| 1. |
- Hagberth, V, et al.
(författare)
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Older women with a serious cardiac event experience support with a Vifladt & Hopen inspired patient group education programme
- 2008
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 7:2, s. 140-146
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Older women are less likely to be invited to access cardiac rehabilitation programmes. The Vifladt & Hopen model for patient education is aimed to strengthen the ability of patients with long-term illnesses to cope in everyday life. AIMS: To examine how this model was experienced by older women (>70 years) treated with percutaneous coronary intervention. METHODS: A one-year follow-up of the education programme was conducted by means of focus group interviews (n=13). A qualitative descriptive design using content analysis was used. RESULTS: Two main categories emerged: views on topics and matter, and views on form. Experiences of heart event, stress and anxiety were important topics. The women experienced advantages and benefits by meeting others in a similar situation. CONCLUSION: A focus on knowledge exchange instead of knowledge transfer encourages talking about self-experienced needs. The women expressed the benefits of the education programme since the discussions emerged from themselves. For the health care professionals there are gains to be made from obtaining the women's point of view and learning more about their needs.
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| 2. |
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| 3. |
- Ivarsson, Bodil, et al.
(författare)
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From hope and expectation to unexpected death after cardiac surgery.
- 2008
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Ingår i: Intensive and Critical Care Nursing. - : Elsevier BV. - 1532-4036 .- 0964-3397.
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Relatives of patients undergoing cardiac surgery expect successful outcome but sometimes complications cause death. The aim was to interview relatives of patients who have died in connection with cardiac surgery and describe their experiences of information, reception and care. METHODS: Data were obtained from semi-structured interviews with 18 relatives of deceased patients and then analysed using qualitative content analysis. RESULTS: Two main groups emerged: "Analysing the situation" with the sub-groups: knowledge of cardiac disease, the road to operation, hope and despair, information and choice and "The thin thread of life" with the sub-groups, reception, life is over, care, death as a relief, cause of death and support. CONCLUSION: Most relatives were satisfied with the information and care in connection with the operation and at the end of life. However, some aspects such as inadequate pain control and transportation of critically ill patients to other wards and hospitals could be improved. One way is to introduce a co-ordinator in order to better support patients, next of kin and colleagues without experience of cardio-thoracic surgery who need help during the patients' way from diagnosis and acceptance of cardiac surgery and through the treatment and postoperative care.
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| 4. |
- Ivarsson, Bodil, et al.
(författare)
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Information from health care professionals about sexual function and coexistence after myocardial infarction : a Swedish national survey
- 2009
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Ingår i: Heart & Lung. - : Elsevier. - 0147-9563 .- 1527-3288. ; 38:4, s. 330-335
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: After a myocardial infarction (MI), many patients and their partners experience problems with marital and sexual life.METHODS: A Swedish national survey was carried out to obtain knowledge on the information provided by cardiac health care professionals on the subject of sexual function and coexistence after an MI. It consisted of a questionnaire that was designed, tested, and sent to 121 coronary care units.RESULTS: The coronary care unit teams rarely provided oral or written information about sexual function and coexistence to patients with MI or their partners. The health care professionals lacked competence in these areas.CONCLUSION: It is essential that health care professionals are educated on and inform the patient with MI about the significance of sexual function and coexistence. Further research is required regarding patients' and their partners' need for information and support in this area.
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| 5. |
- Ivarsson, Bodil, et al.
(författare)
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Patients perceptions of information about risks at cardiac surgery
- 2007
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Ingår i: Patient Education and Counseling. - : Elsevier BV. - 0738-3991. ; 67:1-2, s. 32-38
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The aim was to describe the patients' own experiences of risk information in connection with cardiac surgery and it's outcome. Methods: Questionnaires were answered prior to and 8 weeks after cardiac surgery. Data were analysed using qualitative content analysis. Patients in the intervention group (n = 55) received standard information and a newly written extended information brochure about risks in connection with cardiac surgery. Patients in the control group (n = 44) only received standard information. Results: Three categories emerged: attitude towards information, deficiencies and advantages of the information and concerns related to cardiac surgery. Patients in both groups pointed out the importance of information when they were put on the waiting list. Patients in the control group missed information about complications and some patients thought that their complications were caused by maltreatment. Patients having complications in the intervention group were more understanding about their situation. Conclusion: Much can be done for the patients on their path from diagnosis and being accepted for cardiac surgery and throughout the treatment period regarding the provision of information. Practice implications: If patients become carefully and thoroughly informed by the health care professionals, they are more satisfied and better prepared if complications occur. (C) 2007 Elsevier Ireland Ltd. All rights reserved.
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| 6. |
- Ivarsson, Bodil, et al.
(författare)
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Reply to Mishra.
- 2005
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Ingår i: European Journal of Cardio-Thoracic Surgery. - : Oxford University Press (OUP). - 1010-7940. ; 28:6, s. 911-911
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Tidskriftsartikel (refereegranskat)
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| 7. |
- Ivarsson, Bodil, et al.
(författare)
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The subject of pedagogy from theory to practice - The view of newly registered nurses
- 2009
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Ingår i: Nurse Education in Practice. - : Elsevier BV. - 1471-5953 .- 1873-5223. ; 29:5, s. 510-515
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to describe, from the newly registered nurses’ perspective, specific events when using their pedagogical knowledge in their everyday clinical practice. The design was qualitative and the critical incident technique was used. Data was collected via interviews with ten newly registered nurses who graduated from the same University program 10 months earlier and are now employed at a university hospital.Two categories emerged in the analyses. The first category was “Pedagogical methods in theory” with the sub-categories Theory and the application of the course in practice, Knowledge of pedagogy and Information as a professional competence. The second category was “Pedagogical methods in everyday clinical practice” with sub-categories Factual knowledge versus pedagogical knowledge, Information and relatives, Difficulties when giving information, Understanding information received, Pedagogical tools, Collaboration in teams in pedagogical situations, and Time and giving information. By identifying specific events regarding pedagogical methods the findings can be useful for everyone from teachers and health-care managers to nurse students and newly registered nurses, to improve teaching methods in nurse education.
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| 8. |
- Ivarsson, Bodil, et al.
(författare)
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Waiting for cardiac surgery-support experienced by next of kin.
- 2005
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Ingår i: European Journal of Cardiovascular Nursing. - : Oxford University Press (OUP). - 1474-5151 .- 1873-1953. ; 4:2, s. 52-145
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Tidskriftsartikel (refereegranskat)abstract
- Background: Next of kin (NoK) play a crucial role for patients waiting for cardiac surgery. Aim: To describe experience of support, in the form of important events, by next of kin while their intimates were waiting for a heart operation. Methods: The design was qualitative and the “critical incident” technique was used. Incidents were collected via interviews with 23 next of kin to patients waiting for heart surgery and the informants were chosen by the patient themselves. Findings: In all, 224 important events, both positive and negative, were identified in the interviews and two main areas emerged in the analysis: internal factors and external factors. Positive internal factors were associated with finding strength, whereas negative factors were associated with uncomfortable feelings. Positive external factors were associated with participating in care and receiving attention, whereas negative factors were associated with dissatisfaction with the health-care organization and failing social network. Conclusion: This study shows that next of kin experienced positive support when they received attention and information and felt involvement in the care. An important implication for the health-care professionals and public authorities is the understanding of the experience of support expressed by next of kin, to provide them with optimal information and support.
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| 9. |
- Ivarsson, Bodil
(författare)
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Waiting For Heart Surgery.
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Patients waiting for cardiac surgery often consider the period from the decision for surgery to the time for the operation as long, heavy and dreary. Therefore, it is important that patients are supplied with structured oral and written information regarding their disease and its treatment, so that they are able to understand and discuss the forthcoming operation, the risk of complications and the possibility that surgery may be delayed. Next of kin play a crucial role for patients waiting for cardiac surgery and are often forgotten by health care personnel. The overall aims of this thesis were to describe experiences of support while waiting for heart surgery, from the perspective of patients and their next of kin, and to describe the patients? experiences of information received about the risks of complications in relation to the surgery. A further aim was to investigate the frequency of postponements and cancellations and to study how these affected the patients. A total of 531 patients admitted to bypass surgery or valve replacement and 23 next of kin were included in these five studies. Data were collected through questionnaires and semi-structured interviews using the critical incident technique (CIT). Degree of anxiety and depression was measured using the HADS, and distress was measured using the IES. Both patients and next of kin described experiences as positive when they received attention and information and felt involved in the care, and negative when they were dissatisfied with the health care organization and lacked a supportive social network (Study I and II). Patients who received written extended information about the risk of complications in connection with cardiac surgery were satisfied with the information without being more affected by anxiety, depression or distress than patients who received traditional written information (Study III). Patients reacted negatively to postponement of surgery, especially if due to organizational reasons, which were also the most common reasons for postponements. Some patients experienced physical or psychosomatic symptoms and some feared cardiovascular problems after postponement or cancellation of their operation. Women in the cancellation group had a significantly higher degree of depression than men in the same group, and than both men and women in the control group (Studies IV and V). Patients and next of kin were generally satisfied with the reception from the health care professionals (Studies I-V). Implications of these studies are that organizational and medical problems must be identified in time to avoid postponements, and that patients and their next of kin must be allowed to participate in the care and must receive attention from health care professionals. If patients and their next of kin are carefully and thoroughly informed, they are more satisfied and probably better prepared if complications occur.
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