine. Ten children with spina bifida, aged 7-18 years, were interviewed. The two local authors independently analyzed the Arabic transcriptions, whereas the two Swedish authors analyzed the transcriptions after translation to English. Finally, the four authors discussed their analysis and reached agreement about the themes. Results Studying the children's experience with spina bifida helped us highlight their feelings, needs, and challenges. The findings were formulated into one main theme, Vulnerability and suffering due to social exclusion and stigma, which was grounded in three themes: Experiencing negative self-concept, Experiencing vulnerability, and Obtaining a sense of security. These three themes were in turn derived from subthemes. Conclusion The Palestinian children in this study faced physical, emotional, and psychosocial challenges, which negatively influenced their health and development. They were vulnerable and stigmatized, and they lived with a negative self-concept. The findings could help health professionals, families, and caregivers to achieve a deeper understanding of what being a child with disabilities entails, and the findings may also serve as a platform for interventions that seek to promote these children's development and to enable them to experience childhood as a meaningful and positive process.
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29.
  • Nilsson, Christina, et al. (författare)
  • Causes and outcomes in studies of fear of childbirth: A systematic review
  • 2018
  • Ingår i: Women and Birth. - 1871-5192 .- 1878-1799.
  • Forskningsöversikt (refereegranskat)abstract
    • PROBLEM:Fear of childbirth negatively affects women during pregnancy and after birth.AIM:To summarise the findings of published studies regarding possible causes/predisposing factors and outcomes of fear of childbirth for childbearing women.DESIGN:A systematic review, searching five databases in March 2015 for studies on causes/predisposing factors and outcomes of fear of childbirth, as measured during pregnancy and postpartum. Quality of included studies was assessed independently by pairs of authors. Data were extracted independently by reviewer pairs and described in a narrative analysis.FINDINGS:Cross-sectional, register-based and case-control studies were included (n=21). Causes were grouped into population characteristics, mood-related aspects, and pregnancy and birth-related aspects. Outcomes were defined as mood-related or pregnancy and birth-related aspects. Differing definitions of fear of childbirth were found and meta-analysis could only be performed on parity, in a few studies.CONCLUSIONS:Stress, anxiety, depression and lack of social support are associated with fear during pregnancy. Need for psychiatric care and presence of traumatic stress symptoms are reported outcomes together with prolonged labour, longer labours, use of epidural and obstetric complications. Nulliparous and parous women have similar levels of fear but for different reasons. Since the strongest predictor for fear in parous women is a previous negative birth experience or operative birth, we suggest it is important to distinguish between fear of childbirth and fear after birth. Findings demonstrate the need for creating woman-centred birthing environments where women can feel free and secure with low risk of negative or traumatic birth experiences and consequent fear.
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30.
  • Nilsson, Christina, 1959, et al. (författare)
  • Definitions, measurements and prevalence of fear of childbirth: a systematic review
  • 2018
  • Ingår i: Bmc Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 18
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Fear of Childbirth (FOC) is a common problem affecting women's health and wellbeing, and a common reason for requesting caesarean section. The aims of this review were to summarise published research on prevalence of FOC in childbearing women and how it is defined and measured during pregnancy and postpartum, and to search for useful measures of FOC, for research as well as for clinical settings. Methods: Five bibliographic databases in March 2015 were searched for published research on FOC, using a protocol agreed a priori. The quality of selected studies was assessed independently by pairs of authors. Prevalence data, definitions and methods of measurement were extracted independently from each included study by pairs of authors. Finally, some of the country rates were combined and compared. Results: In total, 12,188 citations were identified and screened by title and abstract; 11,698 were excluded and full-text of 490 assessed for analysis. Of these, 466 were excluded leaving 24 papers included in the review, presenting prevalence of FOC from nine countries in Europe, Australia, Canada and the United States. Various definitions and measurements of FOC were used. The most frequently-used scale was the W-DEQ with various cut-off points describing moderate, severe/intense and extreme/phobic fear. Different 3-, 4-, and 5/6 point scales and visual analogue scales were also used. Country rates (as measured by seven studies using W-DEQ with >= 85 cut-off point) varied from 6.3 to 14.8%, a significant difference (chi-square = 104.44, d.f. = 6, rho < 0.0001). Conclusions: Rates of severe FOC, measured in the same way, varied in different countries. Reasons why FOC might differ are unknown, and further research is necessary. Future studies on FOC should use the W-DEQ tool with a cut-off point of >= 85, or a more thoroughly tested version of the FOBS scale, or a three-point scale measurement of FOC using a single question as 'Are you afraid about the birth?' In this way, valid comparisons in research can be made. Moreover, validation of a clinical tool that is more focussed on FOC alone, and easier than the longer W-DEQ, for women to fill in and clinicians to administer, is required.
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31.
  • Nilsson, Stefan, 1972, et al. (författare)
  • Development of the Help Overcoming Pain Early (HOPE) Programme Built on a Person-Centred Approach to Support School Nurses in the Care of Adolescents with Chronic Pain : A Feasibility Study
  • 2019
  • Ingår i: Children. - : MDPI. - 2227-9067. ; 6:9
  • Tidskriftsartikel (refereegranskat)abstract
    • Chronic pain and its consequences are major global health challenges, and the prevalence is increasing worldwide among adolescents. Adolescents spend most of their waking hours in school; however, there is limited research available on how school nurses can address chronic pain among adolescents in the Swedish school context. Therefore, we designed a person-centred intervention, known as Help Overcoming Pain Early (HOPE), to enable school nurses to offer adolescents strategies to manage their stress and pain. We used the Medical Research Council (MRC) framework for developing and designing this new complex intervention. For this study, we describe two of the four phases: (a) development and (b) feasibility and piloting. The final version of the HOPE programme consists of (i) an educational package for school nurses in the areas person-centred care, stress and pain education/management and gender perspective; and (ii) an intervention package for adolescents with chronic pain. The programme consists of four sessions during which adolescents with chronic pain have person-centred dialogues with a school nurse. The HOPE programme is based on the existing evidence of managing chronic pain and on the assumption that school nurses can support adolescents with chronic pain by using person-centred care.
  •  
32.
  • Parents`participation in the care of their child in neonatal intensive care
  • 2010
  • Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
    • This chapter presents a research project of parents´ possibility to participate in the care of their child in neonatal intensive care. Using a phenomenological hermeneutical method the results show that the personnel had good ambitions to develop ideal care that promoted parent participation. However, care mainly seemed to be driven by budget constraints and medical-technical aspects; and parental participation was on the terms of the individual staff member that show difficulty in meeting worried parents. These results highlight the need to develop tangible strategies that provide optimal conditions for the parent to be present and involved in the care of their child.
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33.
  • Patriksson, K., et al. (författare)
  • Being a gift - Multilingual healthcare professionals in neonatal care
  • 2022
  • Ingår i: Journal of Neonatal Nursing. - : Elsevier BV. - 1355-1841. ; 28:1, s. 67-71
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: Parents said that they sometimes wished they had a multilingual physician as an interpreter, because the physician would understand the child's care and treatment and share a language with the parents. Aim: To understand and describe the lived experience of multilingual neonatal healthcare professionals dealing with interpreting in their workplace, performing as interpreters in addition to their regular work. Methods: Interviews with multilingual neonatal healthcare professionals and analysed using a phenomenological reflective lifeworld approach. Results: Multilingual healthcare professionals understood the interpreting experience as being a gift, comprising three themes: feeling satisfaction – happiness from helping workplace colleagues; identifying with families – empathy from having been in the same situation; and expected to be available – colleagues expected them to provide interpreting services. Conclusion: This study found that it is common in neonatal care to use multilingual healthcare professionals to interpret communication with parents when language barriers exist. © 2021
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34.
  •  
35.
  • Patriksson, Katarina, 1964, et al. (författare)
  • Conditions for communication between health care professionals and parents on a neonatal ward in the presence of language barriers
  • 2019
  • Ingår i: International Journal of Qualitative Studies on Health and Well-Being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 14:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Family-centred neonatal care views parents and child as a unit, and aims to support each family on the basis of its specific needs. Good communication can increase parents' satisfaction and reduce tension, and is necessary to create a mutual trustful relation, but is influenced by language barriers. We aimed to describe communication between neonatal health care professionals and parents in the presence of language barriers. Methods: A field study using a hermeneutic lifeworld approach, participative observation, and interviews with parents and health care professionals. Results: The main theme, endeavouring to understand the meaning behind the words, comprised three themes. Wanting to speak for oneself meant that parents wanted to speak for themselves or call on a friend or multilingual health care professionals, in contrast to the health care professionals wish to use an interpreter. Being aware of cultural keys meant that some wards had access to a "cultural broker" to assist health care professionals and parents with both language translation and understanding of the Swedish health care environment. Understanding one another in the employees' arena reflected varying language skills among health care professionals. The health care professionals had the power to decide the level of access to communication, and decided both the intensity and the frequency of the conversations. Conclusions: Health care professionals preferred to use an interpreter when communicating with parents, while parents wished to be independent and speak for themselves. If an interpreter was used, parents preferred this to be a friend or health care professionals; this option was less popular among health care professionals.
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36.
  • Patriksson, Katarina, 1964, et al. (författare)
  • Health care professional's communication through an interpreter where language barriers exist in neonatal care: a national study
  • 2019
  • Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 19:1
  • Tidskriftsartikel (refereegranskat)abstract
    • Background A number of parents in neonatal care are foreign-born and do not speak the local language, which makes communication between healthcare professionals and parents more difficult. Interpreters can be used when language barriers exist - parent interactions, medical communication and communication about the care of the child. The aim in this study was to examine healthcare professionals' use of interpreters and awareness of local guidelines for interpreted communication in neonatal care. Method A survey was distributed to all 2109 employees at all 38 neonatal units in Sweden, thus to all physicians, registered nurses and nurse assistants in active service. Data were analysed with descriptive statistics and dichotomized so the professionals were compared in groups of two using the Mantel-Haenszel Chi Square test and Fisher's Non Parametric Permutation test. Results The survey was answered by 41% (n = 858) representing all neonatal units. The study showed a difference between the professional groups in awareness of guidelines, availability of interpreters, and individual resources to communicate through an interpreter. Nurse assistants significantly lesser than registered nurses (p < .0001) were aware of guidelines concerning the use of interpreters. In emergency communications nurse assistants used authorized interpreters to a significantly lesser extent than physicians (p < .0001) and registered nurses (p < .0001). Physicians used authorized interpreters to a significantly higher extent than registered nurses (p 0.006) and non-authorized interpreters to a significantly lesser extent than registered nurses (p 0.013). In planned communications, nurse assistants used authorized interpreters to a significantly lesser extent than physicians (p < .0001) and registered nurses (p < .0001). Nurse assistants rated their ability to communicate with parents through an interpreter to a significantly lesser extent than physicians (p 0.0058) and registered nurses (p 0.0026). No other significant differences were found. Conclusion The results of the study show insufficient awareness of guidelines in all neonatal units in Sweden. Clinical implications might be to provide healthcare professionals with guidelines and training clinical skills in using interpreters and increasing the availability of interpreters by having interpreters employed by the hospital.
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37.
  • Patriksson, Katarina, et al. (författare)
  • Immigrant parents’ experiences of communicating with healthcare professionals at the neonatal unit: An interview study
  • 2019
  • Ingår i: Journal of Neonatal Nursing. - : Elsevier BV. - 1355-1841. ; 25:4, s. 194-9
  • Tidskriftsartikel (refereegranskat)abstract
    • © 2019 Neonatal Nurses Association Background: When newborn children of immigrants require care in a neonatal unit, parents frequently encounter not only a new language, but also a new healthcare organisation. Aim: To examine parents’ experiences of communication with healthcare professionals in a neonatal unit when language barriers are present. Method: Twenty interviews were conducted with families who spoke Arabic and had a child who had been cared for at one of five neonatal care units, level II-III in western Sweden. The interviews were analysed using a phenomenological hermeneutic approach. Results: The main theme, having the opportunity to exercise one's parental role, included four themes encountering emotional warmth, feeling accepted, encountering a lack of understanding, and compensating for inadequate language skills. Conclusion: It is not only language barriers that affect communication between parents and healthcare professionals; different expectations and pre-understandings are also of importance.
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38.
  •  
39.
  • Wallbing, U, et al. (författare)
  • Adolescents' experiences of Help Overcoming Pain Early : A school based person-centred intervention for adolescents with chronic pain
  • 2023
  • Ingår i: Paediatric & Neonatal Pain. - 2637-3807 .- 2379-5824. ; 5:4, s. 119-126
  • Tidskriftsartikel (refereegranskat)abstract
    • To illuminate adolescents' experiences of Help Overcoming Pain Early (HOPE), a person-centred intervention delivered in a school setting by school nurses. Twenty-one adolescents with chronic pain recruited from secondary school, who had completed the HOPE intervention, were included in the interview study. The HOPE intervention was built on person-centred ethics and consisted of four meetings between school nurses and adolescents on the subject of stress and pain management. A qualitative method using content analysis with an inductive approach was employed. In the interviews, the adolescents describe how they reclaim their lives with the help of HOPE. They use different strategies and parts of the intervention to move on with their lives. A trustful relationship, as that with the school nurse, was essential to dare to change. The overarching theme summarizes in Becoming myself again and is built up by three sub-themes: Trust a pillar for growth, Making sense of my life with pain, and Putting myself into the world again. A person-centred intervention such as HOPE applied in a school context is promising for promoting confidence in adolescents with chronic pain. A trust-building process emerged, in terms of both the adolescents' trust in the healthcare staff they meet and their confidence in their own ability to handle and influence their situation, which in the long term can promote trust in themselves as a person.
  •  
40.
  • Wallbing, Ulrika, 1964, et al. (författare)
  • Adolescents' experiences of Help Overcoming Pain Early—A school based person-centred intervention for adolescents with chronic pain
  • 2023
  • Ingår i: Paediatric and Neonatal Pain. - 2379-5824 .- 2637-3807. ; 5:4, s. 119-126
  • Tidskriftsartikel (refereegranskat)abstract
    • To illuminate adolescents' experiences of Help Overcoming Pain Early (HOPE), a person-centred intervention delivered in a school setting by school nurses. Twenty-one adolescents with chronic pain recruited from secondary school, who had completed the HOPE intervention, were included in the interview study. The HOPE intervention was built on person-centred ethics and consisted of four meetings between school nurses and adolescents on the subject of stress and pain management. A qualitative method using content analysis with an inductive approach was employed. In the interviews, the adolescents describe how they reclaim their lives with the help of HOPE. They use different strategies and parts of the intervention to move on with their lives. A trustful relationship, as that with the school nurse, was essential to dare to change. The overarching theme summarizes in Becoming myself again and is built up by three sub-themes: Trust a pillar for growth, Making sense of my life with pain, and Putting myself into the world again. A person-centred intervention such as HOPE applied in a school context is promising for promoting confidence in adolescents with chronic pain. A trust-building process emerged, in terms of both the adolescents' trust in the healthcare staff they meet and their confidence in their own ability to handle and influence their situation, which in the long term can promote trust in themselves as a person.
  •  
41.
  • Wallbing, Ulrika, et al. (författare)
  • Help overcoming pain early, a brief person-centred intervention for adolescents with chronic pain in a school setting, may improve symptoms of insomnia
  • 2023
  • Ingår i: Frontiers in Pain Research. - 2673-561X. ; 4
  • Tidskriftsartikel (refereegranskat)abstract
    • INTRODUCTION AND AIMS: Chronic pain and symptoms of insomnia affect large numbers of adolescents and early interventions are prioritized. The aim of the current study was to evaluate potential secondary effects of the intervention, Help Overcoming Pain Early (HOPE), on symptoms of insomnia and self-rated health.METHODS: The study included non-randomized aggregated data from the active and control conditions in a previously conducted randomized controlled trial evaluating the efficacy of HOPE, after the participants in the control condition also had received the intervention. Symptoms of insomnia were assessed with the Minimal Insomnia Symptom Scale and self-rated health was assessed with one item, at the start of the intervention, post intervention, and at a six-month follow-up. Baseline variables included age, gender, pain localization, pain impact, school absence and symptoms of depression (assessed with the Center for Epidemiological Studies Depression Scale for Children). Inferential analyzes were performed using Linear Mixed Models (LMM). Effect sizes were evaluated by calculating Cohen's d.RESULTS: There were statistically significant improvements in symptoms of insomnia at the six-month follow-up, and statistically significant improvements in self-rated health at the end of the intervention and at the six-month follow-up. Effect sizes were small across outcomes and assessments.DISCUSSION AND CONCLUSION: Results illustrated significant but small improvements in symptoms of insomnia and self-rated health in adolescents with chronic pain following the HOPE intervention. Although caution is needed when assessing the findings, results illustrate the potential utility of an accessible brief early intervention in a school context.
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42.
  • Wigert, Helena, 1960, et al. (författare)
  • A person-centred approach when encountering students with recurrent pain : School nurses’ experiences
  • 2021
  • Ingår i: Journal of School Nursing. - : Sage Publications. - 1059-8405 .- 1546-8364. ; 37:4, s. 249-258
  • Tidskriftsartikel (refereegranskat)abstract
    • Stress has a negative impact on students' daily lives and can be associated with recurrent pain. School nurses play a key role in supporting young people with stress-related pain. The purpose of this qualitative interview study was to elucidate school nurses' experiences of encountering students with recurrent pain when practicing person-centred care. The school nurses were based at public and private schools and worked with students aged 12-19. Data were collected through interviews with 18 school nurses and analyzed with deductive content analysis. The school nurses felt that actively listening to the students' narratives about daily life with recurrent pain, and co-creation of a health plan, encouraged the students to participate as partners in their own care and strengthened their relation with the students. The application of a person-centred approach in school health care meant that traditional knowledge transfer was replaced with a dialogue that reflects both the student's and school nurse's perspective.
  •  
43.
  • Wigert, Helena, 1960, et al. (författare)
  • Conditions for parents’ participation in the care of their child in neonatal intensive care – a field study
  • 2008
  • Ingår i: BMC Pediatrics. - : Springer Science and Business Media LLC. - 1471-2431. ; 8:3, s. 1-9
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: To promote participation by parents in the care of their child in neonatal intensive care units (NICU), health professionals need better understanding of what facilitates and what obstructs participation. The aim was to elucidate conditions for parents' participation in the care of their child in NICUs. METHODS: A field study with a hermeneutic lifeworld approach was used and data were collected at two NICUs through participative observations and interviews with representatives of management, staff and parents. RESULTS: The results point to a number of contradictions in the way parents were offered the opportunity to participate in neonatal intensive care. Management and staff both had good ambitions to develop ideal care that promoted parent participation. However, the care including the conditions for parental participation was driven by the terms of the staff, routines focusing on the medical-technical care and environment, and budgetary constraints. CONCLUSION: The result shows that tangible strategies need to be developed in NICUs aimed at optimising conditions for parents to be present and involved in the care of their child.
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44.
  • Wigert, Helena, 1960, et al. (författare)
  • Dealing with parents´existential issues in neonatal intensive care
  • 2018
  • Ingår i: Journal of Neonatal Nursing. - : Elsevier BV. - 1355-1841. ; 24:4, s. 213-217
  • Tidskriftsartikel (refereegranskat)abstract
    • Staff at neonatal intensive care units (NICU) are often confronted with existential questions brought up by the parents of sick newborns. This study explores how hospital staff approach parents' existential issues. Thirty-two interviews with physicians, nurses, counsellors, psychologists and priests at four NICUs were analysed using qualitative content analysis. Physicians and nurses found it difficult to deal with the existential issues of parents. Some considered that it was not their job and referred parents to a counsellor or psychologist. However, counsellors and psychologists noted that many parents would rather speak to a physician or a nurse whom they were already familiar with. Several of the priests felt that their job included providing support for the staff as much as for the parents. To adequately encounter parents' existential issues, physicians and nurses need training and guidelines concerning cooperation between the different professions.
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45.
  • Wigert, Helena, 1960 (författare)
  • Föräldrars delaktighet i sitt barns vård vid neonatal intensivvård
  • 2008
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • When a newborn baby is in need of care in a neonatal intensive care unit (NICU), the care is assumed to be carried out not only by personnel but also by parents. To promote parental participation in this care, the parents are welcome to stay with their child whenever they wish. This thesis includes four papers and has the overall aim of contributing to the understanding of the significance of parental participation in the care of their child on the NICU, as well as the factors that influence, facilitate or obstruct that participation. The thesis is based on participative observations and interviews with parents and personnel at two NICUs. Paper I used a phenomenological hermeneutic lifeworld approach, while Papers II and III used a hermeneutic lifeworld approach, and Paper IV had a descriptive quantitative design. The results of this thesis show a general feeling of exclusion, with the mother experiencing a lack of interaction with the personnel and a sense of not belonging on the NICU. This has a negative impact on her maternal identity. However, when a continuous dialogue existed, and the mother was cared for as a unique person with unique needs, she experienced that she was participating, and this strengthened her maternal identity (I). The personnel on the NICU were ambivalent regarding the presence of parents, and set limits that included dictating conditions for parental participation. In the encounter with the parents they had difficulties in meeting worried parents and sometimes manifested an evasive attitude (II). Although the personnel had good ideals and intended to encourage parental participation, the care, including the terms of parental participation, was determined by the conditions set by the personnel, routines focusing on the care environment and medical technology, and budgetary constraints (III). The nature and extent of parental presence on the NICUs varied depending on the types of accommodations parents were offered. Those who stayed in parent rooms on the units showed more of presence with their children than did parents who stayed at a family hotel, at home or on the maternity ward. The main reason parents had for being with their child was a wish to take parental responsibility. Good treatment by the personnel was the primary factor facilitating parental presence, while parental ill health was the primary obstructing factor (IV). The results show a need to develop a family-friendly environment and tangible strategies to provide optimal conditions for enabling parents to be present and involved in the care of their child on a NICU. In addition, the personnel must be given the resources needed to make this possible.
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46.
  • Wigert, Helena, 1960, et al. (författare)
  • Health care professionals' experiences of parental presence and participation in neonatal intensive care unit
  • 2007
  • Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 2:1, s. 45-54
  • Tidskriftsartikel (refereegranskat)abstract
    • In a neonatal intensive care unit (NICU), the care is carried out not only by health care professionals but also by parents. The aim was to describe from a lifeworld hermeneutics approach, health care professionals’ experience of parents’ presence and participation in the care of their child in the NICU. Twenty health care professionals in two NICUs were interviewed. The interpretations of four themes indicate that the care personnel in NICU were ambivalent towards the presence of parents and set limits including dictating conditions for parental participation. In the encounter with the parents, they balanced between closeness and distance and had difficulty in meeting worried parents. There was little ability to deal with parents in crisis in the correct manner and sometimes an avoiding attitude was present. The care environment obstructed the personnel’s endeavours to involve the parents in the care of their child. The result shows there is a need to train personnel in the art of dealing with parents in crisis. This should include developing the care environment to allow parents to be present and take part in the care of their child but also give personnel the prerequisites to make this possible.
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47.
  • Wigert, Helena, 1960, et al. (författare)
  • Managing conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play
  • 2021
  • Ingår i: Nurse Education in Practice. - : Elsevier BV. - 1471-5953 .- 1873-5223. ; 56
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To describe and illuminate conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play. Background: Conflicts are common in healthcare settings and affect patient care and the wellbeing of nurses. To be able to manage complex practice situations, conflict management is an essential competence for nurses and should be highlighted during education. The aim of the study was to describe and illuminate conflict situations nursing students encounter during their clinical practice, narrated and performed through Forum Play. Design: The study was designed as a summative qualitative analysis of written group assignments related to nursing students' participation in a drama workshop. Method: A summative qualitative content analysis of written group assignments related to nursing students' participation in a drama workshop, focusing on conflict management. During the workshop the students explored conflict situations they had encountered during clinical practice, through Forum Play. After the workshop, the students handed in a mandatory written group assignment where they described one of the conflict situations. Results: The findings are presented in three categories; Parties; Arenas; Situations, one main theme; "Who knows best" and two subthemes; Difficulties to adapt to the new and Difficulties reaching a mutual understanding. Conclusion: Conflict situations that nursing students encounter during their clinical practice often stem from the health care staff's difficulties in adapting to the new and difficulty reaching a mutual understanding. Conflict management can be implemented as a powerful learning strategy in nursing education.
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48.
  • Wigert, Helena, 1960, et al. (författare)
  • Mothers' experiences of having their newborn child in a neonatal intensive care unit.
  • 2006
  • Ingår i: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 20:1, s. 35-41
  • Tidskriftsartikel (refereegranskat)abstract
    • BACKGROUND: From birth the child has an ability to respond to the environment, which influences the interaction between mother and child. If this attachment is interrupted, the child's emotional development is negatively influenced. When the child needs care in a neonatal intensive care unit (NICU) it is difficult to establish contacts between mother and child. Separation from the child is found to be the most difficult aspect for mothers when their newborn child is hospitalized in a NICU. AIM: The aim of this study was to describe mothers' experiences when their full-term newborn child was cared for in a NICU during the postpartum maternity care period. METHOD: A phenomenological hermeneutic interview study was performed. Ten mothers were interviewed once, 6 months to 6 years after the experience. RESULTS: The essence of the experience is understood as an alternation between two opposite concepts, exclusion and participation, with emphasis on exclusion. A feeling of exclusion dominates when the new mother feels a lack of interaction and a sense of not belonging to either the maternity care unit or the NICU. This has a negative effect on her maternal feelings. On the contrary, when a feeling of participation dominates, a continuous dialogue exists and the mother is cared for as a unique person with unique needs. This supports her maternal feelings in a positive direction. The implication of the result for nurses is that it is important to decrease mothers' experience of exclusion and to increase their feeling of participation when their child is cared for in a NICU. A return visit to the responsible nurse to go through the treatment and experiences should be offered to all parents whose child has been cared for in a NICU.
  •  
49.
  • Wigert, Helena, 1960, et al. (författare)
  • Organizing person-centred care in paediatric diabetes: multidisciplinary teams, long-term relationships and adequate documentation
  • 2014
  • Ingår i: BMC Research Notes. - : Springer Science and Business Media LLC. - 1756-0500. ; 7:72
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Type 1 diabetes is one of the most frequent long-term endocrine childhood disorders and the Swedish National Diabetes Register for children states that adolescents (12–18 years) constitute the most vulnerable patient group in terms of metabolic control. The aim of this study was to examine how a multidisciplinary team functions when caring for adolescents with type 1 diabetes. Methods Qualitative interviews were performed with 17 health professionals at a Paediatric Diabetes Care Unit in a Swedish university hospital. The interviews were analysed to gain insight into a multidisciplinary care team’s experiences of various organizational processes and circumstances related to the provision of person-centred paediatric diabetes care. Results Building long-term relationships with adolescents, the establishment of a multidisciplinary care team and ensuring adequate documentation are vital for the delivery of person-centred care (PCC). Furthermore, a PCC process and/or practice requires more than the mere expression of person-centred values. The contribution of this study is that it highlights the necessity of facilitating and safeguarding the organization of PCC, for which three processes are central: 1. Facilitating long-term relationships with adolescents and their families; 2. Facilitating multi-professional teamwork; and 3. Ensuring adequate documentation. Conclusion Three processes emerged as important for the functioning of the multidisciplinary team when caring for adolescents with type 1 diabetes: building a long-term relationship, integrating knowledge by means of multidisciplinary team work and ensuring adequate documentation. This study demonstrates the importance of clearly defining and making use of the specific role of each team member in the paediatric diabetes care unit (PDCU). Team members should receive training in PCC and a PCC approach should form the foundation of all diabetes care. Every adolescent suffering from type 1 diabetes should be offered individual treatment and support according to her/his needs. However, more research is required to determine how a PCC approach can be integrated into adolescent diabetes care, and especially how PCC education programmes for team members should be implemented.
  •  
50.
  • Wigert, Helena, 1960, et al. (författare)
  • Parental presence when their child is in neonatal intensive care.
  • 2010
  • Ingår i: Scandinavian journal of caring sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 24:1, s. 139-46
  • Tidskriftsartikel (refereegranskat)abstract
    • When a newborn baby needs care in a neonatal intensive care unit (NICU), the parents are welcome to stay with their child whenever they wish. The aim of the present study was to investigate the time per day parents are present together with their child at the NICU and to identify factors that facilitated and obstructed their presence.
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