| 1. |
- Häggström, Elisabeth, et al.
(författare)
-
A nine-month intervention programme focusing on empowerment : caregivers' descriptions of changed behaviour and increased room for acting
- 2009
-
Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 18:6, s. 866-873
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: To describe public nursing home Enrolled Nurses' and Nurses Aides' view of their work and their perceptions of themselves in their professional role while they were receiving a serious of role awareness sessions focusing on empowerment for nine months. BACKGROUND: According to several studies, it is typical that women may experience problems and injustices at work. The main focus of the intervention was to help enrolled nurses' and nurses aides' in developing their self-image and professional role. DESIGN: This study was descriptive and qualitative in design. METHODS: The present study comprises semi-structured interviews conducted with enrolled nurses and nurses aides (n = 14) from public nursing homes at start of the intervention and again nine months following the intervention. The text from the interviews was analysed using latent content analysis. RESULTS: The main findings primarily show an improved professional role for the caregivers, as described in the following themes: the move from passivity to activity, the move from complaining to understanding, the move from expectations to frustration and the move from being silent to speaking loud. CONCLUSIONS: For caregivers working with older people within public nursing home care, it seems to be a good form of clinical supervision to implement a serious of role awareness sessions in order to improve their professional role. RELEVANCE TO CLINICAL PRACTICE: The findings showed that an intervention providing opportunities with focus on empowerment improved the enrolled nurses' and nurses aides' professional role in working with older people. This can be useful information for managers and educators and they may want to adapt it when working in a public nursing home.
|
|
| 2. |
|
|
| 3. |
- Fogelberg Dahm, Marie, 1954-, et al.
(författare)
-
Nurses' experiences of and opinions about using standardised care plans in electronic health records : a questionnaire study
- 2008
-
Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 17:16, s. 2137-2145
-
Tidskriftsartikel (refereegranskat)abstract
- Aim.The aim of the present study was to investigate nurses' opinions about using standardised care plans in electronic health record and quality standards for clinical practice.Background.Following introduction of an electronic health record, use of standardised care plans and quality standards has increased among nurses at two hospitals in Sweden. Understanding nurses' opinions is important to continued development in this area. There are few previous studies on nurses' opinions about standardised care plans.Design. Survey.Method.The study was quantitative, descriptive and based on a questionnaire. The questionnaire included items on nurses' knowledge of and opinions about standardised care plans and quality standards.Results.The majority of the nurses were of the opinion that standardised care plans increase their ability to provide the same high-quality basic care for all patients. They also thought that a common standardised care plan across several professions would improve conditions for provision of high-quality care. The majority of the nurses also felt that the quality standards are a prerequisite of maintaining standardised care plans of high quality. There was no consensus on whether standardised care plans increase the risk of failing to notice patients' individual problems. Most agreed that standardised care plans decrease documentation time as well as redundant documentation. The study showed that training is needed to teach nurses how to use standardised care plans in care provision.Conclusions. The nurses in the study had positive attitudes towards use of standardised care plans and felt that they could facilitate nursing practice.Relevance to clinical practice. Use of standardised care plans can improve nursing documentation and facilitate work for nurses. Moreover, it can support nurses in their use of evidence-based nursing methods. The present study shows that nurses have positive attitudes, which could facilitate continued use of standardised care plans.
|
|
| 4. |
- Hägglund, Doris, et al.
(författare)
-
Effekten av tranbärsjuice och personalutbildning i vårdhygien för att förebygga urinvägsinfektioner inom särskilt boende
- 2009
-
Ingår i: Vård i Norden. - København : SSN [Sjuksköterskornas samarbete i Norden]. - 0107-4083 .- 1890-4238. ; 29:2, s. 28-32
-
Tidskriftsartikel (refereegranskat)abstract
- Cranberry juice is often given to elderly persons in nursing homes to prevent urinary tract infections; still there is little evidence to support itsuse. Basic hygiene routines are important for preventing urinary tract infections. The aim of this study was to investigate whether cranberry juiceand staff education in hygiene care can prevent symptomatic urinary tract infections among elderly persons living in nursing homes. A quasiexperimentalstudy with three intervention groups and one control group was conducted involving 257 elderly women and men. A total of 48symptomatic urinary tract infections were documented over the six months of the study: 21 (43.7%) in the cranberry group, 11 (22.9%) in thecontrol group, 9 (18.7%) in the cranberry/hygiene care group and 7 (14.5%) in the hygiene care group. These between-group differences werenot statistic significant. Hence, our study showed no preventive effect from cranberry juice, alone or in combination with staff education in hygienecare, on the incidence of symptomatic urinary tract infections. However, more and better research with larger randomised trials or cranberrycapsules is needed to study its potential use to prevent urinary tract infections in elderly persons.
|
|
| 5. |
- Hägglund, Doris, et al.
(författare)
-
Fear of humiliation inhibits women's care-seeking behaviour for long-term urinary incontinence.
- 2007
-
Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 21:3, s. 305-312
-
Tidskriftsartikel (refereegranskat)abstract
- Most women with urinary incontinence (UI) do not seek professional help. Women's experiences of their behaviour when seeking care for incontinence are important to improve understanding by nurses and encourage as well as enable women to seek help. The aim of this study was to illuminate the meaning of women's lived experiences of their behaviour when seeking care for long-term UI. Thirteen women were interviewed (range 37-52 years) who had not sought professional help for incontinence. A phenomenological hermeneutic method was used to analyse and interpret the interview texts. Three themes evolved from data: being in an affected situation, having personal beliefs about seeking care and having desired expectations about care. Being in an affected situation, means that the women were negatively affected by their long-term incontinence. Living with shame, altered sexual relationships and a need for distancing have negatively influenced their care-seeking behaviour (CSB). Having personal beliefs about seeking care means that the women had their own beliefs regarding morally acceptable behaviour for seeking care because of incontinence. This led to a toning down of their problem and a minimization of the problem associated with incontinence as it was considered to be a normal consequence of pregnancy and childbirth. Having desired expectations about care means that the women had opinions relevant to the care and felt being asked about incontinence and an understanding atmosphere should be included. The conclusion is that fear of humiliation inhibited women from seeking care for long-term UI. The findings suggest that nurses should be precise when asking about women's experiences of UI because otherwise they do not bring it up. Additionally, CSB can help nurses to explain the experience and enable women to seek help for this manageable condition.
|
|
| 6. |
- Häggström, Elisabeth, et al.
(författare)
-
Caregivers working with older people experience work dissatisfaction and low self-esteem orginating from power relations in municipal care organization
- 2009
-
Ingår i: Tidsskrift for Sygeplejeforskning. - 0900-3002. ; 25:2, s. 27-33
-
Tidskriftsartikel (refereegranskat)abstract
- This study explores how a combined gender and power perspective might explain and help us understand caregivers´ expressions of low self-esteem and dissatisfaction in their work with older people. The aim of the study was to discover whether caregivers’ experiences in the nursing home can be understood on the basis of Ås´ framework of the Five Master Techniques. The study was conducted within the municipal gerontological care system in Sweden and has an explorative, qualitative design. Twenty caregivers were interviewed, and the interviews were analysed using a qualitative content approach. Based on Ås´ theory of Five Master Techniques, the caregivers’ experiences of being made to feel invisible, ridiculed, deprived of information, receiving double punishment and feelings of guilt and shame emerged from the analyses. The study shows that the caregivers’ experiences, listed above, were all obvious at the nursing home and that these experiences also affected their feelings of work dissatisfaction and low self-esteem. The findings show the importance of using a gender perspective in caring, so that power relations in the organization can be explored, understood and combated.
|
|
| 7. |
- Häggström, Elisabeth, 1952-, et al.
(författare)
-
Nurses’ opinions about a web-based distance course in a specialist education programme for the care of older people : a questionnaire study
- 2009
-
Ingår i: International Journal of Older People Nursing. - : Wiley. - 1748-3735 .- 1748-3743. ; 4:3, s. 177-184
-
Tidskriftsartikel (refereegranskat)abstract
- Aim. The aim of the present study was to investigate students’ opinions about a web-based distance learning course that was part of a specialist education programme. Design. Survey. Method. The study was a descriptive survey with both qualitative and quantitative questions. Results. The students found the web-based course very useful for their theoretical and professional development. New perspectives on ageing, increased knowledge about analysing and describing theories as well as practising interviews and qualitative analysis as methods were appreciated by the students. Conclusions. One way for RNs in Sweden to get a university specialist education in the care of older people is to have a distance web-based course, as it allows flexibility and improves the students’ theoretical and professional knowledge and communication skills. Relevance for clinical practice. Managers working in care for older people settings and educators will be interested in this study’s finding that distance learning is a useful strategy for providing education for RNs who work with older people.
|
|
| 8. |
|
|
| 9. |
- Silén, Marit, 1979-, et al.
(författare)
-
Workplace Distress and Ethical Dilemmas in Neuroscience Nursing
- 2008
-
Ingår i: Journal of Neuroscience Nursing. - 0888-0395 .- 1945-2810. ; 40:4, s. 222-231
-
Tidskriftsartikel (refereegranskat)abstract
- This study concerns Swedish nurses' experiences of workplace stress and the occurrence of ethical dilemmas in a neurological setting. Qualitative interviews were conducted with 21 nurses. The interview results were subjected to qualitative latent content analysis and sorted into 4 content areas: workplace distress, ethical dilemmas, managing distress and ethical dilemmas, and quality of nursing. Common workplace stressors were high workload and lack of influence. These were perceived to have negative consequences for the quality of nursing. Ethical dilemmas mainly concerned decision making on initiation or withdrawal of treatment, which was experienced as a troublesome situation where conflicts could arise. The nurses managed the distress and ethical dilemmas by accepting and adjusting to the situation and seeking support from colleagues. They also endeavored to gain new strength in their private lives.
|
|
| 10. |
- Tang, Ping Fen, et al.
(författare)
-
Chinese nurses´ethical concerns in a neurological ward
- 2007
-
Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 14:6, s. 810-824
-
Tidskriftsartikel (refereegranskat)abstract
- Our aim was to describe Chinese nurses' experiences of workplace distress and ethical dilemmas on a neurological ward. Qualitative interviews were performed with 20 nurses. On using latent content analysis, themes emerged in four content areas: ethical dilemmas, workplace distress, quality of nursing and managing distress. The ethical dilemmas were: (1) conflicting views on optimal treatment and nursing; (2) treatment choice meeting with financial constraints; and (3) misalignment of nursing responsibilities, competence and available resources. The patients' relatives lacked respect for the nurses' skills. Other dilemmas could be traced to the transition from a planned to a market economy, resulting in an excessive workload and treatment withdrawal for financial reasons. Lack of resources was perceived as an obstacle to proper patient care in addition to hospital organization, decreasing the quality of nursing, and increasing moral and workplace distress. The nurses managed mainly by striving for competence, which gave them hope for the future.
|
|
