| 1. |
- Andersson, Henrik, 1968-, et al.
(författare)
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Nurses competencies in Home health care : An interview study
- 2017
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Ingår i: BMC Nursing. - : Springer. - 1472-6955 .- 1472-6955. ; 16:65
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Tidskriftsartikel (refereegranskat)abstract
- Background: Nurses working in Home health care (HHC) are facing major challenges when more advanced care and treatment are performing in the patient’s home. The aim of this study was to explore how nurses experiencing their competencies in HHC. Methods: This study has a qualitative and explorative design. Ten nurses were interviewed and data were analysed by content analysis.Results: The themes “Being a capable nurse”, “Being a useful nurse” and “Being a subordinate and dependent nurse” were identified. Nurses want to be capable to take care of patients, develop their competencies and perform their duties in the way that are requested. They also want to be useful in their work and providing good and safe HHC. Finally, nurses want to improve the care in HHC with their competencies. Simultaneously, they are subordinate and dependent in the relation with their manager and manager’s interest to encourage nurses’ competence development.Conclusions: Nurses in HHC are responsible for many seriously ill patients and they want to contribute to a good and safe patient care. To maintain patient safety, reduce the risk for burnout and staff turnover as well as to contribute to a sustainable development of the work, strategies for transfer competencies between nurses and efforts for competence development are needed.
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| 2. |
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| 3. |
- Claesson, Maria, 1971-, et al.
(författare)
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What implies registered nurses leadership close to older adults in the municipality home health care?
- 2019
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Konferensbidrag (refereegranskat)abstract
- Title. What implies registered nurses leadership close to older adults in the municipality home health care?Objective. The objective was to explore how the literature describes the registered nurses’ leadership near to older adults in municipal home care.Background. Home health care in Sweden and world-wide is affected by the increasing number of older adults, 65 years and over. One challenge is that older adults report more health problems compared with health professionals’ needs assessments. The primary task of care is to support and strengthen people’s health processes to as good health as possible by alleviating the effects of disease and suffering. The registered nurse may be the one who contributes or makes a difference to the older adults’ experience of health. According to this; great demands are placed on the registered nurse's leadership close to the patient. There is a common agreement that registered nurses’ leadership is important. However, research is limited of what implies registered nurses’ leadership close to older adults in municipal home care.Method. A systematic literature review. The literature search was performed in CINAHL and PubMed during February to April, 2018. A total of 37 articles were identified and nine articles were screened in full text. Quality valuation and analyses of articles were performed doing qualitative research synthesis based of the PRISMA statement.Results. The results will be presented for the first time at the 9th IAGG-ER Congress, May 23-25, 2019, Gothenburg, Sweden.
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| 4. |
- Dellve, Lotta, 1965, et al.
(författare)
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Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar
- 2016
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Det övergripande syftet med denna rapport är att beskriva chefers etiska värderingar, dilemman och organisatoriska förutsättningar för att bedriva ett värdebaserat ledarskap i såväl kommunal som privat äldreomsorg. Det empiriska materialet består av en omfattande enkätstudie till nästan 500 studerande inom ramen för den nationella ledarutbildningen för chefer inom äldreomsorgen vid Högskolan i Borås under perioden 2013 till 2015. Utbildningen gavs på uppdrag av Socialstyrelsen och omfattade 30 högskolepoäng med två års studier på kvartsfart. Samtliga studerande var yrkesverksamma som chefer och ledare inom kommunal eller privat äldreomsorg i södra Sverige. Metoder som använts i bearbetning och analys av materialet är deskriptiva, jämförande och analytiska med regressionsmodeller och SEM-analys. Resultatet visar på att cheferna – oavsett utbildningsbakgrund, värderade följande etiska värden högst: att inte skada, respekt för individen och rätten till konfidentialitet. Värdedilemman i chefsarbetet är dock vanligt och sammanlänkat med andra utmaningar i arbetet, särskilt med utmaningar som rör hantering över organisationsnivåer (buffertproblem och containerproblem) och av olika ansvarsområden (logikkonflikter). Inom privat verksamhet skattade de medverkande cheferna värdekonflikter och andra utmaningar i lägre grad än chefer inom kommunal verksamhet. De flesta chefer var nöjda med hur de kunde fullfölja sitt ansvar för utveckling av verksamheten avseende värdegrund, kvalitet, processer, dagligt arbete, brukarmedverkan, brukarsäkerhet och arbetsmiljö. De flesta skattade också att de arbetade i mycket hög grad med strukturering och utveckling av dessa frågor. Stödresurser minskade upplevelsen av värdekonflikter, men det fanns skillnad i betydelsen relaterat till chefers grundprofession. Det organisatoriska stödet var också tydligare för chefer inom privat verksamhet. Organiserade stödresurser hade stor betydelse för hållbart integrerat och värdeskapande ledarskap samt för aktiva ledningsstrategier. Även sambandet mellan hållbart ledarskap och aktiva ledarstrategier modererades av grundprofession, där sambandet var moderat negativt för chefer med social grundutbildning. Det tycks således finnas ett utbildningsbehov bland äldreomsorgens chefer och behov av ett utvecklat stöd från arbets- givaren då det varierar avseende omfattning, inriktning och nivå mellan kommunal och privat verksamhet. Sammanfattningsvis har chefer i äldreomsorgen många olika värden, på olika nivåer och utifrån olika perspektiv att förhålla sig till i sitt ledarskap. Att hantera och utveckla förståelse för dessa är utmanande i chefskapet och värdedilemman är vanliga. Majoriteten av cheferna i denna studie beskriver dock generellt en aktiv och god hantering och organisering av dessa. Konstateras att en integrerad förståelse och hantering, samt goda organisatoriska stödresurser tycks bidra till mer hållbart och värdeskapande ledarskap.
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| 5. |
- Johansson, Helena, et al.
(författare)
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Living with COPD: a life with strategies
- 2017
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Konferensbidrag (refereegranskat)abstract
- People with COPD are affected by symptom burden as it has an impact on their daily lives. There are few studies to be found about people with COPD and their own experiences of living with the disease.The aim of this study was to identify and describe the symptom burden in people with COPD based on their own lived experiences. This was a qualitative study, interviewing 25 people with COPD in stages III and IV.People with COPD have a substantial symptom burden that affects their daily lives.There are several strategies to manage everyday life and reduce the symptom burden
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| 6. |
- Johansson, Helena, et al.
(författare)
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The qualitative interview; not just data collection
- 2016
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Konferensbidrag (refereegranskat)abstract
- The qualitative interview is a method to obtain knowledge about the persons own lived experience and the possibility to share the person’s own life experiences.A qualitative interview study with planed interviews between 20 to 30 minutes related to the persons health. The interviews lasted for 40 to 70 minuets. At the beginning of each interview, most of the informants were affected by symptoms, which faded out during the interview. An interview is aiming for data collection but the conversation can be treating the affected person so the qualitative interview is more than just data collection-becoming an intervention.
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| 7. |
- Johansson, Helena, 1980-, et al.
(författare)
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To live a life with COPD - the consequences of symptom burden
- 2019
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Ingår i: International Journal of COPD. - Auckland, New Zealand : Dovepress. - 1176-9106 .- 1178-2005. ; 14, s. 905-909-
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Tidskriftsartikel (refereegranskat)abstract
- Background: Chronic obstructive pulmonary disease (COPD) is a prevalent disease as with its symptom and treatment gives a burden for the affected person, family, health care and finances. Today the knowledge and understanding are sparse regarding COPD affected person´s own lived experiences about the symptom burden and its effect on their daily life. Due to this knowledge gap the aim of this study was to identify and describe the symptom burden and its effect on daily life in people with COPD based on their own lived experiences.Subject and Method: Eleven males and fourteen females in GOLD stage III and IV within an age of 58-82 years were interviewed. An interview guide guided the face-to-face interviews. Data was analyzed with Thematic Analysis following the six steps according to Braun and Clarke.Results: The result show one theme; An altered everyday life. The altered everyday life lead to a need of support to handle the everyday life and different strategies to live as desired. Persons with COPD need to take the day as it comes dependent on the status of the day. The life is not easy to plan, and the day must be taken as it comes. The life is handled with strategies in breathing techniques, take care of the home and garden as well as the emotions. Support from the next of kin, society and the health care is important.Conclusion: This study provides insight in that persons with COPD in stage III and IV have an altered life caused by the symptom burden. They must struggle with strategies to handle everyday life. There is a need of support from next of kin and society to facilitate life, but this support needs to be well-balanced.
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| 8. |
- Jonasson, Lise-Lotte, 1956-, et al.
(författare)
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Empirical Ethical Values Promoting Good Caring Encounters with Older Patients and Relatives in a Geriatric Setting
- 2019
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Ingår i: Journal of Clinical Cases and Reports. - : Published by TRIDHA Scholars.. - 2582-0435. ; 4:1, s. 1-11
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Tidskriftsartikel (refereegranskat)abstract
- Objective: This study describes empirical ethical values promoting good caring encounters with older patients 65, relatives, and care staff in a geriatric clinic. Methods: Hermeneutic method was used in a secondary analysis, a re-analysis, of data already collected in three previous studies describing empirical ethical values. Data in the previous studies was collected in a geriatric clinic at a county hospital in a medium-sized city in Sweden. In study I were older patients (n = 22) with registered nurses and enrolled nurses observed during caring encounters (n = 57). Study II was an interview study with older patients´ relatives (n = 14). Study III observed encounters with registered nurses (n = 20) who cared for older patients. Result: Empirical ethical values promoting good caring encounters comprising a welcoming environment, moral actions in physical and social movements, showing respect, participation, security, and a worthy start, middle, and end of caring encounters. Conclusion: Bearing these empirical ethical values in mind should help care staff to focus on patient safety and their own ethical values, with the aim to promote good caring encounters with older patients and relatives. Respect establishes the basis for reciprocity, when people in caring encounters trust one another, security ensues and the fundamentals for patient safety fall into place.
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| 9. |
- Jonasson, Lise-Lotte, 1956-
(författare)
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Inkontinensprojektet : Personalens uppfattningar om äldre vårdtagares urininkontinens vid tre kommunala vård- och omsorgsboenden och hantering av frågor kring detta
- 2016
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Ur inledning: I föreliggande rapport redovisas förekomst av urininkontinens hos äldrevårdtagare vid vård- och omsorgsboenden (benämns även särskilda boenden) itre kommuner och hur personal inom berörda professioner uppfattar problematiken samt deras förslag till förbättringar. I rapporten används följande begreppoch de avser samma betydelse; äldre vårdtagare, äldre person, vårdtagare, äldre påsärskilt boende samt äldre på vård- och omsorgsboende. Studiens professioner harindelats i två kategorier: lednings- och handledningspersonal och omvårdspersonal. Ledningspersonal är ansvariga chefer vid särskilda boenden, handledningspersonal handleder omvårdnadspersonal och är distriktssköterska eller sjuksköterska med förskrivningsansvar. Som omvårdnadspersonal benämns undersköterskor med ansvar för omvårdnadsarbetet.
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| 10. |
- Jonasson, Lise-Lotte, 1956-, et al.
(författare)
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Life situation and participation as experienced by adult patients in palliative home care
- 2019
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Ingår i: Nursing and Palliative Care. - 2397-9623. ; 4:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Many patients are currently cared for at the end-of-life stage at home, and the number is expected to increase. The patient’s participation is a prerequisite for good care, which also relates to ethical principles and evidence-based action.Aim: To describe adult patients’ experiences of their life situation and their participation in palliative home care. Method: A reflective lifeworld approach and a phenomenological meaning analysis were conducted. Six adult patients in palliative home care were interviewed in Sweden during 2018.Results: One essential meaning and five elements of that meaning describe adult patients’ life situations and participation in their palliative home care. The essential meaning referred to needing and endeavouring to live as usual and taking responsibility for life. The five essential elements were: The home should be my home, where I know who is coming through the door; I should know when help is coming and be included when decisions are made; routines should be maintained, but without booking up tomorrow; accept death, feel hope, and plan for relatives after my death; and be aware that death is imminent, but not know when it will come.Conclusions: Participation in palliative home care can be maintained and improved by caregivers behaving as guests in the patient’s home, building up the patient’s trust, showing consideration for patients and their relatives, promoting patients living everyday life as they previously had, asking about the patient’s habits, and giving patients time and continuity in the caregiving relationship. Education should focus on how to have supportive conversations with a patient who is dying and preparing for death.
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