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| 2. |
- Antonsson, Ann-Christin, et al.
(författare)
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Reflektion : kärnan i omvårdnadshandledning
- 2000
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Ingår i: Vård i Norden. - Oslo : Sykepleiernes Samarbeid i Norden (SSN). - 0107-4083 .- 1890-4238. ; 20:4, s. 38-41
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Tidskriftsartikel (refereegranskat)abstract
- The nursingprofession is demanding and variable; nurses must have knowledge and proficiency practically, technically and be able to teamwork in the relation with all kinds of patients. At the same time they should perform nursing according to science and tried practice. One way to develop the engagement in patients and bring new knowledge into nursing is to participate in clinical supervision. The aim of the present study was to find out how nurses in somatic care describes what they learn and how knowledge integrates and develops in clinical supervision. Eight nurses were interviewed and their responses were taped, written down word for word and analysed according to a qualitative approach. The results shows that practically all knowledge were integrated by reflection. With the help of reflection the nurses could be taught by each others experiences, develop nursing and become skilful nurses.
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| 4. |
- Axelsson, Karin, et al.
(författare)
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Pain among persons living at a nursing home
- 2000
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Ingår i: Vård i Norden. - : SAGE Publications. - 0107-4083 .- 1890-4238. ; 20:2, s. 20-23
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Tidskriftsartikel (refereegranskat)abstract
- Pain is common among elderly. Very sick elderly persons living in nursing homes often have communication problems because of dementia or stroke, which causes problem to judge pain and evaluate effects of pain treatment. The aim of this study was to describe the prevalence, localisation and expressions of pain and to evaluate the usefulness of some pain assessment methods for nursing home residents. The study included 66 elderly living in a nursing home of which 49% had dementia as main medical diagnosis. A specially trained registered nurse (RN) performed pain assessment by * presenting a set of pain assessment tools * interpreting the nursing home residents' reactions during activity and * interviewing the resident about perceived pain. Two physiotherapists (PTs) performed physical examination including assessment of joint motion and palpation of joints and muscles. Contractures and ambulating status were noted. Cognitive Performance Scale (CPS) assessed cognitive capacity. When assisted by the RN 61% of the residents used independent or by assistance a verbal rating scale. The RN made an estimation of pain in all the nursing home residents and the PTs examined 92% of the residents. Pain was identified in 88% of the residents, 42% of the residents were treated with analgesics and pain it-as documented in the nurses' daily notes in 27% of the patient records. All residents with contractures had pain in the engaged joint. This study indicates that it is possible to assess pain by combining interview and interpretation of the residents' reactions during activity. Detection of pain by physical examination is a valuable complement especially for persons with decreased ability to communicate.
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| 5. |
- Bengtson, A, et al.
(författare)
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Evidensbaserad omvårdnad, sjukvård och kunskap
- 2002
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Ingår i: Vård i Norden. - 0107-4083. ; 22:2, s. 48-51
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Tidskriftsartikel (refereegranskat)abstract
- Research within nursing and medicine is moving at an increasing pace. This makes it difficult for the staff - involved with medical care to find the right path through all the new research and development. Working according to evidencebased procedures within both medicine and nursing means using in one’s work the recommendations which have been based on literature studies that have compiled, reviewed, assessed and interpreted the published research. The aim of a systematic literature review is to find the best scientific base for nursing and community care. The literature review according to SBU originates from Goodman’s definitions, which results in an order of precedence for the reviewed studies. Implementation at the work place is made easier by literature studies and discussions at meetings with the nurses. A literature review requires a structured way of working where the question is clearly defined, the project plan prepared and the literature search published. The relevant material is clearly defined, while the quality of the studies, precision and generalization taken from the results produces a combination and conclusion. To make the most of evidencebased methods in the daily work education of existing staff, courses integrated in the education of all nursing staff and an awareness when planning nationally, regionally and locally is essential.
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| 7. |
- Bergius, Anki, et al.
(författare)
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Stödverksamhet för barn som förlorat en förälder : En litteraturstudie
- 2004
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Ingår i: Vård i Norden. - : SAGE Publications. - 0107-4083 .- 1890-4238. ; 24:4, s. 41-44
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)abstract
- The aim with this literature review was to describe content, objectives, design, and outcomes of support groups for parentally bereaved children three to twelve years of age. In a support group with children in similar situation the children's thoughts, experiences and feelings will be normalised through different activities. Pedagogical methods include creative activities of different kinds, e.g. painting, writing letters and poems, reading stories, play and games. The purposes of the methods are to accept and understand the reality of the loss, to understand and work through the grieving, to enhance family communication, and to keep the memory of the death and go on living. Organisation and structure are described in relation to development levels and ages of children and youths. Outcomes of groups are characterized by clinical observations and a dearth of evaluative studies. All bereaved children should have the opportunity to participate in a support group when a parent, sibling or other relative dies. Well developed services for bereaved children should be a matter of health care policy and quality.
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| 8. |
- Bergqvist, Inger, et al.
(författare)
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Utveckling av ett instrument för vårdtyngdsmätning inom anestesi
- 2003
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Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 23:3, s. 10-15
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Tidskriftsartikel (refereegranskat)abstract
- Patient classification in anaesthetic care is an undeveloped field and it is therefore urgent to construct an instrument for this purpose. The aim of the study was to develop an instrument to measure anaesthetic nursing care with focus on the unique care needed by every single patient. The Delphi technique was used. The method involved five series of inquiries to a panel of experts, consisting of ten nurses. The instrument developed, included 13 nursing care areas, with predefined alternatives graded from1 to 4, where 4 indicated high workload, and 1 indicated low workload. The instrument was tested in a pilot study and showed agreement with the clinical picture of the patients needs. An initial inter-rater reliability test showed very good agreement for all the nursing care areas. The instrument, however, needs to be tested for validity and reliability in a larger sample.
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| 9. |
- Bergqvist, Inger, et al.
(författare)
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Utveckling av ett instrument för vårdtyngdsmätning inom anestesi
- 2003
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Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden. - 0107-4083. ; 23:3, s. 10-15
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Tidskriftsartikel (refereegranskat)abstract
- Patient classification in anaesthetic care is an undeveloped field and it is therefore urgent to construct an instrument for this purpose. The aim of the study was to develop an instrument to measure anaesthetic nursing care with focus on the unique care needed by every single patient. The Delphi technique was used. The method involved five series of inquiries to a panel of experts, consisting of ten nurses. The instrument developed, included 13 nursing care areas, with predefined alternatives graded from1 to 4, where 4 indicated high workload, and 1 indicated low workload. The instrument was tested in a pilot study and showed agreement with the clinical picture of the patients needs. An initial inter-rater reliability test showed very good agreement for all the nursing care areas. The instrument, however, needs to be tested for validity and reliability in a larger sample.
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