| 1. |
- Ancker, Thérèse, et al.
(författare)
-
Tidig förlust : kvinnors upplevelse av missfall
- 2012
-
Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 32:1, s. 32-36
-
Tidskriftsartikel (refereegranskat)abstract
- Up to 15 percent of all diagnosed pregnancies end in miscarriage. The loss can cause deep sorrow with complex emotional reactions as a result. Research shows that women often feel alone with their experiences of miscarriage and experience a wide range of emotions. The aim of this study was to describe the mourning woman’s experiences of early miscarriage. Six women who repeatedly had undergone miscarriage at a desired pregnancy were interviewed. The interviews were semi structured and analyzed with qualitative content analysis. The findings show that the miscarriages significantly affected the women’s life. Several psychological needs were identified, of which the most important were the need to feel unconditionally understood and having people at their side who attentively listen, provide security and respect their loss. These needs were rarely met in a satisfactory manner in health care. Regarding the women’s strong emotional reactions, it is desirable to have a routinely scheduled follow-up in which the women’s entire experience of the miscarriage is taken into consideration.
|
|
| 2. |
- Andersson, Elisabeth, et al.
(författare)
-
Aktuellt kunskapsläge vid kateterspolning : systematisk litteraturgranskning
- 2011
-
Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden (SSN). - 0107-4083 .- 1890-4238. ; 31:4, s. 27-31
-
Tidskriftsartikel (refereegranskat)abstract
- Aim: Reviewing the scientific literature with regards to urinary catheter washouts in order to prevent occlusion. Background: Patients with long-term indwelling urinary catheters often suffers from catheter blockage. Encrustations and the forming of biofilm on the catheter surface are among the most common causes of occlusion. It is unknown whether urinary catheter washout is the treatment of choice to prevent occlusion. Methods: A systematic review of the scientific literature regarding urinary catheter washouts. The study was conducted by two independent reviewers. The search used MeSH and freetext terms, in The Cochrane Database of Systematic Reviews, Academic Search Elite, CINAHL, MedLine and SweMed+, and an additional mapping of clinical guidelines in order to update praxis. Findings: The study shows that there is insufficient scientific evidence as to whether urinary catheter washouts prevent catheter blockage. Conclusion: There is insufficient evidence that urinary catheter washouts are beneficial. Individual care planning and evaluation of long-term indwelling catheter care is important in minimizing the risk of harmful side effects.
|
|
| 3. |
- Apell, Jeanette, et al.
(författare)
-
Mätning av barns oro vid undersökning eller behandling på sjukhus : en studie som utvärderar short STAI
- 2011
-
Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden. - 0107-4083 .- 1890-4238. ; 31:1, s. 45-47
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose was to investigate the validity and reliability of short STAI (State-Trait Anxiety Inventory) for measuring children's anxiety in connection with procedures in hospital. Background: The children´s level of anxiety during hospitalization can cause problems and it should be evaluated with a valid and reliable instrument. STAIC-S (STAI for children) has previously been validated in children for this purpose but may be too complex to use. Short STAI has only been evaluated in adults and should be tested in children before it can be used. Methods: Children aged five to 16 filled in both STAIC-S and short STAI before and after an examination or treatment at the hospital. Results: Twenty children were included. Satisfactory internal reliability was found for short STAI with Cronbachs’s alpha 0.82. Correlation coefficients between the instruments were 0.88 before and 0.75 after the procedure. Significantly lower values were found after compared to before demonstrating constructive validity. Short STAI was easy to fill in but seven of 16 participants received help from their parents. Conclusion: Short STAI was shown to be a reliable and valid instrument for measuring anxiety in children, but a larger study is needed to confirm the validity and reliability further
|
|
| 4. |
- Bengtsson, Margareta, et al.
(författare)
-
Svenska sjuksköterskors upplevelse av handledningsprocessen vid sjuksköterskestudenters verksamhetsförlagda utbildning
- 2011
-
Ingår i: Vård i Norden. - Köpenhamn : Sjuksköterskors samarbete i Norden (SSN). - 0107-4083 .- 1890-4238. ; 31:4, s. 47-51
-
Tidskriftsartikel (refereegranskat)abstract
- A central part of the nursing profession is the supervision in clinical practice of nursing students and a consequence of this is that the nurse needs to be prepared and have sufficient knowledge to support student's learning process. The aim of this study was to gain a deeper understanding of nurses' experiences of the supervision of nursing students in clinical practice. Fifteen nurses with experience of being supervisor were interviewed and the data material was analyzed with a Grounded Theory approach. The results comprise a core category “supervision was perceived as developing and stimulation” and four categories; to have sufficient with time, to have a working co-operation, to have sufficient knowledge and to get confirmation. These categories formed a conceptual model explaining the nurse’s experiences of the process of supervision and their needs of time, co-operation, knowledge and confirmation if the supervision should be perceived as developing and stimulating. More research needs to be conducted to expand the perspective on how supervision education and opportunities for reflection during the clinical education contribute to the student's learning process.
|
|
| 5. |
- Bergseth Bogsti, Wenche, et al.
(författare)
-
Styrket veiledning i sykepleierutdanningens praksisperioder
- 2013
-
Ingår i: Vård i Norden. - Oslo : Sykepleiernes Samarbeid i Norden. - 0107-4083 .- 1890-4238. ; 33:1, s. 56-60
-
Tidskriftsartikel (refereegranskat)abstract
- Background: A more complex and knowledge-based society has resulted in increasing specialization and greater demands on employees in the fields of practice. At Gjøvik University College, a new supervision model was tested for nursing students in practice. The main elements were: daily supervisors were given increased responsibility for assessing the students, while at the same time participating in three group counseling meetings. A portfolio contained the student’s work requirements. A weekly reflection hour was formalized. Purpose: The purpose was to elucidate how the supervision model influenced the student’s learning situation. Method: The SVIP model was evaluated by the use of focus group interviews. The data were analyzed using qualitative content analysis. Findings: Three categories: structure, inclusion and self-confidence describe the students’ need for clear guidelines and objectives, as well as their need to be included and to be seen. Conclusion: Various aspects of clinical practice, including daily supervision are important for student learning. Counseling meetings where the supervisor role is recognized and developed through the tutor, and daily supervisor sharing of experiences and knowledge, should permeate the cooperation.
|
|
| 6. |
- Berhin, Ida, et al.
(författare)
-
Aktiv empati : sjuksköterskors strategier för att frammana empati i mötet med patienter som av sjuksköterskan upplevs vara svårbemötta
- 2014
-
Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden / Nordic Nurses Federation. - 0107-4083 .- 1890-4238. ; 34:2/2014, s. 28-32
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to describe nurses´ strategies to bring out empathy when encountering patients who are felt difficult to empathize with. The study is empirical and based on qualitative semi-structured interviews with registered nurses at a surgical ward. The data material was analyzed using content analysis. The result of the study shows that nurses employ different types of deliberate strategies in order to secure an empathetic treatment of these patients. In the study, the strategies are summarized in four head categories: strategies focusing on the patient, to decide upon one's set of mind, strategies focusing on oneself and indirect factors.
|
|
| 7. |
- Bäckström-Siwe, Christin, et al.
(författare)
-
The workload of caring in anaesthesia care : test of validity and reliability
- 2011
-
Ingår i: Vård i Norden. - 0107-4083 .- 1890-4238. ; 31:3, s. 9-14
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: The purpose of this study was to test the reliability and validity of an existing patient classification instrument in anaesthetic nursing in a new context.Background: A patient classification system has to be used by many nurses, so consistency in how it is used is important.Methods: The study was divided into three parts. The first part was intended to measure interreliability using double assessments of 150 anaesthesia cases. In the second part, the anaesthetic nurses carried out the workload and, in part three, content validity was examined using a questionnaire and meetings.Results: The result showed good to very good consistency across the board in the nurses' assessments, which also included an overall assessment of the workload (r 0,85). The workload showed the highest mean care level for the indicator preparations/surgical position and the lowest for respiration. The questionnaire replies showed that the nurses were positive about workload, but 43.3 per cent thought that the instrument only described part of their work.Conclusion: The instrument was shown to be of use in different contexts, but the reliability and validation process should continue so as to increase reliability. Clarifying the progression between the different care levels for each indicator in the instrument can be a way of increasing its usefulness in different services. In terms of clinical work, the measurement of workload has started a valuable process of reflection on anaesthetic nursing that helps to enable the nurses to show what they do and why.
|
|
| 8. |
- Elovsson, Margaretha, et al.
(författare)
-
Sjuksköterskors upplevelse av smärtbehandling av äldre personeri kommunal hälso- och sjukvård
- 2011
-
Ingår i: Vård i Norden. - København : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 31:102, s. 10-15
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Pain is a symptom that affects quality of life negatively for many people. As a person gets older, the symptoms will increase and more than 50 % of the elderly in the municipal health care is expected to have some sort of pain. This makes pain management a key question.Aim: The aim of this study was to describe what nurses perceive affect pain management for older people.Method: The study is based on interviews with 18 nurses from two municipalities in Sweden. The method used was qualitative content analysis.Results: Four categories affecting pain management were revealed: Proficiency, communication, organization and treatment strategies. Within each category three to four sub-categories were formed, such as medicine and older, documentation, work environment and pharmacological treatment. Several variations were revealed within each sub- categories. The results showed possibilities for good pain relief but the lack of tailored pain assessment tools, communication and treatment strategies tailored for older patients in pain made it difficult. The emerging theme was an unstructured organization makes it difficult to provide good pain relief.Conclusion: If evidence-based pain management strategies including pain assessment tools adapted in municipal health were developed, more patients should receive adequate pain treatment.
|
|
| 9. |
- Enskär, Karin, et al.
(författare)
-
Undocumented refugee children in Swedish healthcare : Nurses' knowledge concerning regulations and their attitudes about the care
- 2012
-
Ingår i: Vård i Norden. - : Sykepleiernes Samarbeid i Norden. - 0107-4083 .- 1890-4238. ; 32:1, s. 75-78
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate nurses’ attitudes about care for undocumented refugee children and also to investigate the knowledge among nurses concerning the regulations for this care. The study is quantitative and based on a questionnaire sent to all nurses working in pediatric healthcare and medical care in a medium-sized county in Sweden. The overall response was 91 questionnaires (55.9%). Most of the respondents felt insecure or lacked knowledge of what regulations are valid when undocumented refugee children seek medical care or healthcare. Almost all nurses had a positive attitude toward caring for these children, but they feel they lack knowledge about the regulations regarding their care. To optimize the care situation for these children the regulations should be reviewed and altered to allow the nurse, legally and securely, to care for them.
|
|
| 10. |
- Finnström, Berit, 1950-, et al.
(författare)
-
Fingertoppskänsla och fingerfärdighet : Föräldrars uppfattningar om faktorer som inverkar på barnets upplevelse av perfer venpunktion
- 2011
-
Ingår i: Vård i Norden. - Oslo. - 0107-4083 .- 1890-4238. ; 31:2, s. 40-44
-
Tidskriftsartikel (refereegranskat)abstract
- Introduction:Pain in connection with needles is a major reason to children’s anxiety and fear. Parents have a unique competence and knowledge about their children’s experiences and reactions that should be regarded as important in health care. Purpose: The purpose of this study was to describe a group of parents' perceptions of the factors that influence their children's experience in relation to venepuncture. Method: Qualitative interviews were conducted with 11 parents. The interviews were based on the question “What factors influence your child's experience in relation to venepuncture?”. The data were analysed through manifest and latent content analysis. Results: The manifest analysis resulted in five categories: Children's experience of fear and stress, The parent's behaviour, Information and preparation, Distraction and Staff expertise. The latent content analysis led to the theme: Adapting the peripheral venepuncture for the individual child is both the responsibility of the parents and the health care professionals. Conclusions: Parents have specific knowledge of the child they wish to convey to the nursing staff. They also want to work in collaboration with staff to minimize the child's anxiety and fear. Parents should be seen as a resource in the child’s health care.
|
|
