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Sökning: L773:2054 1058 > (2019)

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1.
  • Aaberg, Oddveig Reiersdal, et al. (författare)
  • Collaboration and Satisfaction About Care Decisions in Team questionnaire : Psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units
  • 2019
  • Ingår i: Nursing Open. - HOBOKEN, USA : John Wiley & Sons. - 2054-1058. ; 6:2, s. 642-650
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim To translate "The Collaboration and Satisfaction About Care Decisions in Team" questionnaire (CSACD-T) into Norwegian and test it for psychometric properties. The further aim was to describe and compare healthcare personnel's collaboration and satisfaction about team decision-making (TDM) across hospital units. Design A cross-sectional study. Methods The questionnaire was translated into Norwegian. A total of 247 healthcare personnel at two hospitals responded to the questionnaire. An explorative factor analysis was performed to test the factor structure of the questionnaire, while a Cronbach's alpha analysis was used to test for internal consistency. A one-way ANOVA analysis and a Kruskal-Wallis test were applied to test for differences between hospital units. Results The results demonstrate that the Norwegian version of the CSACD-T has promising psychometric properties regarding construct validity and internal consistency. The mean score of the CSACD-T was significantly higher in the maternity ward group than in the emergency room group.
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2.
  • Allvin, Renée, 1956-, et al. (författare)
  • Struggling to be seen and understood as a person : chronic back pain patients’ experiences of encounters in healthcare: an interview study
  • 2019
  • Ingår i: Nursing Open. - : Wiley-Blackwell. - 2054-1058. ; 6:3, s. 1047-1054
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The aim of this study was to describe how patients with chronic back pain experience encounters with health care. Persons with chronic back pain are a stigmatized group often treated based on stereotypes, which may lead to misunderstandings and create frustrated patients and healthcare personnel. Few studies have examined the generic aspects of quality of care in this context.Design: A descriptive design with a qualitative approach was used.Methods: Nine individual interviews were conducted with chronic back pain patients after admission to an orthopaedic hospital ward. Data were analysed using content analysis.Results: The patients’ experiences of healthcare encounters can be described by the theme “Struggling to be seen and understood as a person,” comprising the categories “Lack of access and trust to care",“A desire to be taken care of and listened to” and “Own strength to handle healthcare situations.”
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3.
  • Andersen-Hollekim, Tone E., et al. (författare)
  • Patient participation in the clinical pathway : Nurses' perceptions of adults' involvement in haemodialysis
  • 2019
  • Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 6:2, s. 574-582
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To develop knowledge of nurses' perceptions of participation for patients treated with haemodialysis and their next of kin.Design: A qualitative study with a hermeneutic approach.Methods: The data were collected in 2015 through focus groups with 13 nurses in Central Norway.Results: The nurses reported that patient participation ranging from non-involvement to shared decision-making was related to whether dialysis was initiated as acute or scheduled. The restrictions required in chronic haemodialysis limited participation. The next of kin were not involved. The nurses highlighted interventions on both the individual and system levels to strengthen participation.Conclusion: Dialysis units should develop strategies for participation related to individual needs and design treatment in cooperation with patients and their families, ensuring involvement early in the clinical pathway. Further research is needed on issues related to next of kin, including their desired level of involvement.
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4.
  • Andersson, Ewa K., et al. (författare)
  • Relatives' experiences of sharing a written life story about a close family member with dementia who has moved to residential care : An interview study
  • 2019
  • Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 6:2, s. 276-282
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim The aim of this study was to describe relatives' experiences of sharing a written life story about a close family member with dementia who has moved to residential care. Design An explorative descriptive qualitative design was used. Methods The data were collected using semi-structured interviews with a purposeful sample of eight relatives and analyzed using a qualitative content analysis. Results Results show that creating and sharing the life story of a close family member could help relatives handle grief and stress. It was perceived as an important, yet difficult, task to ensure that the close family member got good quality care. The creation of a meaningful life story takes time and requires cooperation with family members and other significant people.
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5.
  • Andersson, Susanne, 1957-, et al. (författare)
  • Experiences of specially trained personnel of group education for patients with type 2 diabetes : A lifeworld approach
  • 2019
  • Ingår i: Nursing Open. - : Wiley-Blackwell Publishing Inc.. - 2054-1058. ; 6:2, s. 635-641
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim:To describe how the group education process for people with type 2 diabetes is experienced by diabetes nurses and dietitians who support the patients’ learning, in a primary care setting.Design:The project took place at two primary care settings in the south of Sweden.Methods:Data collected from focus‐group interviews and reflection notes were subjected to phenomenological analysis.Results:The specially trained personnel experienced that group education made it possible for the patients to learn through reflection concerning their own and others’ experiences. Furthermore, group education entailed increased knowledge for the trained personnel. When the patients were challenged to make changes in their lives with the illness, the personnel experienced that both patients and personnel supported each other. The study concludes that the trained personnel person‐centred approach, with help of the didactic model, get tools to support patients learning.
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6.
  • Angelhoff, Charlotte, medicine doktor, 1974-, et al. (författare)
  • The cortisol response in parents staying with a sick child at hospital
  • 2019
  • Ingår i: Nursing Open. - : Wiley-Blackwell Publishing Inc.. - 2054-1058. ; 6:2, s. 620-625
  • Tidskriftsartikel (refereegranskat)abstract
    • AimTo study the cortisol response in parents staying with their child in paediatric wards, to compare the parents’ cortisol levels between the paediatric ward and at home 4 weeks after discharge and to compare the parents’ cortisol levels with data of an adult reference population, reported by Wust et al., as there are few studies investigating parental cortisol.DesignThis study has a descriptive and prospective comparative design.MethodThirty‐one parents participated. Saliva samples were collected in the paediatric ward and 4 weeks later at home.ResultsThe parents had lower morning awakening cortisol levels in the paediatric ward than at home after discharge. There were no statistically significant differences in postawakening cortisol or cortisol awakening response (CAR). The child's age, diagnosis or previously diagnosed chronic condition did not affect the parents’ cortisol levels. The morning and postawakening cortisol levels were lower than those of the reference population.ConclusionThe hospital stay with a sick child affects parents’ cortisol levels. Parental stress needs more attention to find interventions to prevent the risk of stress‐related complications that subsequently can affect the care of the child.
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7.
  • Annika, Lindh, 1984-, et al. (författare)
  • Errors in inhaler use related to devices and to inhalation technique among patients with chronic obstructive pulmonary disease in primary health care
  • 2019
  • Ingår i: Nursing Open. - : Wiley-Blackwell. - 2054-1058. ; 6:4, s. 1519-1527
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The aim of this study was to describe inhaler use in primary health care patients with chronic obstructive pulmonary disease (COPD) and to categorize these patients into those making errors related to devices, those making errors related to inhalation technique and those making errors related to both.Design: Observational study. Methods COPD nurses used a checklist to assess the use of inhalers by patients with spirometry-verified COPD (N = 183) from primary healthcare centres. The STROBE checklist has been used.Results: The mean age of the patients was 71 (SD 9) years. Almost half of them (45%) made at least one error; of these, 50% made errors related to devices, 31% made errors related to inhalation technique and 19% made errors related both to devices and to inhalation technique.
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8.
  • Backman, Tess, et al. (författare)
  • Ambulance nurses' experiences of deciding a patient does not require ambulance care
  • 2019
  • Ingår i: Nursing Open. - : John Wiley & Sons. - 2054-1058. ; 6:3, s. 783-789
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: To describe ambulance nurses’ experience of deciding a patient does not require ambulance care.Design:An inductive, empirical study with a qualitative approach.Methods: Data collection was conducted through semi‐structured interviews, and collected data were analysed with qualitative manifest content analysis. Data were collected during the spring 2017, and eight ambulance nurses participated.Results:The findings are presented in one main category, which is “Not very ill but a difficult decision” with totally three subcategories. The ambulance nurse's experi‐ence of making the assessment when the patient has no need for ambulance care is like walking the balance of slack line. This means that the assessment can be both easy and very difficult but something that definitely requires experience, knowledge and dedication.
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9.
  • Bazzi, May, 1979, et al. (författare)
  • Team composition and staff roles in a hybrid operating room: A prospective study using video observations
  • 2019
  • Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 6:3, s. 1245-1253
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim The aim of the study was to evaluate team composition and staff roles in a hybrid operating room during endovascular aortic repairs. Design Quantitative descriptive design. Methods Nine endovascular aortic repairs procedures were video-recorded between December 2014 and September 2015. The data analysis involved examining the work process, number of people in the room and categories of staff and their involvement in the procedure. Results The procedures were divided into four phases. The hybrid operating room was most crowded in phase 3 when the skin wound was open. Some staff categories were in the room for the entire procedure even if they were not actively involved. The largest number of people simultaneously in the room was 14.
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10.
  • Bergdahl, Elisabeth, 1962-, et al. (författare)
  • The theory of a co-creative process in advanced palliative home care nursing encounters : A qualitative deductive approach over time
  • 2019
  • Ingår i: Nursing Open. - : Wiley-Blackwell. - 2054-1058. ; 6:1, s. 175-188
  • Tidskriftsartikel (refereegranskat)abstract
    • Aims and objectives: The aim of this study was to test the theoretical conceptualization of the co-creative process in home care nursing encounters over time.Method and design: This was a multiple case study with a deductive analysis of qualitative data over time, using interviews and observations collected from three cases.Results: The co-creative process was complex and contained main, sub- and micro-processes. Time was important and valuable, giving the patient and relatives space to adjust the process to their own pace. Some processes were worked on more intensively in accordance with the patients' and relatives' needs, and these are considered the main-process. The further developed theory of the co-creative process and its main, sub- and microprocesses can be understood as a concretization of how good nursing care can be performed within caring relationships in the context of advanced palliative home care.
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