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- Hilli, Yvonne, 1959-
(författare)
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Hemmet
- 2017. - 2
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Ingår i: Vårdvetenskapliga begrepp i teori och praktik. - Stockholm : Studentlitteratur AB. - 9789144112435 ; , s. 257-268
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Bokkapitel (refereegranskat)abstract
- Vad innebär hemmet i djup mening för människan? Hemmet relateras kanske i första hand till den konkreta platsen där människan vuxit upp, barndomshemmet, familjen, hembygden och fosterlandet. Allt detta är fysiskt påtagbart. Men vad innebär det egentligen att känna sig hemma eller hemlös? Handlar hemma om en känsla och upplevelse som berör frågor om identitet, gemenskap och tillhörighet? Människor med samma kulturbakgrund delar ofta språket, sättet att uttrycka sig, humorn, gemensamma traditioner och värderingar. Är det detta som gör att man känner sig hemma med det bekanta och med människor som delar ens värderingar?I mötet med andra människor och nya situationer finns hemmet som en klangbotten mot vilket allt det nya speglas, men kan hemmet innebär något mera? Hemma är inte nödvändigtvis bundet till en geografisk plats utan kan mera handla om en känsla.
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| 2. |
- Hilli, Yvonne, 1959-, et al.
(författare)
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Swedish School Nurses’ Perspectives on Caring for and Promoting the Health of Adolescents with Mental Health Problems – A Qualitative Study
- 2017
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Ingår i: Clinical Nursing Studies. - : Sciedu Press. - 2324-7940 .- 2324-7959. ; 5:3, s. 1-9
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Tidskriftsartikel (refereegranskat)abstract
- Background: Over the last few decades, there has been an increase in mental health problems among adolescents, manifested as physical symptoms, such as stomach pain, headaches, feelings of anxiety, worry, stress and sleeping problems. Surveys among school nurses’ have revealed that mental health work now forms a key part of their role. Although an increasing number of adolescents are suffering from mental health problems in upper-secondary schools (16-19 years), there are few studies focusing on this matter. Therefore we wanted to explore the matter from the school nurses’ point of view. The aim of this study was to explore Swedish school nurses’ experiences of caring for and promoting the health of students suffering from mental health problems.Methods: The present study had a descriptive design and a qualitative approach. A purposeful sample of eight (n = 8) school nurses was interviewed. Their working experience varied between 4 and 29 years. The data were analysed using content analysis. The ethical principles stipulated by the Swedish Research Council were carefully followed throughout the study.Results: Three main themes with sub-themes were found: A caring relationship as the foundation for health promotion, organizing health-promoting work and interprofessional cooperation as a prerequisite for good caring.Conclusions: The findings strengthen the evidence of the importance of the health dialogue as a tool for the school nurses to identify students with mental health problems. Creating a caring relationship with the students is a prerequisite for caring and health promotion. Further education concerning mental health and evidence-based-practice should be arranged on regular basis. More research and cooperation between different stakeholders is needed.
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| 3. |
- Hilli, Yvonne, 1959-, et al.
(författare)
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The Home as Ethos of Caring - a concept determination
- 2017
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989.
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Tidskriftsartikel (refereegranskat)abstract
- Background: Within nursing, the concepts of home and homelike have been used indiscriminately to describe characteristics of health care settings that resemble a home more than an institution.Objectives: The aim of this study was to investigate the concept of home (hem in Swedish). The main questions were as follows: What does the concept of home entail etymologically and semantically? Of what significance is the meaning of the concept to caring science and nursing?Design and methods: This study had a qualitative design with a hermeneutical approach guided by Gadamer. Eriksson’s model of concept determination was partly used to determine the etymology and semantics, the essence and epistemic category of the concept of home. In this study, etymological dictionaries and 17 Swedish language dictionaries published between 1850 and 2001 were investigated.Findings: The home, framed as the ethos of caring, can be drawn as a three-dimensional picture where the three dimensions have a common core, enclosed and inviolable. Symbolically, the picture of home can be seen as the ethos of the human being’s innermost room, the human being’s manner of being and the tone cxpressed in the external or abstract room where the human being lives and interacts with others.Conclusions: Based on the findings in this study we conclude that home as ethos is an inner ethical dimension within the human being. Human beings who are in contact with their ethos, the self, feel at home and dare to follow the voice of their heart. Nurses who experience at-homeness have an ability to invite the patient into a caring relationship. The home and the feeling of being at home have significant meaning in terms of human beings’ health and well-being.
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| 4. |
- Karlsson, Mattias, et al.
(författare)
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Ethical dilemmas during cardiac arrest incidents in the patient’s home
- 2017
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Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; , s. 1-13
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Tidskriftsartikel (refereegranskat)abstract
- Background: The majority (70%) of cardiac arrests in Sweden are experienced in the patient’s home. In these situations, the ambulance nurses may encounter several ethical dilemmas. Aim: The aim was to investigate Swedish specialist ambulance nurses’ experiences of ethical dilemmas associated with cardiac arrest situations in adult patients’ homes.Methods: Nine interviews were conducted with specialist ambulance nurses at four different ambulance stations in the southeast region of Sweden. Data were analysed using content analysis.Ethical considerations: Ethical principles mandated by the Swedish Research Council were carefully followed during the whole process.Findings: Two main themes with six sub-themes were identified: The scene – creating a sheltered space for caring and Ethical decision-making. The results showed that ethical dilemmas might occur when trying to create a sheltered space to preserve the patients’ integrity and dignity. A dilemma could be whether or not to invite significant others to be present during the medical treatment. Ethical decision-making was dependent on good communication and ethical reasoning among all parties. In certain situations, decisions were made not to commence or to terminate care despite guidelines. The decision was guided by combining the medical/nursing perspectives and ethical competence with respect to the human being’s dignity and a will to do good for the patient. The nurses followed the voice of their heart and had the courage to be truly human.Conclusion: The ambulance nurses were guided by their ethos, including the basic motive to care for the patient, to alleviate suffering, to confirm the patient’s dignity and to serve life and health.
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| 5. |
- Røkholt, Gro, et al.
(författare)
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Helsepersonells erfaringer med å implementere kunnskapsbasert praksis på et sykehus i Norge
- 2017
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Ingår i: Nordisk sygeplejeforskning. - : Scandinavian University Press / Universitetsforlaget AS. - 1892-2678 .- 1892-2686. ; 7:3, s. 195-208
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Tidskriftsartikel (refereegranskat)abstract
- Bakgrunn: Helsetjenester skal være kunnskapsbaserte, men å omsette forskningsfunn til klinisk praksis beskrives gjennomgående som komplekst og utfordrende. Studien som presenteres i denne artikkelen var første del av et aksjonsforskningsprosjekt i samarbeid mellom et universitetssykehus og en høgskole. Formålet var å understøtte implementering av kunnskapsbasert praksis som arbeidsform på sykehuset for å bidra til å styrke kvalitet på praksis og å utvikle praksisplassen som læringsarena. Hensikt med denne første delstudien var å avdekke faktorer av betydning for implementerings-prosessen blant ansatte. Studiens forskningsspørsmål var: Hvordan erfarer helsepersonell kunnskapsbasert praksis i sin arbeidshverdag?Metode: For å innhente deltagernes erfaringer ble det utført en kulturanalyse ved fire enheter på et sykehus i Sør Norge. Brevmetoden ble brukt datainnsamlingsmetode og data ble analysert med systematisk tekstkondensering. Resultat: Studiens resultat presenteres under tre hovedkategorier: Lederen angir tonen som motivator og pådriver; Positiv holdning til og bruk av kunnskapsbasert praksis i arbeidshverdagen; Organisatoriske forhold av betydning. Studien viser at for å lykkes med implementering av kunnskapsbasert praksis er det viktig å ha en leder med positiv holdning som motiverer ansatte og skaper forutsetninger for utviklingsarbeid. Når en slik holdning preger arbeidsmiljøet understøtter det åpenhet og samarbeid og gjør det mulig å dele erfaring og reflektere over praksis. I tillegg trengte en ildsjeler med kompetanse og interesse for kunnskapsbasert praksis. Tidspress, travelhet og varierende kompetanse ble beskrevet som hindringer for implementering av kunnskapsbasert praksis.Konklusjon: Det kreves et samspill mellom alle disse faktorene for at implementeringen og utviklingsarbeidet skal lykkes.
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