| 1. |
- Wiklund Gustin, Lena, 1960-, et al.
(författare)
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Omvårdnadsteori i klinisk praxis
- 2012. - 1
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- Trots att såväl vårdpersonal som utbildningsanordnare och lagstiftare talar om att vården ska utgå från en helhetssyn på patienten tycks detta perspektiv ofta falla bort då man talar om evidens- eller kunskapsbaserad vård. Detta vill författarna till Omvårdnadsteorieri klinisk praxis råda bot på. I boken visar de huromvårdnad kan kunskapsbaseras utifrån fokus på vårdandet av människor och sjuksköterskans självständiga professionsansvar.De teorier som tas upp har utvecklats av Phil Barker, Katie Eriksson, Virginia Henderson, Madeleine Leininger, Dorothea Orem, Sister Calista Roy, Rosie-Marie R. Parse och Jean Watson. Teorierna relateras till olika åldersgrupper och vårdkontexter, till exempel perioperativ vård, primärvård, palliativ vård, kirurgisk vård, medicinsk vård och psykiatrisk vård, liksom till olika aspekter av vård: patientens perspektiv, vårdande relationer, hälsa och lidande, etik, behov, adaption, egenvård och kultur
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| 2. |
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| 3. |
- Gustafsson, Lena-Karin, 1966-, et al.
(författare)
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The meaning of reconciliation : Women’s stories about theirexperience of reconciliation with suffering from grief
- 2011
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley Blackwell. - 0283-9318 .- 1471-6712. ; 25:3, s. 525-532
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Grief can be seen as a form of suffering. In this study grief was not only defined as loss, but as the process of inner suffering caused of some kinds of loss. We must recognise the importance of increased understanding for patient reconciliation with grief to expand earlier formulated knowledge about health and suffering. The aim in this study was ti illuminate the meaning of reconciliation among women suffering from grief.Methods:A qualitative explorative design with a hermeneutic narrative approach was used to analyse and interpret the interviews. Caring theory abouth health, suffering and hermeneutical philosophy about understanding provided the point of departure for the analysis. The study was approved by an ethical research committé.Results:Findings reveal different plots that give light to the meaning of reconciliation in the different phases of analysis. In the Women´s narratives the meaning of reconciliation is a process to a new way of seeing, but also to opening and transition from the experience of grief and suffering to the experience of health and holiness.Conclusions: Reconciliation has a progressive form and the meaning of reconciliation cannot be seen as synonymous or homogenous but an understanding of reconciliation as a heterogenic synthesis of health and suffering. Understanding the reconciliation process will enable nurses to plan and provide professional care, based on caring science.
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| 4. |
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| 5. |
- Andersson, Urban, et al.
(författare)
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Nurses’ experiences of informal coercion on adult psychiatric wards
- 2020
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 27:3, s. 741-753
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Tidskriftsartikel (refereegranskat)abstract
- Background:Informal coercion, that is, situations where caregivers use subtle coercive measures to impose their will on patients, is common in adult psychiatric inpatient care. It has been described as ‘a necessary evil’, confronting nurses with an ethical dilemma where they need to balance between a wish to do good, and the risk of violating patients’ dignity and autonomy.Aim:To describe nurses’ experiences of being involved in informal coercion in adult psychiatric inpatient care.Research design:The study has a qualitative, inductive design.Participants and research context:Semi-structured interviews with 10 Swedish psychiatric nurses were analysed with qualitative content analysis.Ethical considerations:The study was performed in accordance with the Declaration of Helsinki. In line with the Swedish Ethical Review Act, it was also subject to ethical procedures at the university.Findings:Four domains comprise informal coercion as a process over time. These domains contain 11 categories focusing on different experiences involved in the process: Striving to connect, involving others, adjusting to the caring culture, dealing with laws, justifying coercion, waiting for the patient, persuading the patient, negotiating with the patient, using professional power, scrutinizing one’s actions and learning together.Discussion:Informal coercion is associated with moral stress as nurses might find themselves torn between a wish to do good for the patient, general practices and ‘house rules’ in the caring culture. In addition, nurses need to be aware of the asymmetry of the caring relationship, in order to avoid compliance becoming a consequence of patients subordinating to nurse power, rather than a result of mutual understanding. Reflections are thus necessary through the process to promote mutual learning and to avoid violations of patients’ dignity and autonomy.Conclusion:If there is a need for coercion, that is, if the coercion is found to be an ‘unpleasant good’, rather than ‘necessary evil’ considering the consequences for the patient, it should be subject to reflecting and learning together with the patient
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| 6. |
- Carnesten, Hillewi, et al.
(författare)
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Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID-19 pandemic
- 2023
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Ingår i: Journal of Advanced Nursing. - : John Wiley and Sons Inc. - 0309-2402 .- 1365-2648. ; 79:6, s. 2269-2279
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To illuminate the meaning of newly graduated registered nurses' experiences of caring for patients in emergency departments during the COVID-19 pandemic. Design: A phenomenological hermeneutical study guided by Lindseth and Norberg. Methods: In-depth one-on-one interviews with 14 nurses from five hospitals were conducted from March to November 2020 and analysed using thematic analysis. The consolidated criteria for reporting qualitative research (COREQ) were used as the reporting guideline. Results: The findings comprise one main theme Caring through barriers and three themes with sub-themes. In the first theme, having intention to care, participants revealed their dedication to care for patients during the pandemic despite extensive stress, little experience and skills. The second theme, with tied hands in human suffering, illuminates experiences of being disconnected from the patient, overwhelmed by responsibility and unable to relieve suffering. The third theme, feeling inadequate, reveals experiences of lack of support and doubts meaning less space to develop into the nurse one wants to be. Conclusion: Findings reveal a new understanding of new nurses' experiences during times of crisis. The essence of caring in the emergency department during the pandemic can be explained as mediated through spatial, temporal and emotional barriers preventing new nurses from providing holistic care. Impact: The results may be used as anticipatory guidance for new nurses and inform targeted support interventions to support new nurses entering the profession in crisis conditions. Public Contribution: This study involved new nurses in semi-structured interviews.
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| 7. |
- Carnesten, Hillewi, 1969-
(författare)
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Nurses' caring struggle : Stress in caring within hospital emergency care during the COVID-19 pandemic
- 2024
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Nurses took a frontline caregiving role during the COVID-19 pandemic in pervasively altered conditions in Swedish hospital emergency healthcare. Little is known about nurses’ experiences of the stress they were subjected to. In this thesis, findings from individual in-depth interviews with both newly graduated registered nurses (NGRNs) and experienced nurses (ERNs), as well as a web-based questionnaire, illuminate nurses’ lived experiences of stress in caring during the COVID-19 pandemic. Three studies employed qualitative methods (I, II, IV), and one a mixed methods approach (III). Study I aimed to describe NGRNs’ experiences of encountering stress in EDs during the COVID-19 pandemic. Findings illuminate how dedicated NGRNs struggle to develop into the nurse they want to be whilst battling extraordinary situations and conflicting emotions. Loss of control and experiences of shortcomings caused by work overload in combination with understaffing force NGRNs into an independent role at an early point in their career. Study II aimed to illuminate the meaning of NGRNs' experiences of caring for patients in EDs during the COVID-19 pandemic. Findings comprise caring being bestowed through spatial, emotional, and temporal barriers. NGRNs want to be present, relieve suffering yet describe caring during the pandemic as being a hidden activity, less acknowledged and left to the recognition of each nurse. Study III aimed to explore healthcare workers’ (HCWs’) experiences of the changed caring reality of the COVID-19 pandemic. Findings disclose traumatic experiences and having to sacrifice moral values and harbour dilemmas in isolation. Experiencing stress was significantly correlated to lower sense of coherence (SOC). Study IV aimed to explore nurses’ lived experiences of stress in the transformed caring reality during the COVID-19 pandemic. The interpreted meaning comprises the dilemma of enduring the unbearable, meaning having to silence one’s inner ethical, caring compass. In conclusion, stress in caring during the COVID-19 pandemic from a nurse perspective, can be understood as a caring struggle entailing bodily, knowledge, and ethical stress in a search for meaning that might be found in togetherness with patients, with colleagues, with dear ones and in nature.
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| 8. |
- Carnesten, Hillewi, 1969-, et al.
(författare)
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Struggling in the dehumanized world of COVID-An exploratory mixed-methods study of frontline healthcare workers' experiences
- 2024
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Ingår i: Journal of Advanced Nursing. - : WILEY. - 0309-2402 .- 1365-2648.
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Tidskriftsartikel (refereegranskat)abstract
- Aim: To explore healthcare workers' experiences of the changed caring reality during the COVID-19 pandemic in Sweden. Design: An online fully mixed-methods design. Methods: A web-based self-reported questionnaire with fixed and open-ended answers collected data from March to April 2021, analysed in three steps. First, free-text questions were analysed by qualitative content analysis. Then quantitative linear regression analyses using models covering stress and coping mechanisms were conducted. Finally, a meta-inference of qualitative and quantitative data emerged a new comprehensive understanding. The COREQ guidelines were used for reporting. Results: Meta-inferenced results of quantitative and qualitative findings show the pandemic was a traumatic experience for healthcare workers. Main theme; When work became a frightening experience in a dehumanized reality, comprised four themes: Entering unprepared into a frightful, incomprehensible world; Sacrificing moral values and harbouring dilemmas in isolation; Lack of clear management; and Reorient in togetherness and find meaning in a changed reality. Qualitative results comprised four categories; Working in a dehumanized world; Living in betrayal of ones' own conscience; Lack of structure in a chaotic time and Regaining vitality together. Subdimensions comprehensibility and meaningfulness were associated significantly with post-traumatic stress disorder in multiple regression analysis. In multiple regression analysis, sense of coherence was the most prominent coping strategy. Conclusions: Forcing oneself to perform beyond one's limit, sacrificing moral values and lacking management was a traumatic experience to healthcare workers during the pandemic. Reorienting as a way of coping was possible in togetherness with colleagues. There is an urgency of interventions to meet the needs among healthcare workers who took on a frontline role during the COVID-19 pandemic and to prevent mental health illness in future crisis. Patient or Public Contribution: No patient or public contribution. Summary: The pandemic outbreak exposed frontline healthcare workers to unparallelled stress shown as negative for their mental health in several meta-analyses and systematic reviews. In-depth understanding on experiences and how symptoms of post-traumatic stress disorder relate to coping mechanisms have been scarcely explored. This study contributes to understanding on healthcare workers' experiences and the relation between lower sense of coherence and increased risk of developing symptoms of post-traumatic stress disorder. Implications for Practice/Policy: This study might guide how to prepare for resilience in future emergencies.
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| 9. |
- Donner, Lucas, et al.
(författare)
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Navigating between Compassion and Uncertainty – Psychiatric Nurses’ Lived Experiences of Communication with Patients Who Rarely Speak
- 2020
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Ingår i: Issues in Mental Health Nursing. - : Informa UK Limited. - 0161-2840 .- 1096-4673. ; 42:4, s. 307-316
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Tidskriftsartikel (refereegranskat)abstract
- Caring conversations are considered essential in psychiatric and mental health nursing. However, some patients are more or less silent and rarely express themselves verbally. This can be challenging for nurses who also need to find ways of communicating with these patients. Therefore, the aim of this study is to describe psychiatric nurses’ lived experiences of communication with patients who rarely speak. Five nurses were recruited from a psychiatric nursing home. Participants were encouraged in interviews to reflect on their experiences of caring for patients who are more or less silent. The transcribed interviews were subject to a phenomenological hermeneutic analysis. The findings are reflected in three main themes: (i) giving space for the unspoken narrative, (ii) remaining in uncertainty, and (iii) being in reflective vigilance. The themes were synthesised and reflected on in the light of Fredriksson’s theory of caring conversations. The comprehensive understanding reveals that nurses’ understanding of the patient’s unspoken narrative relies both on compassion and a willingness to engage, but also on a preparedness to remain in the uncertainty of not knowing. Balancing good intentions and the fear of one’s own shortcomings requires reflections not only in actions during encounters with the patient, but on actions. When nurses can apprehend and respond to what the patient expresses non-verbally, a joint narrative can emerge.
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| 10. |
- Eriksson, Nadya Travina, et al.
(författare)
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Blessed Alienation : The Christian Monastery as a Caring and Restorative Environment
- 2014
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Ingår i: Qualitative Health Research. - : SAGE Publications. - 1049-7323 .- 1552-7557. ; 24:2, s. 172-182
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Tidskriftsartikel (refereegranskat)abstract
- Being mentally ill is often associated with experiencing alienation from society because sensations are not easily shared with others. Modern health care leads us to pose many questions. Some sufferers search and find their way to monasteries as they did centuries ago. We interviewed six persons staying in a monastery to understand the meaning of health and care in a monastic environment in contemporary Sweden. We analyzed the transcripts by means of a hermeneutic approach and discovered that the helping effect of the monastery was based on its contradictory/paradoxical structure that corresponded to the lifeworld of a person suffering from mental illness. The monastery was a place where one could be different but equal, and simultaneously provided freedom within boundaries, calmness and intensity, privacy and relations, demands and confirmation. This facilitated experiences of health and wholeness, necessary to manage the challenges of recovery.
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| 11. |
- Eriksson, Nadya Travina, et al.
(författare)
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Hermeneutic Inquiry : Researching Lived Experience of Mental Health and Recovery in a Christian Monastery in Contemporary Sweden
- 2018
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Ingår i: SAGE Research Methods Cases Part 1. - 1 Oliver's Yard, 55 City Road, London EC1Y 1SP United Kingdom : Sage Publications. - 9781526440341
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Bokkapitel (refereegranskat)abstract
- In this case study, we, the student Nadya and her supervisor Lena, will describe the processand challenges associated with conducting an empirical study for a master’s degree in caringscience in psychiatric nursing. We will describe how the idea for the thesis evolved, theoreticaland practical preparations, as well as methodological procedures in relation to data collectionand analysis. We will also share some reflections we made in relation to challengesencountered during this study. Many of these reflections were directed toward methodologicalaspects of the study. However, along the way, it also became clear that experiences fromconducting the study also yielded important knowledge and understanding about mental healthcare. The reflections about what happened in the encounter between Nadya and theparticipants added depth not only to our understanding of the subject for this study, that is,how mental health, care, and recovery are experienced by people in a Christian monastery incontemporary Sweden, but also shed light on important aspects of mental health nursing inrelation to modern psychiatry.
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| 12. |
- Gabrielsson, Sebastian, 1975-, et al.
(författare)
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Positioning Psychiatric and Mental Health Nursing as a Transformative Force in Health Care
- 2020
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Ingår i: Issues in Mental Health Nursing. - London : Informa UK Limited. - 0161-2840 .- 1096-4673. ; 11:1, s. 976-984
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Tidskriftsartikel (refereegranskat)abstract
- From the perspective of psychiatric and mental health nurses in Sweden, this discussion paper aims to position psychiatric and mental health nursing as a transformative force contributing to enforcing person-centered values and practices in health care. We argue the potential impact of psychiatric and mental health nursing on service user health and recovery, nursing student education and values, and the organization and management of health care. Psychiatric and mental health nursing is discussed as a caring, reflective, and therapeutic practice that promotes recovery and health. Implications for nursing education, research, management, and practice are outlined.
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| 13. |
- Gabrielsson, Sebastian, et al.
(författare)
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Psykiatrisk omvårdnad gör skillnad
- 2020
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Ingår i: Psyche. - 0283-3468. ; :3, s. 6-9
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Tidskriftsartikel (populärvet., debatt m.m.)abstract
- Som svar på ifrågasättandet av en nationellt reglerad specialistinriktning mot psykiatrisk vård har PRF tagit initiativ till att förtydliga vad psykiatrisk omvårdnad är och vad den bidrar med. Psykiatrisk omvårdnad har kraft att förändra människors hälsa och återhämtning, studenters kunskap och värderingar samt hur sjukvården organiseras och leds. Psykiatrisk omvårdnad är en vårdande, reflekterande och terapeutisk praktik som bidrar till återhämtning och hälsa.
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| 14. |
- Gustafsson, Gabriella, et al.
(författare)
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Stress, utbrändhet och utmattningssyndrom
- 2019. - 3
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Ingår i: Omvårdnad vid psykisk ohälsa. - Lund : Studentlitteratur AB. - 9789144123691 ; , s. 57-85
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 15. |
- Hammarback, Staffan, et al.
(författare)
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Navigating oneself through the eyes of the other - meanings of encountering ambulance clinicians while being in a suicidal process
- 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
- PurposeThe suicidal process contains both observable and non-observable phases, and patients have described the process as characterized by loneliness and darkness. Ambulance clinicians encounter patients in all phases of the suicidal process but little is known on what meaning this encounter has to the patients. The aim of this study was to elucidate meanings of encountering ambulance clinicians while being in a suicidal process.MethodsData were collected through fifteen individual interviews with eight participants who had lived experiences of encountering ambulance clinicians. Inductive design using phenomenological hermeneutical approach was used.FindingsPatients are impacted by the clinicians, both in how they find their value in the situation, but also in expected trajectory. Three themes; 'Being impacted by representatives of society', 'Being unsure of ones own value' and 'Regaining hope in moments of togetherness' generated the main theme Navigating oneself through the eyes of the other.ConclusionThe way ambulance clinicians communicate impacts how patients navigate themselves in the ambivalence about living or dying, and the encounter either consolidate a feeling of being a burden, or instil hope of an endurable life. Through conversation, clinicians could support the patients in taking the first steps in the journey of recovery.
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| 16. |
- Hemberg, Jessica, et al.
(författare)
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Caring from the heart as belonging : The basis for mediating compassion
- 2020
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 7:2, s. 660-668
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Tidskriftsartikel (refereegranskat)abstract
- Background:Informal coercion, that is, situations where caregivers use subtle coercive measures to impose their will on patients, is common in adult psychiatric inpatient care. It has been described as ‘a necessary evil’, confronting nurses with an ethical dilemma where they need to balance between a wish to do good, and the risk of violating patients’ dignity and autonomy.Aim:To describe nurses’ experiences of being involved in informal coercion in adult psychiatric inpatient care.Research design:The study has a qualitative, inductive design.Participants and research context:Semi-structured interviews with 10 Swedish psychiatric nurses were analysed with qualitative content analysis.Ethical considerations:The study was performed in accordance with the Declaration of Helsinki. In line with the Swedish Ethical Review Act, it was also subject to ethical procedures at the university.Findings:Four domains comprise informal coercion as a process over time. These domains contain 11 categories focusing on different experiences involved in the process: Striving to connect, involving others, adjusting to the caring culture, dealing with laws, justifying coercion, waiting for the patient, persuading the patient, negotiating with the patient, using professional power, scrutinizing one’s actions and learning together.Discussion:Informal coercion is associated with moral stress as nurses might find themselves torn between a wish to do good for the patient, general practices and ‘house rules’ in the caring culture. In addition, nurses need to be aware of the asymmetry of the caring relationship, in order to avoid compliance becoming a consequence of patients subordinating to nurse power, rather than a result of mutual understanding. Reflections are thus necessary through the process to promote mutual learning and to avoid violations of patients’ dignity and autonomy.Conclusion:If there is a need for coercion, that is, if the coercion is found to be an ‘unpleasant good’, rather than ‘necessary evil’ considering the consequences for the patient, it should be subject to reflecting and learning together with the patient
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| 17. |
- Johansson, Louice, et al.
(författare)
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The multifacetted vigilance - nurses’ experiences of caring encounters with patients suffering from substance use disorder
- 2016
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 30:1, s. 303-311
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundNursing care is guided by a value base focusing on promoting dignity and health by means of the caring relationship. However, previous research has revealed that negative attitudes towards ‘addicted’ patients, as well as these patients’ behaviour, can give rise to negative emotions such as frustration and disappointment among nurses. This can contribute to a judgmental and controlling attitude towards patients. To preserve order, nursing interventions focusing on creating structure and stability could be applied in a way that challenges caring values.Aims and objectivesThis study aimed to describe how nurses’ working in inpatient psychiatric care experience caring encounters with patients suffering from substance use disorder (SUD).DesignThis qualitative study is part of a clinical application project focusing on value-based care of patients suffering from SUD. Data were obtained during four reflective group dialogues with six nurses in a psychiatric hospital.MethodsThe transcribed dialogues were subjected to latent qualitative content analysis.ResultsThe analysis facilitated the organisation of the findings into a coherent pattern. A common thread of meaning was conceptualised as a theme labelled ‘the multifaceted vigilance’, describing how nurses strived to deliver good care, while at the same time being vigilant towards patients’ behaviour as well as their own reactions to it. Within that theme, four categories described experiences related to different challenges nurses face in caring encounters.ConclusionWe suggest that this perhaps unavoidable aspect of caring encounters can be an asset. Thus, if acknowledged and subject to reflection, being vigilant could be understood as a strength enabling nurses to safeguard caring values, and to use their authority to promote patients’ health and alleviate suffering.
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| 18. |
- Kitzmüller, Gabriele, et al.
(författare)
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Filling the void : the role of adult siblings caring for a brother or sister with severe mental illness
- 2023
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Ingår i: Global Qualitative Nursing Research. - : SAGE Publications. - 2333-3936. ; 10
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Tidskriftsartikel (refereegranskat)abstract
- Little is known about the role of adult siblings’ caregiver role within the context of mental illness. Therefore, our purpose was to explore how siblings narrate their experiences of being the main caregivers of a brother or sister with severe mental illness and how they cooperate with their ill sibling and their family of origin. We used a narrative hermeneutic approach and performed a secondary analysis of two interviews of siblings derived from a study of peoples’ experiences of hearing voices. The findings illuminate the participants’ multifaceted roles and how differently siblings might deal with the multiple challenges of caring for an ill sibling. The mediating role between their ill sibling and their family of origin to reestablish the broken family bonds was a significant aspect. Nurses’ awareness of the important and multidimensional role of caregiving siblings can improve the provision of family support and promote involvement of siblings in the treatment of an ill family member.
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| 19. |
- Lassenius, Oona, et al.
(författare)
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Moving toward Reclaiming Life : Lived Experiences of Being Physically Active Among Persons with Psychiatric Disabilities
- 2013
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Ingår i: Issues in Mental Health Nursing. - : Informa UK Limited. - 0161-2840 .- 1096-4673. ; 34:10, s. 739-746
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Tidskriftsartikel (refereegranskat)abstract
- There is abundant documentation in research about the significant relationship between physical activity and mental health, but there is still more to be learned about what can enhance motivation to become more physically active. Fourteen persons with psychiatric disabilities were interviewed about their experiences of being physically active, and data was analyzed using a phenomenologicalhermeneutic method. Five themes emerged: Capability for Living, Liberation from a Heavy Mind, Companionship in Being in Motion, Longing for Living One’s Life, and Struggling with Limitations. The interpreted meaning of being physically active was to be moving toward reclaiming one’s life.
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| 20. |
- Lassenius, Oona, et al.
(författare)
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Self-reported health and physical activity among community mental healthcare users
- 2013
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Ingår i: Journal of Psychiatric and Mental Health Nursing. - : Wiley. - 1351-0126 .- 1365-2850. ; 20:1, s. 82-90
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to survey the self-reported health and physical activity in a sample of community mental healthcare users in a city of Sweden. The study was conducted through a cross-sectional design with participants requested to fill out a self-report questionnaire. Participants (n =103) were persons with psychiatric disabilities living in residential psychiatric settings and/or participating in daily activities provided by community mental healthcare services. The results showed that the group is affected with serious risk factors, such as high body mass index, low rated extent and frequency of physical activity and low self-estimated general state of health. Even though some difficulties associated with the answering process of this questionnaire emerged, these self-reported results clearly confirm the fact that persons with psychiatric disabilities constitute a vulnerable group in need for health-promoting caring activities and interventions.
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| 21. |
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| 22. |
- Lindgren, Sari, et al.
(författare)
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Living in negotiation : patients’ experiences of being in the diagnostic process of COPD
- 2014
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Ingår i: International Journal of COPD. - 1178-2005. ; 9, s. 441-451
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: To illuminate patients’ lived experiences of going through the process of being diagnosed with chronic obstructive pulmonary disease (COPD). Patients and methods: A phenomenological-hermeneutic analysis was applied in the inter- pretation of interviews with eight persons diagnosed with mild or moderate COPD.Results: One main theme ‘living in negotiation’, and three themes ‘living with a body out of step with the diagnosis’, ‘dealing with the past’, and ‘being challenged by the future’ reflected the process participants were living through in their quest for acceptance and a new balance in life. Participants found that the diagnostic processes were confusing, and that the diagnosis itself was ‘a slap in the face’. Unclear messages gave rise to fluctuating between an under- standing of the condition as ‘not too severe’, insecurity, and fear. Shame and guilt related to the diagnosis had origins in the past, and in combination with the idea of ‘chronic’ the COPD diagnosis interfered with the present moment and gave rise to uncertainty for the future. The understanding of the present is related to negotiations not only with the past, but also with the future. Thus temporal aspects of the diagnosis are of great significance for the process of finding acceptance.Conclusion: Regardless of disease severity, the diagnosis seems to be a breakdown of life, which puts life itself at stake. Medical professionals should be aware that the way the diagnosis is disclosed and communicated has considerable significance for how individuals understand and deal with their illness. The diagnosis should be communicated face-to-face, clearly and with empathy, and followed by information about COPD. Physicians should allow time and listen to the patients’ stories, and thus develop a shared understanding of the temporal aspect of the illness and patients’ needs and concerns. Thus, good communication is essential in determin- ing whether the patient remains in negotiation, or enters a process toward acceptance and new understanding.
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| 23. |
- Lindgren, Sari, et al.
(författare)
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Å skape handlingsrom for pasientsikkerhet i sykehjem : Sykepleieres erfaringer med å delta i simulering in situ på sykehjem
- 2020
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Ingår i: Handlingsrom for profesjonalisert velferd. - Oslo : Cappelen Damm Akademisk. - 9788202706715 - 9788202706661 ; , s. 177-198
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Bokkapitel (refereegranskat)abstract
- Some patients in nursing homes require extra attention to enable staff todetect and manage deterioration at an early stage. Nursing skills are vital to makesystematic observations and assessments of a patient’s condition. It is challenging fornurses in nursing homes to make professional decisions without being able to consultother nurses. To improve the quality and safety of health care for patients and theirrelatives, the focus must be on working to ensure patient safety in nursing homes.Simulation-based learning can be one way to increase reflection on patient safety anddevelop health professionals’ knowledge, skills and attitudes, while protecting patientsfrom unnecessary risks. Simulation-based learning as a method in medical educa-tion offers activities that mimic a clinical environment, where students can practiceprocedures and decision-making and where their critical thinking can be enhancedthrough role-play, videos or simulators. While simulation often takes place in a sim-ulation center, in situ simulation refers to a learning activity that takes place in par-ticipants’ everyday work environment where they actually provide patient care. Inthis chapter, we aim to describe nurses’ experiences of in situ simulation and theirsubsequent reflections on patient safety in nursing homes. Data were collected fromtwo focus groups with 5–6 nurses per group. The transcribed material was analyzedusing qualitative content analysis, and two categories were identified that describedthe nurses’ experiences: “to doubt oneself ” and “being dependent on others”.
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| 24. |
- Malm, Meta, et al.
(författare)
-
Själ
- 2017. - 2
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Ingår i: Vårdvetenskapliga begrepp i teori och praktik. - Lund : Studentlitteratur AB. - 9789144112435 ; , s. 125-138
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 25. |
- Martinsson, Gunilla, et al.
(författare)
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Being altruistically egoistic : Nursing aides’ experiences of caring for older persons with mental disorders
- 2011
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 6:4, s. 7530-
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Tidskriftsartikel (refereegranskat)abstract
- Older persons with mental disorders, excluding dementia disorders, constitute a vulnerable group of people. With the future international increase in the older population, mental disorders will increase as well, thus entailing new challenges for their caregivers. These older persons often remain in their own homes, and in Sweden they are cared for by nursing aides. With little previous research, an increased workload and facing new strenuous situations, it is important to make use of the knowledge the nursing aides possess and to deepen the understanding of their experiences. The study aimed at illuminating the meaning of caring for older persons with mental disorders as experienced by nursing aides in the municipal home help service. Interviews with nine female nursing aides were performed and analysed with a phenomenological hermeneutical research method inspired by the philosophy of Paul Ricoeur. Being altruistically egoistic emerged as a main theme in the nursing aides’ narratives. The nursing aides’ experiences could be interpreted as a movement between being altruistic and egoistic. The findings revealed a continuous distancing by the nursing aides and their struggle to redress the balance between their altruistic and egoistic actions. Caring for these older persons constitutes a complex situation where distancing functions as a recourse to prioritize oneself and to diminish the value of caring. The study suggests that an increased knowledge base on older persons with mental disorders, followed by continuous supervision, is necessary for the nursing aides to improve the quality of the care given
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| 26. |
- Martinsson, Gunilla, et al.
(författare)
-
Mental disorders affect older persons in Sweden : a register-based study
- 2011
-
Ingår i: International Journal of Geriatric Psychiatry. - : Wiley. - 0885-6230 .- 1099-1166. ; 26:3, s. 277-283
-
Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The study aimed to estimate the prevalence of mental disorders based on pharmaceutical use among the old (age >/= 65) in Sweden for the years 2006-2008. METHODS: Data on the mental health of older persons were approximated on the basis of recommended prescriptions for pharmaceuticals, gathered from the Swedish Register on Prescribed Pharmaceuticals (SRPP). Each disorder (ICD-10, F20-F42, and F60-F61) was analyzed to identify associated recommended pharmaceuticals. Anatomical Therapeutic Chemical Classification codes were applied. The data covered 188 024 individuals who received 2 013 079 prescriptions for pharmaceuticals for mental disorders during a 3-year period. Persons with pharmaceuticals for dementia disorders were excluded from the calculations of the prevalence of mental disorders. RESULTS: The prevalence of mental disorders among the old in Sweden, measured on the basis of pharmaceutical use, was 6.6% in 2006, 2007, and 2008, respectively. Men constituted one-third of cases and women two-thirds. Prevalence was lowest in the age group 65-69 and increased subsequently with age. CONCLUSIONS: This fundamental register-based study included a great number of older persons and shows that mental disorders affect every fifteenth older person in Sweden. The prevalence of mental disorders increases with increasing age. The results highlight the extent of mental disorders among older persons, which is important to know when planning care for these patients. This study, by investigating a large population, provides a solid basis for general planning as well as for future mental disorder research.
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| 27. |
- Martinsson, Gunilla, et al.
(författare)
-
Specialist prescribing of psychotropic drugs to older persons in Sweden : a register-based study of 188 024 older persons
- 2012
-
Ingår i: BMC Psychiatry. - 1471-244X. ; 12:197
-
Tidskriftsartikel (refereegranskat)abstract
- BackgroundThe situation for older persons with mental disorders other than dementia disorders has scarcely been studied. The older population is increasing worldwide and along with this increase the prevalence of mental disorders will also rise. The treatment of older persons with mental disorders entails complex challenges, with drugs constituting the major medical treatment. Knowledge of geriatric psychiatry is essential for providing older persons with appropriate treatment and care. This study aimed to evaluate the prescription of drugs for mental disorders to older persons (>=65) in Sweden, focused on the medical specialties of the prescribing physicians.MethodsData concerning drug treatment for older persons from 2006 to 2008 was gathered from the Swedish Prescribed Drug Register. Mental disorders, defined as affective, psychotic and anxiety disorders (ICD-10 F20-42) were evaluated in order to identify associated drugs. Included was a total of 188 024 older individuals, who collectively filled 2 013 079 prescriptions for the treatment of mental disorders. Descriptive analyses were performed, including frequency distribution and 95% CI. The competence of the prescribers was analyzed by subdividing them into five groups: geriatricians, psychiatrists, general practitioners (GPs), other specialists, and physicians without specialist education.ResultsGPs represented the main prescribers, whereas geriatricians and psychiatrists rarely prescribed drugs to older persons. Benzodiazepines and tricyclic antidepressants were the most commonly prescribed drugs. Women were prescribed drugs from geriatricians and psychiatrists to a greater extent than men.ConclusionsThis study examined the prescription of psychotropic drugs to older persons. Physicians specialized in older persons' disorders and mental health were rarely the prescribers of these drugs. Contrary to clinical guidelines, benzodiazepines and tricyclic antidepressants were commonly prescribed to older persons, emphasizing the need for continuous examination of pharmaceutical treatment for older persons. The results indicate a future need of more specialists in geriatrics and psychiatry.
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| 28. |
- Martinsson, Gunilla, et al.
(författare)
-
Struggling for existence : - Life situation experiences of older persons with mental disorders
- 2012
-
Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 7:Art. nr. 18422
-
Tidskriftsartikel (refereegranskat)abstract
- Older persons with mental disorders represent a vulnerable group of people with extensive and complex needs. The older population is rapidly increasing worldwide and, as a result of deinstitutionalization in mental health care, older persons are remaining at home to a greater extent. Although they constitute a large proportion of the population, older persons with mental disorders have been neglected in research as well as in care organizations. As there is little previous knowledge concerning older persons’ experiences of their own situations, this study aimed to illuminate the meaning of the life situation as experienced by older persons with mental disorders (excluding dementia disorders). Interviews were conducted with seven older persons and the text was analyzed using a phenomenological hermeneutical research method, inspired by the philosophy of Paul Ricoeur. ‘‘Struggling for existence’’ emerged as a main theme in the older persons’ narratives, understood as a loss of dignity of identity and involving being troubled and powerless as well as yearning for respect. The older persons fought to master their existence and to be seen for who they are. The study highlights the importance for caregivers, both formal and informal, to avoid focusing on the diagnoses and rather acknowledge the older persons and their lifeworld, be present in the relation and help them rebuild their dignity of identity. This study brings a new understanding about older persons with mental disorders that may help reduce stigma and contribute to planning future mental health care
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| 29. |
- Molin, Jenny, et al.
(författare)
-
Omvårdnad vid psykisk ohälsa : på grundnivå
- 2024. - 4
-
Bok (övrigt vetenskapligt/konstnärligt)abstract
- Boken presenterar översiktlig kunskap om psykisk ohälsa, psykiatriska sjukdomar och personers problematik rörande psykisk ohälsa. Den fokuserar på omvårdnad vid psykisk ohälsa företrädesvis inom psykiatrisk vård men även inom annan vård. Boken belyser även områden som har betydelse för hur vården för personer med psykisk ohälsa kan förstås och hanteras. Det handlar om vårdens miljö och organisation, etiska dilemman, närståendes medverkan och kvalitetsarbete inom psykiatrisk vård. I denna fjärde upplaga har tidigare kapitel uppdateras med ny forskning och utvecklats med tanke på att sjuksköterskor träffar personer som lider av psykisk ohälsa också i andra former av vård än inom den psykiatriska vården. Några nya kapitel har tillkommit.Boken har ett omvårdnadsfokus och anknytning till omgivande områden såsom medicin, sociologi, farmakologi och psykologi. Det genomgående perspektivet utgår från sjuksköterskan och omvårdnad vid psykisk ohälsa. Det som beskrivs kan även inspirera och vägleda andra professioner i deras arbete för personer med psykisk ohälsa.Omvårdnad vid psykisk ohälsa vänder sig främst till studenter som studerar till sjuksköterska, men den kan med fördel även användas inom utbildningar med inriktning mot vård samt av kliniskt verksamma sjuksköterskor inom kommunal vård och primär- eller specialistvård.
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| 30. |
-
Omvårdnad vid psykisk ohälsa : på grundnivå
- 2019. - 3
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Boken presenterar översiktlig kunskap om psykisk ohälsa,psykiatriska sjukdomar och individers problematik rörande psykisk ohälsa. Den första delen fokuserar på den mest förekommande ohälsan inom psykiatrisk vård. Den senare delen belyser viktiga områden som har betydelse för hur vården kring patienten kan förstås och hanteras, såsom vårdens miljö och organisation, attityder kring psykiska dilemman, närståendes medverkan och kvalitetsarbete inom psykiatrisk vård. I denna tredje upplaga har tidigare kapitel uppdateras med ny forskning,och utvecklats med tanke på att sjuksköterskor träffar personer som lider av psykisk ohälsa också i andra former av vård än inom den psykiatriska vården. Dessutom har några nya kapitel tillkommit som belyser barns övergång från barnpsykiatrisk vård till vuxen psykiatrisk vård och våld i nära relationer. Ytterligare två kapitel finns med som fokuserar på interaktioner och reflektioner kring vård av personer inom psykiatrisk heldygnsvård.I fokus står den unga, den vuxna och den äldre individen och dennes problematik. Utgångspunkten är ett omvårdnadsperspektiv med hänvisningar till omgivande områden såsom medicin,sociologi, farmakologi och psykologi. Det genomgående perspektivet är omvårdnad vid psykisk ohälsa, även om de konkreta åtgärder som beskrivs också kan inspirera och vägleda andra professioner i deras hälsoarbete.Boken vänder sig främst till studenter i grundutbildningen till sjuksköterska, men den kan också med fördel användas inom utbildningar med inriktning mot folkhälsa samt av kliniskt verksamma sjuksköterskor inom kommunal vård och primär- eller specialistvård.Omvårdnad vid psykisk ohälsa – på grundnivå omfattar också en digital del. Vid sidan av den digitala versionen av boken finns material som underlättar studierna i form av kapitelsammanfattningar, övningar och sluttest.
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| 31. |
- Priebe, Åsa, et al.
(författare)
-
A sanctuary of safety : A study of how patients with dual diagnosis experience caring conversations
- 2018
-
Ingår i: International Journal of Mental Health Nursing. - : WILEY. - 1445-8330 .- 1447-0349. ; 27:2, s. 856-865
-
Tidskriftsartikel (refereegranskat)abstract
- The prevalence of dual diagnosis, that is, the combination of psychiatric illnesses and substance use disorders, is high. As a vast majority of previous research in this context focusses on the effects of different treatment methods, rather than interpersonal issues, the purpose of the present study was to explore and illuminate in what way patients with a dual diagnosis experience conversations with nurses in an outpatient clinic to be caring. Five patients were interviewed regarding their experiences of caring conversations. The analysis and interpretation were inspired by a previously-used hermeneutical process. These yielded three themes: (i) reciprocity creates safety and communion; (ii) suffering is made visible and understandable; and (iii) self-esteem is restored. When synthesized, these themes gave rise to a main theme - a sanctuary of safety - where suffering is alleviated and dignity and self-esteem are restored. It is concluded that the caring conversation contributes to experiences of safeness. In this specific context, safety appears to be more fundamental than trust for patients' recoveries. The caring conversation also contributes to recovery, as it supports the individual's learning and understanding as a way to cope with problems, which also enables patients to make informed decisions about their own care. The caring conversation contributes to the alleviation of suffering and restoration of dignity and self-esteem for patients with a dual diagnosis. However, there is a need for further research focussing on how the caring conversation can contribute to psychiatric nurses' caring expertise.
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| 32. |
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| 33. |
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| 34. |
- Söderberg, Anja, et al.
(författare)
-
Being Human under Inhuman Conditions: Meanings of Living with Severe Dissociative States Involving the Experience of Being in Parts
- 2024
-
Ingår i: Issues in Mental Health Nursing. - : Taylor & Francis. - 0161-2840 .- 1096-4673. ; 45:6, s. 597-606
-
Tidskriftsartikel (refereegranskat)abstract
- Severe dissociative states involving the experience of being in parts, typically associated with diagnosis such as dissociative identity disorder and other specified dissociative disorders, continue to be a controversial and rarely studied area of research. However, because persons with severe dissociative states are at risk of being harmed instead of helped within psychiatric care, their experiences of living with such states warrant further examination, while innovative ways to include them in research remain necessary. Against that background, this study aimed to illuminate the meanings of living with severe dissociative states involving the experience of being in parts. This is a phenomenological hermeneutic study with data collected from three social media sources, one personal blog and two Instagram accounts, in February and March 2023. The results were illuminated in light of four themes; Striving to remain in the world, Balancing exposure and trust, Balancing belonging and loneliness and Owning oneselves. The interpretation of the themes suggests that living with severe dissociative states means being a human under inhuman conditions, striving for coherence and meaning in a world that is often unsupportive. This calls for a trauma-informed care to better support recovery for persons with severe dissociative states.
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| 35. |
-
Vårdande vid psykisk ohälsa : På avancerad nivå
- 2014. - 2
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Boken ger läsaren en grund för personcentrerad vård på avancerad nivå, genom att ta fasta på forskning som beaktar patientens och närståendes livsvärld. En historisk tillbakablick på hur det har varit att vara patient inom den psykiatriska vården inleder boken, innan författarna presenterar aktuell forskning om hälsa, ohälsa och vårdande. Utgångspunkten tas i vårdvetenskaplig forskning som utgår från patienters erfarenheter av lidande och vård.Återhämtning som en pågående process där personen formar sitt liv utgående från sina egna förutsättningar och värden löper som en röd tråd genom boken. Teman som exempelvis hopplöshet, skam och utanförskap men även positiva erfarenheter av glädje, tillit och gemenskap relateras till ohälsa och lidande, men också till försoning, hälsa och återhämtning. Vårdarens betydelse för att främja patientens hälsoprocesser lyfts fram med fokus på vårdkulturen, vårdande relationer och kommunikation mellan patienter och vårdare.I denna andra upplaga av boken har de tidigare kapitlen omarbetats och uppdaterats med ny forskning och flera kapitel har tillkommit. I de nya kapitlen lyfts vårdande på avancerad nivå också fram i relation till de komplexa situationer som uppstår exempelvis på en vårdavdelning, där patienters olika behov ska tillgodoses. Maktstrukturer relaterade till såväl genus som förhållningssätt beskrivs och problematiseras. Dessutom synliggörs betydelsen av att möjliggöra såväl patienters som närståendes delaktighet för att främja återhämtning och ett bärkraftigt vardagsliv.Målgruppen är i första hand studenter på avancerad nivå samt sjuk-sköterskor inom den psykiatriska vården. Boken kan också med fördel läsas av andra inom hälso- och sjukvården som är intresserade av att få en inblick i hur den psykiatriska vården kan förstås med utgångspunkt i patientens värld snarare än utgående från diagnostiska kriterier.
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| 36. |
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| 37. |
-
Vårdande vid psykisk ohälsa : på avancerad nivå
- 2019. - 3
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- Boken ger läsaren en grund för ett personcentrerat och återhämtningsinriktat vårdande genom att ta fasta på vårdvetenskaplig forskning som beaktar patientens och närståendes livsvärld.Återhämtning som en pågående process där personen formar sitt liv utgående från sina egna förutsättningar och värden löper som en röd tråd genom boken. Teman som exempelvis sorg, hopplöshet och utanförskap beskrivs i relation till psykisk ohälsa och återhämtning. Boken tar även fasta på hur personens egen kompetens kan tas till vara för att främja hälsa och återhämtning.Vårdarens hållning lyfts fram i relation till patientens hälsoprocesser och med fokus på vårdkulturen, vårdande relationer och kommunikation mellan vårdare, patienter och deras närstående.I denna tredje upplaga av boken har de tidigare kapitlen omarbetats och uppdaterats med ny forskning och flera kapitel har tillkommit. Bland de nya kapitlen återfinns ett kapitel om en omvårdnadsteori utvecklad för psykiatrisk vård,Tidvattenmodellen, skrivet av Phil Barker och Poppy Buchanan-Barker samt ett kapitel av de norska forskarna Bengt Karlsson och Marit Borg. Andra nyheter berör existentiella samtal och återhämtningsinriktade samtal med suicidnära patienter, samt barn och ungdomars psykiska ohälsa. Boken har också kompletterats med flera kapitel som fokuserar ett reflekterande arbetssätt och hur specialistsjuksköterskans kärnkompetenser kan komma till uttryck inom personcentrerad och återhämtningsinriktad psykiatrisk vård.Målgruppen är i första hand studenter på avancerad nivå samt sjuksköterskor inom den psykiatriska vården. Boken kan emellertid också vara läsvärd för andra som är intresserade av att få en inblick i hur den psykiatriska vården kan förstås med utgångspunkt i patientens värld och ett caring-perspektiv, snarare än utgående från diagnostiska kriterier.
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| 38. |
-
Vårdvetenskapliga begrepp i teori och praktik
- 2012. - 1
-
Samlingsverk (redaktörskap) (övrigt vetenskapligt/konstnärligt)abstract
- En vetenskap och dess teorier byggs upp av olika begrepp som på olika sätt relaterar varandra och beskriver vetenskapens sätt att se på den egna verksamheten. Tillsammans formar begreppen en syn på verkligheten som kan te sig mer eller mindre abstrakt, samtidigt som abstraktionsnivån också bidrar till att teorier kan ha såväl djup som omfång. Begrepp utvecklas, bestäms och definieras därför i regel genom olika typer av forskning. I den här boken fokuseras begrepp som anses viktiga inom vårdvetenskapen, och ett par metoder för hur begrepp kan utvecklas inom ramen för en vårdvetenskaplig tradition presenteras. Huvuddelen av boken beskriver olika begrepp som utvecklats av forskare från Sverige, Finland och Norge. Kapitlen inleds med begreppens innebörd och användning i vårdvetenskaplig forskning och teoribildning. Därefter relateras begreppet till olika kliniska situationer för att belysa hur en förståelse för begreppets innebörd kan vara till stöd för vårdarens reflektion. Både övergripande begrepp som exempelvis hälsa och vårdande och mer avgränsade begrepp som vila, vårdande kommunikation och ansvar tas upp innan boken avslutas med ett kapitel om hur man via reflektion kan lära sig att förstå och använda sig av vårdvetenskapliga begrepp. Boken vänder sig främst till studerande i sjuksköterskeutbildningen, men passar också andra som är intresserade av att förstå mer om vårdvetenskap i allmänhet, och om dess begrepp och språkanvändning i synnerhet.
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| 39. |
- Wangberg, Silje C, et al.
(författare)
-
Utprøving av Klient- og Resultatstyrt praksis (KOR) i tverrfaglig spesialisert rusbehandling på døgninstitusjon ved Nordlandsklinikken
- 2015
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Psykoterapiforskning viser at mesteparten av det som spiller en rolle for bedring fra psykiske lidelser foregår i klientens hverdagsliv og i relasjonen til terapeuten. ”Partners for change outcome management system” (PCOMS; https://heartandsoulofchange.com/norway.php) er utviklet med henblikk på å få fatt i og å jobbe med disse to faktorene. I praksis gjør man dette ved utgangspunkt i to spørreskjema som på norsk kalles for Klient- og resultatstyrt praksis (KOR). KOR er vesentlig forskjellig fra andre evidensbaserte tiltak ved at det kan anvendes på tvers av diagnostiske grupper og metoder.Bruk av KOR i polikliniske settinger viser gode effekter. Ingen har derimot undersøkt hvorvidt KOR også kan egne seg i en rusdøgnbehandlingsinstitusjon. Vi ville finne ut om henholdsvis terapeutene og klientene får til å fylle ut skjemaene etter hver samtale, å snakke om resultatene, og om det oppleves som nyttig for behandlingen å gjøre det. Våre tre hovedutfallsmål var (1) drop-out, eller rettere sagt, prediksjon og forebygging av frafall fra behandlingen før den er planlagt avsluttet, (2) symptombedring, og (3) opplevd nytte. Kvalitative data ble også samlet inn og sett i sammenheng med de kvantitative for å forsøke å belyse om og hvordan behandlerne endrer sin praksis ved innføring av KOR.Siden kun 5% av pasientene i prosjektperioden hadde fått registrert dato og grunn for avslutning av behandling, kunne vi ikke teste vår hovedhypotese; hvorvidt KOR bidrar til reduksjon av frafall fra behandling. Og i det store og det hele fikk vi ikke ut de kvantitative data vi hadde håpet på i dette prosjektet. Vi presenterer likevel vårt opprinnelige design i sin helhet i håp om at andre kan finne noe av nytte der for planlegging av fremtidige studier.I de kvalitative intervjuene fortalte imidlertid pasientene at de opplever KOR som et godt verktøy som bidrar til å gjøre behandlingen mer rett på sak og at de får større innvirkning på den. Det ble dog pekt på utfordringer som vi fortolker som et gjenstående behov for veiledning i bruken av KOR, altså at de fleste negative erfaringene pasientene hadde, som å bli redusert til et nummer, handlet om at KOR ikke ble anvendt i tråd med intensjonen. Dette ble også bekreftet i avslutningsmøte med koordinatorene; at de ønsket at vi hadde tilbydd mer informasjon og veiledning i starten av prosjektet.De kvalitative intervjuene med behandlerne tyder på at behandlerne opplever at KOR er et godt verktøy på mange vis, men at det i sin nåværende form ikke helt passer i døgnbehandling. Nordlandsklinikken har imidlertid valgt å innføre bruk av KOR som standard praksis ved poliklinikken.
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| 40. |
- Waxell, Anni, et al.
(författare)
-
“Walking Together Towards Freedom.” Patients’ Lived Experiences of Participation in Outpatient Forensic Care
- 2022
-
Ingår i: Issues in Mental Health Nursing. - : Informa UK Limited. - 0161-2840 .- 1096-4673. ; 43:5, s. 455-462
-
Tidskriftsartikel (refereegranskat)abstract
- There is a general agreement regarding the significance of patient participation in care. In forensic psychiatric care, however, this appears to be troublesome because of the paradoxical nature of having responsibility; to give person-centered, recovery-oriented psychiatric care and to protect society from potentially dangerous individuals. The aim of this study was to describe patients’ lived experiences of participation in outpatient forensic psychiatric care. Data were collected by means of individual interviews with five patients. The phenomenological hermeneutical analysis shed light on patient participation as having two dimensions. The outer dimension focuses on participation as “doing” and as a means of developing the understanding and skills necessary for being discharged from forensic care, while the inner dimension is related to “being” and experiences of acceptance and inclusion in communion with other people. This emphasises the importance of supporting patients’ experiences of being involved in everyday life together with others, even in periods when patients’ possibilities to affect decisions regarding their care are limited.
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| 41. |
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| 42. |
- Wiklund Gustin, Lena, 1960-
(författare)
-
Att balansera mellan värdighet och skam
- 2014. - 2
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Ingår i: Vårdande vid psykisk ohälsa. - Lund : Studentlitteratur AB. - 9789144095394 ; , s. 231-246
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 43. |
- Wiklund Gustin, Lena, 1960-
(författare)
-
Att balansera mellan värdighet och skam
- 2010. - 1
-
Ingår i: Vårdande vid psykisk ohälsa. - Lund : Studentlitteratur. - 9789144056500 ; , s. 217-234
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 44. |
- Wiklund-Gustin, Lena, 1960-
(författare)
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Att erhålla vetenskaplig kunskap genom berättelser : Datainsamling i narrativa studier
- 2010
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Konferensbidrag (refereegranskat)abstract
- Bakgrund: Som människor lever vi i en värld av berättelser. Att berätta är ett sätt att skapa mening genom att ordna och strukturera händelser, och berättelsen anses också ha en identitetsskapande natur. Detta sätt att se på världen får också konsekvenser för forskningen, då det ställer forskaren inför utmaningen att på bästa sätt återspegla denna subjektiva och konstruerade verklighet i forskningen. Inom vårdvetenskaplig forskning har olika narrativa metoder blivit allt vanligare för att utforska vårdverkligheten. Samtidigt kan man konstatera att litteraturen i hög grad fokuserar olika typer av narrativ analys. Mer sällan diskuteras narrativa data, och vad som kännetecknar dem.Frågeställning: Vilka överväganden bör göras i samband med datainsamling vid narrativa studier?Metod och resultat: Med utgångspunkt i en reflektion över den narrativa studien som ett hermeneutiskt projekt där olika förståelsehorisonter samspelar lyfts berättelsen fram som något som skapas i dialogen mellan forskaren och forskningspersonen och hur forskaren redan här måste göra vissa överväganden för att erhålla data som håller för en narrativ analys. Narrativa data är inte vilka kvalitativa data som helst, utan har vissa särdrag, och forskaren måste vara medvetna om dessa för att i samtalet kunna stödja berättelsen. Genom att berätta kan vi bringa ordning och sortera våra upplevelser, men berättandet medför också en risk för att de reduceras. Berättandet sker alltid i efterhand, och en narrativ intervju är inte bara ett åter-berättande av en händelse, utan en ny-gestaltning av den med utgångspunkt i personens aktuella förståelse av det som hände, vilket forskaren måste beakta såväl i samtalssituationen som vid analys av data.Slutsatser: Att berätta sträcker sig utöver informationsöverföring, det är ett sätt att relatera till en annan människa, något som också får etiska implikationer. Likaså kan konstateras att tillförlitligheten och kvalitén hos berättelserna framför allt är beroende av forskarens hållning, inte av forskningspersonens egenskaper.
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| 45. |
- Wiklund Gustin, Lena, 1960-
(författare)
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Att evidensbasera och utveckla psykiatrisk omvårdnad
- 2019. - 3
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Ingår i: Vårdande vid psykisk ohälsa - på avancerad nivå. - Lund : Studentlitteratur AB. - 9789144123684 ; , s. 619-646
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 48. |
- Wiklund Gustin, Lena, 1960-
(författare)
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Att närma sig det svårförståeliga
- 2014. - 2
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Ingår i: Vårdande vid psykisk ohälsa. - Lund : Studentlitteratur AB. - 9789144095394 ; , s. 21-37
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 50. |
- Wiklund Gustin, Lena, 1960-, et al.
(författare)
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Att utforska sina resurser
- 2019. - 3
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Ingår i: Vårdande vid psykisk ohälsa - på avancerad nivå. - Lund : Studentlitteratur AB. - 9789144123684 ; , s. 197-219
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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