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- Andreassen Devik, Siri, et al.
(författare)
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Meanings of being old, living on one's own and suffering from incurable cancer in rural Norway
- 2013
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Ingår i: European Journal of Oncology Nursing. - : Elsevier BV. - 1462-3889 .- 1532-2122. ; 17:6, s. 781-787
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The aim of this study was to explore and understand the lived experience of older people living alone and suffering from incurable cancer in rural Norway. Methods and sample: Narrative interviews were conducted with five older people with incurable cancer (three women and two men, aged 71-79), receiving outpatient and life-prolonging chemotherapy and living alone in their homes in rural areas. A phenomenological hermeneutical approach was used to interpret the meaning of the lived experience. Key results: Four main themes were found: enduring by keeping hope alive, becoming aware that you are on your own, living up to expectations of being a good patient and being at risk of losing one's identity and value. Enduring this situation means struggling with terminal illness and facing death in a brave manner, and replacing former ways of living. The process of providing treatment may threaten dignity and cause additional distress. Conclusions: These results show a complex and comprehensive situation where physical symptoms and emotions are interwoven. Further the results describe how the ways of suffering caused by the manner in which care is delivered, suffering related to the cancer disease and existential suffering, may increase each other's impact. The social and rural context calls for special attention as the patients may lack recourses to gain sufficient care. Their comfort depends to a large extent on the health professionals' sensitivity. © 2013 Elsevier Ltd.
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- Andreassen Devik, Siri, et al.
(författare)
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When expressions make impressions-Nurses' narratives about meeting severely ill patients in home nursing care : A phenomenological-hermeneutic approach to understanding
- 2013
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 8, s. Art. no. 21880-
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Tidskriftsartikel (refereegranskat)abstract
- Registered nurses (RNs) working in homecare encounter severely ill and palliative patients whose expressions may cause ethical challenges and influence their daily work. The aim of this qualitative study was to illuminate and interpret the meaning of nurses' lived experiences when meeting these patients. Narrative interviews were conducted with 10 RNs working in home nursing care. These interviews were audiotaped and transcribed verbatim to a text and interpreted by a phenomenological-hermeneutic method inspired by Ricoeur. The meaning of the RNs' lived experience of patients' expressions was formulated into four themes. The first theme, Being open for the presence of the Other, includes two subthemes: "Sensing vulnerability" and "Empathizing with." The second theme, Being satisfied, entails the subthemes, "Feeling exceptional" and "Being trusted." The third theme, Being frustrated, contains the subthemes, "Being disappointed" and "Being angry." The fourth and final theme, Being ambivalent, includes one subtheme: "Being generous or reserved." Patients' expressions that make impressions on nurses create emotional waves. Expressions leave impressions that call upon the nurse, and confront her with taking the risk of letting intuition and pre-reflexive feelings gain entry to her care. Allowing for the Other's presence is seen as a precondition, which means facing humanity and sensing a vulnerability in herself as well as in the Other. Understanding and balancing this emotional dimension in care seems to cause confusion and distress within the nurses. Realizing how their feelings may lead to either generosity or aloofness towards the patient is upsetting. Our interpretation suggests that these impressions echo confusion according to the role of being a professional nurse. There is a need to pay more attention to how the emotional dimension in care is understood and impacts the way nurses perform their professional role.
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- Enmarker, Ingela, et al.
(författare)
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Health in older cat and dog owners : The Nord-Trondelag Health Study (HUNT)-3-study
- 2012
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Ingår i: Scandinavian Journal of Public Health. - : Sage. - 1403-4948 .- 1651-1905. ; 40:8, s. 718-724
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The main objective was to compare older male and female cat, dog, and non-owners with regard to demographic and health-related characteristics. Method : Data in the present cross-sectional population study were drawn from HuNT-3 in Norway. A total of 12,297 persons (5631 men; 6666 women) between the ages of 65 and 101 years were included, of whom 2358 were pet owners. Results : The main finding was that owning a dog demonstrated several health-related characteristics to a higher positive degree than both non-pet and cat ownership among the participants. Cat owners showed higher body mass index values and higher systolic blood pressure, and reported worse general health status. They also exercised to a lower degree than the others. Conclusions : As the result implies that older cat owners are negatively outstanding in many aspects of health compared with the dog owners, in the future, more focus must be put on the worse health of those. Further, there were more married male than female cat and dog owners. This probably depends on traditional cultural thinking; the man is the owner of the pet even if the woman lives with and cares about it. It is important to point out that different groups in the population might select different pets. Consequently, the findings showing a correlation between pet ownership and health may be owing to unrelated confounding factors.
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- Enmarker, Ingela, et al.
(författare)
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Management of person with dementia with aggressive and violent behaviour : A systematic literature review
- 2011
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Ingår i: International Journal of Older People Nursing. - : Wiley. - 1748-3735 .- 1748-3743. ; 6:2, s. 153-162
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Tidskriftsartikel (refereegranskat)abstract
- Aim. Studies indicate that physical and pharmacological restraints are still often in the frontline of aggression management in a large number of nursing homes. In the present literature review the aim was to describe, from a nursing perspective, aggressive and violent behaviour in people with dementia living in nursing home units and to find alternative approaches to the management of dementia related aggression as a substitute to physical and chemical restraints. Methods. A systematic literature review in three phases, including a content analysis of 21 articles published between 1999 and August 2009 has been conducted. Results. The results could be summarised in two themes: 'origins that may trigger violence' and 'activities that decrease the amount of violent behaviour'. Together, the themes showed that violence was a phenomenon that could be described as being connected to a premorbid personality and often related to the residents' personal care. It was found that if the origin of violent actions was the residents' pain, it was possible to minimise it through nursing activities. This review also indicated that an organisation in special care units for residents who exhibit aggressive and violent behaviour led to the lesser use of mechanical restraints, but also an increased use of non-mechanical techniques. Conclusion. The optimal management of aggressive and violent actions from residents with dementia living in nursing homes was a person-centred approach to the resident. Qualitative studies focusing on violence were sparsely found, and this underlines the importance of further research in this area to elucidate how violence and aggressiveness is experienced and understood by both staff and patients. Relevance to clinical practice. To communicate with people with dementia provides a challenge for nurses and other health caregivers. To satisfy the needs of good nursing care, an important aspect is therefore to get knowledge and understanding about aggressive and violent behaviour and its management. © 2010 Blackwell Publishing Ltd.
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| 7. |
- Enmarker, Ingela, et al.
(författare)
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Personalities and health in older cat and dog owners : A HUNT-study
- 2013
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Ingår i: Health. - : Sage Publications. - 1363-4593 .- 1461-7196 .- 1949-4998 .- 1949-5005. ; 5:9, s. 1449-1454
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this population study was to identify personality traits among older (>65 years) male and female owners of cats and dogs and to compare their general health status in relation to their personality. Further, the aim was to examine whether current cat and dog ownership could be predicted by the owners’ personality and health. Data were collected from the NorthTrøndelag Health Study (HUNT) in Norway. Included were a total of 1897 cat or dog owners between the ages of 65 years and 101 years. The results showed that there were a higher proportion of introverted male cat owners than extraverted ones. Moreover, a majority of women with cats reported that their health was not good. Furthermore, female cat owners who displayed higher scores on neurotic traits experienced significantly poorer health compared to those female cat owners that experienced good health. The same was true for female cat owners who considered themselves to be introverted. Neither personality nor health could predict pet-ownership, but it was more likely for older individuals (80 - 101 years) to own a cat than a dog. This study has shown that human personality is associated with cat and dog ownership, but there are other factors connected with pet ownership as well.
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| 8. |
- Enmarker, Ingela, et al.
(författare)
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Utprøving av kommunal behandlingsenhet : erfaringer og utfordringer i bruk av akuttplasser i sykeheim
- 2014
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Denne rapporten redegjør for følgeforskning av det 3-årige prosjektet «Akuttplasser i sykehjem»(UP-8) –et prosjekt gjennomført i regi av Midtre Namdal Samkommune (Namsos, Overhalla, Fosnes og Namdalseid) i samarbeid medOsen kommune og Flatanger kommune. Prosjektet UP-8 er ett av flere underprosjekt til «Helhetlige helsetjenester». Følgeforskningen er bestilt av Midtre Namdal Samkommune, og har vært ledet av Ingela Enmarker.Hensikten med UP-8 har værtå klargjørehvordan sykehjemstjenesten kanstyrkes og utvikles i tråd med samhandlingsreformens ideer, herunder utrede hvordan kommunene skal kunne bli i stand til å gi tilbud til pasienter både før, istedenfor og etter sykehusinnleggelse. Under prosjektperioden våren 2011 til sommeren 2013 er akuttsenger utredet og prøvd ut ved Overhalla Sykehjem.Følgeforskningen avUP-8 har pågått fra våren 2012 til januar 2014, og har vært finansiert gjennom strategiske midler i Høgskolen i Nord-Trøndelag (HiNT); Namdalsmidler. Hensikten med prosjektet har vært å beskrive erfaringer og utfordringer i bruken av akuttplasser vedOverhalla sykeheim, samt skape aksjoner som kan lede til heving av kvaliteten på tjenestetilbudet. Vi vil rette en stor takk til pasienter, pårørende og pleiepersonale som har vært involvert.
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| 9. |
- Mentsen Ness, Tove, et al.
(författare)
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"Embracing the present and fearing the future" : The meaning of being an oldest old woman in a rural area
- 2014
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - : Informa Healthcare. - 1748-2623 .- 1748-2631. ; 9
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Tidskriftsartikel (refereegranskat)abstract
- In Western countries, the number of older people receiving home nursing care is increasing, and in rural areas they are at additional risk because of the distance between people and health care facilities. The aim of this study was therefore to illuminate the meaning of being an oldest old woman living alone in a rural area and receiving home nursing care. A sample of 11 oldest old women living in rural areas in the middle of Norway was chosen for this study. Narrative interviews were conducted, and the data were analyzed using the phenomenological hermeneutic method. After a naïve reading and a structural analysis of the text, we identified four themes: being satisfied with life, being thankful, feeling vulnerable, and feeling secure. The comprehensive understanding implied that being an oldest old woman living alone in a rural area meant living in the intersection between embracing the present in solitude and fearing the future with additional declining health. Living in this complex situation meant to enjoy the present, but still fear the future, as the oldest old women knew their present life situations were limited. This challenging emotional situation meant using their inner strength by trying to be optimistic and seeing opportunities in present life, even if losses were many and extensive. By using their inner strength in facing losses and declining health, the oldest old women managed to appreciate aloneness as solitude, and find new meaning in life.
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| 10. |
- Mentsen Ness, Tove, et al.
(författare)
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Experiences of being old and receiving home nursing care. Older South Sami narrations of their experiences—An interview study
- 2013
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Ingår i: Open Journal of Nursing. - : Scientific Research Publishing, Inc.. - 2162-5336 .- 2162-5344. ; 3:1, s. 1-7
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Tidskriftsartikel (refereegranskat)abstract
- The Sami people who are the natives of Scandinavia are not a homogeneous group. They consist of differ- ent groups of Sami populations of which the South Sami population are one small group. For the South Sami this means a problem; they have to struggle against a general ignorance about the Sami people and culture, which also may affect received home nursing care. The aim of this study is to describe in- dividual South Sami experiences of being old and re- ceiving home nursing care. A sample of 10 older per- sons with South Sami background was chosen for this study. Narrative interviews were conducted and qualitative content analysis was used to identify and categorize primary patterns in data. The experience of being an old person with South Sami background who receives home nursing care was understood through the use of the following four themes devel- oped from the informants’ own narratives: “Experi- ence of losses in life”; “Feelings of being less valued”; “Feelings of gratitude”; and “Experience of meaning in daily life as old”. The main finding is that the South Sami population still is exposed to an ongoing subtle colonisation. Therefore, it is important to pre- pare and teach nurses who work in the South Sami area in cultural care, traditional values and beliefs specific to the South Sami population.
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