| 1. |
- Asplund, Kenneth, et al.
(författare)
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The Sucking Behaviour of Two Patients in the Final Stage of Dementia of the Alzheimer Type
- 1991
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 5:3, s. 141-147
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Tidskriftsartikel (refereegranskat)abstract
- Two patients in the final stage of dementia of the Alzheimer type (DAT), who could no longer be given nutrition by assisted feeding, were given fluids by means of the sucking ability they still retained. They sucked more slowly under nutritive than under non-nutritive sucking conditions. The sucking efficiency of one of them improved during training. The status of the patients in the final stage of their dementia differed from one another, which might explain the difference in outcome. It is therefore suggested, that the use of the patients' sucking ability could serve as a complement and/or an alternative feeding technique when assisted spoon-feeding becomes extremely difficult or impossible. It is considered to be more gentle and natural than the present feeding techniques.
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| 2. |
- Athlin, Elsy, et al.
(författare)
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Caregivers' perceptions and interpretations of severely demented patients during feeding in a task assignment system.
- 1990
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 4:4, s. 147-155
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Tidskriftsartikel (refereegranskat)abstract
- Ninety-one focused interviews concerning the feeding of 23 severely demented patients were performed with 62 caregivers who fed the patients in a task assignment system. The aim was to increase the understanding about how caregivers perceive and interpret severely demented patients' behaviour and experiences during feeding. Content analysis showed that the caregivers' commitment or lack of commitment constituted a superior level that determined whether the patient was seen as a subject or as an object. Subcategories that were found were knowledge of the patient's disease and personal history, intuition, identification, empathy, generalisation and routinisation.
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| 3. |
- Brännström, Benny, et al.
(författare)
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ADL performance and dependency on nursing care in patients with hip fractures and acute confusion in a task allocation care system
- 1991
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 5:1, s. 3-12
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Tidskriftsartikel (refereegranskat)abstract
- In a prospective study 35 patients operated on for cervical hip-fractures were followed with respect to Acute Confusional State (ACS), problems of basic nursing care and dependency on care-givers. Fifteen patients became acutely confused after the fracture. They turned out to be more dependent on help from others than the non-confused patients were even before the fracture. They rapidly reached a significantly higher level of dependence than the non-confused patients and remained on that level throughout the study month. Six months after the fracture the post-operatively confused patients were still highly dependent on care-givers, significantly more than they were before the fracture. Only three of them were not hospitalised. All the non-confused patients lived in their own homes six months after the fracture and had regained the same level of independence as before it. These findings will be discussed in relation to the organisation of the nursing care. Task allocation nursing care was applied in the wards. A model for the development of dependency in acutely confused hip-fracture patients will be presented and suggestions for how to reduce nurse/patient dependency induced by nursing care will be made
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| 4. |
- Carlsson, Margareta, et al.
(författare)
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The oldest old : patterns of adjustment and life experiences
- 1991
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 5:4, s. 203-210
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Tidskriftsartikel (refereegranskat)abstract
- A qualitative method was used to study the life experiences and the adjustment to very old age of a non-institutionalized population of 129 85-year-olds living in Gothenburg, Sweden. In-depth interviews were analyzed and categorized and seven patterns of adjustment emerged: Self-Realizing, Mature Aging, Adapting, Dependent, Resignedly Accepting, Despairing and Withdrawing. Additionally, a coping strategy—ritualization of time and occupations—was revealed in the interviews. These results reflect the heterogeneity among this age group and indicate that the subjective reality should be seriously considered both in further research and in the care of the elderly.
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| 5. |
- Carlsson, Margareta, et al.
(författare)
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The oldest old : patterns of adjustment and dependence
- 1991
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 5:2, s. 93-100
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present study was to investigate how dependence was experienced by 129 non-institutionalized 85-year-old persons, who previously had been categorized into seven different patterns of adjustment. The participants' subjective experiences of dependence were expressed in in-depth interviews and additionally, mobility, self-maintenance and need of help in daily living was conventionally assessed. When the results from these two methods were compared, it was found that subjectively experienced dependence did not generally correspond with the scorings on dependence. The in-depth interviews revealed that subjects with poorer adjustment could be most affected by minor impairments, while physical impairments were of a subordinate importance to those who were better adjusted. For appropriate caring interventions, it is therefore suggested that conventionally assessed dependence needs to be supplemented with documented subjective experiences of dependence.
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| 6. |
- Ehnfors, Margareta, 1941-, et al.
(författare)
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Nursing care as documented in patient records
- 1993
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Ingår i: Scandinavian Journal of Caring Sciences. - Oslo, Norway : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 7:4, s. 209-20
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Tidskriftsartikel (refereegranskat)abstract
- A review of 106 nursing records from 12 wards was conducted to categorize and quantify the content of the documentation and to consider the comprehensiveness of the recording for individual nursing problems. Audit instruments, based on a model for nursing documentation were developed and applied. The results show that admission assessment was missing in slightly less than half of all records, two-thirds had no nursing care plan and about one-third had no documentation on nursing outcome. About 90% of the records had no nursing diagnosis, no objective or no nursing discharge note. Notes on nursing status and nursing interventions were most common. Only one-third of the nursing problems identified had recording that gave information about the progress of the patient's problem. The analyses performed give information on the quality of nursing records which may be used to evaluate the quality of nursing care.
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| 7. |
- Ehnfors, Margareta, 1941-
(författare)
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Nursing documentation practice on 153 hospital wards in Sweden as described by nurses
- 1993
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Ingår i: Scandinavian Journal of Caring Sciences. - Oslo, Norway : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 7:4, s. 201-7
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Tidskriftsartikel (refereegranskat)abstract
- According to Swedish laws and regulations, registered nurses are required to document nursing care in the patient's record. In this exploratory study, nurses were asked to describe how they made their nursing records. The nursing process model was used as a framework. The findings show that a system for admission assessment was fairly common, regarding objectives and a nursing care plan together with a nursing discharge note; more than half of the wards studied recorded these aspects at least occasionally. Nursing diagnoses were seldom recorded in practice. The results reveal serious limitations and deficiencies in the practice of nursing documentation and the implementation of current laws and regulations. This underlines the importance of emphasizing nursing knowledge and nursing documentation in nursing training and practice.
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| 8. |
- Gullberg, Mats T, et al.
(författare)
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Ability to solve problems, professionalism, management, empathy, and working capacity in occupational therapy : The Professional Self Description Form
- 1994
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; :8, s. 173-178
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Tidskriftsartikel (refereegranskat)abstract
- The majority of occupational therapists in Sweden previously worked on large occupational therapy wards. Health care policy has changed over the years and the system has been reorganized accordingly. The employment situation for occupational therapists has also changed. This paper focuses on the perception of professional self among occupational therapists. The objective was to explore the professional self and to suggest components important to the occupational therapist profession. The Professional Self Description Form (PSDF) was used for the exploration of self. The 19 items in the PSDF cover areas relevant to professional functioning and activity. Sixty-eight employed occupational therapists participated. The results of the PSDF were subjected to factor analysis and five factors were obtained; Ability to solve problems, Professionalism, Management, Empathy, and Working capacity. We believe that these five factors can function as improving domains of the role of the professional occupational therapist in Sweden
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| 9. |
- Larsson, Gerry, et al.
(författare)
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Relaxation training as an integral part of caring activities for cancer patients : Effects on well-being
- 1992
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 6:3, s. 179-185
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Tidskriftsartikel (refereegranskat)abstract
- The purposes of this study were twofold. The first was to investigate if relaxation training conducted by nurses as an integral part of their caring activities affected breast cancer patients' experiences of radiotherapy sessions as well as their general wellbeing. Second was to evaluate a pedagogical model for large scale application of relaxation training as an integral part of caring. The sample consisted of 64 consecutive outpatients with breast cancer at a Swedish oncology clinic, receiving their first radiotherapy treatment course following surgery. Every second patient was assigned to an experimental group (n= 32, mean age: 59.5 years) and every other second patient was assigned to a control group (n= 32, mean age: 60.0 years). The programme resulted in the following general effects: fewer perceived daily hassles and a more cheeful overall mood state. The following treatment situation specific effects were noted: programme participants appraised the treatment sessions as successively more benign-positive and less threatening. They also reported more perceived muscular tensions during treatment sessions. Most goals concerning the routinization of the pedagogical model were reached.
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| 10. |
- Andréasson, S, et al.
(författare)
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Medical laboratory technologists' perception of professional self. A study of Swedish MLTs employed in clinical chemistry
- 1992
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 6:2, s. 67-74
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Tidskriftsartikel (refereegranskat)abstract
- The subjective perception of professional self was studied for a sample of Medical Laboratory Technologists (MLTs) employed in Clinical Chemistry in Sweden. The sample (N = 488) consisted of a randomized tenth of members of their trade union. A mailed questionnaire with 21 items concerning self-description compared with peers in a seven-point Likert type scale was completed by 332 (68%). There was no significant overall difference concerning the four principal types of workplace: Clinical Chemistry, Blood Serology, Primary Care and Clinical Chemistry/Blood Serology. The main difference was found between those in managerial posts (N = 72) and the other MLTs (N = 260). Factor analysis showed three principal components, labelled Professionalism, Work Ethic, and Empathy, but also a different composition of variables of the components for the manager group compared with the non-manager group.
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