| 1. |
- Ekman, Inger, 1952, et al.
(author)
-
Person-centered care -ready for prime time.
- 2011
-
In: European Journal of Cardiovascular Nursing. - : Sage Publications. - 1474-5151 .- 1873-1953. ; 10:4, s. 248-251
-
Journal article (peer-reviewed)abstract
- Long-term diseases are today the leading cause of mortality worldwide and are estimated to be the leading cause of disability by 2020. Person-centered care (PCC) has been shown to advance concordance between care provider and patient on treatment plans, improve health outcomes and increase patient satisfaction. Yet, despite these and other documented benefits, there are a variety of significant challenges to putting PCC into clinical practice. Although care providers today broadly acknowledge PCC to be an important part of care, in our experience we must establish routines that initiate, integrate, and safeguard PCC in daily clinical practice to ensure that PCC is systematically and consistently practiced, i.e. not just when we feel we have time for it. In this paper, we propose a few simple routines to facilitate and safeguard the transition to PCC. We believe that if conscientiously and systematically applied, they will help to make PCC the focus and mainstay of care in long-term illness.
|
|
| 2. |
- Dahlin-Ivanoff, Synneve, 1950, et al.
(author)
-
Comprehensive geriatric assessment of frail older people: ideals and reality
- 2018
-
In: Journal of Interprofessional Care. - : Informa UK Limited. - 1356-1820 .- 1469-9567. ; 32:6, s. 728-734
-
Journal article (peer-reviewed)abstract
- We explored different professionals’ views on and experiences of comprehensive geriatric assessment (CGA) of frail older people. Forty-six professionals working in hospitals, primary care, or municipal health and social care participated in 10 focus groups. Professional groups comprised of occupational therapists, physiotherapists, nurses, physicians, and social workers. Participants shared an ideal image of how the CGA of frail elderly people should be conducted. Experience-based competence was more often used as an assessment tool than standardized tests. The ideal image contrasted with reality, listening to the needs expressed, with the person’s problems, needs, and priorities in the foreground, as described by the categories: a need that can be met; different perspectives on needs; needs can be hidden; and needs assessment is affected by the collaboration around the person, by the context, and by the dialogue. The health and social care professionals’ first priority is to make a person-centred tailor-made comprehensive geriatric assessment and not be bound to instruments. Clear guidelines need to be developed, stating which profession assesses what, when and how in order to ensure that person-centred needs are assessed including structures and procedures for how communication and collaboration within the team as well as between the organizations are achieved in order to perform a good person-centred CGA.
|
|
| 3. |
- Lindahl, Berit, 1955, et al.
(author)
-
A meta-synthesis describing the relationships between patients, informal caregivers and health professionals in home-care settings
- 2011
-
In: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 20:3/4, s. 454-463
-
Journal article (peer-reviewed)abstract
- The present study describes, through a meta-synthesis, the relationship between patients, informal caregivers and health professionals involved in home care. Today, many people receive help from health care professionals in their homes with the consequence that, for many health care professionals, their working place is the patients' homes. Research that addresses the dynamics in the caring relationship in home care seems to be rare. A meta-synthesis is an integrated interpretation of qualitative research findings, which is more substantive than the results from each individual investigation. We performed a systematic literature search regarding studies published during the period 1992-2005, using the search terms home nursing, professional and home health care. The included studies described relations in a home care context, between health professionals and patients or relations between health professionals, patients and their informal caregivers published in the same study. The fi ; ndings showed that when professionals entered people's home, the private area changed. The study presents an interpretation of the changed meanings of home as the place and space for professional care. We described the meanings of the relationship in two main themes with subthemes. The main themes are 'being there' and 'home care as a co-creation'. The understanding of relationships in home care is seen as the development of a professional friendship. This concept is reflected on through the writings of Aristotle and Alberoni. To address these concerns, it is important that home care providers, recipients and their family members develop friendships. These friendships should be a part of any professional relationship. When health professionals enter patients' homes, they have to be aware of the risk of transgressing borders of privacy. In addition, devaluing patients' or their informal caregivers' knowledge and their opinions about the care is interpreted as an exercise of institutiona ; l power.
|
|
| 4. |
- Lundin Gurné, Frida, et al.
(author)
-
Striving to be in close proximity to the patient: An interpretive descriptive study of nursing practice from the perspectives of clinically experienced registered nurses
- 2021
-
In: Nursing Inquiry. - : Wiley. - 1320-7881 .- 1440-1800. ; 28:2
-
Journal article (peer-reviewed)abstract
- © 2020 The Authors. Nursing Inquiry published by John Wiley & Sons Ltd This paper explores essential characteristics of current nursing practice from the perspectives of clinically experienced registered nurses in various fields of health care in Sweden. Nursing practice has been the subject of much debate in the past and because of its complexity as well as continuous changes in society it is important to continue the debate. A qualitative study, including 16 group interviews with altogether 74 participants, was conducted. Nursing practice was viewed as a multifaceted field. The participants struggled to define nursing but were able to describe it using concrete examples. The analysis, using interpretive description, identified current practice as essentially consisting of: ‘A practice pervaded by comprehensive responsibility’, ‘A practice that recognises a patient's unique needs’, ‘A practice based on multifaceted knowledge’ and ‘A practice that mediates between traditional values and changing demands’. Current nursing practice can be understood as striving to be in close proximity to the patient, but in tension with pervasive requirements and societal changes. Going forward, it is necessary to continue to reflect on and discuss the nature of nursing practice in an interprofessional context. Studies from primary and home care are also needed to broaden the understanding of nursing practice.
|
|
| 5. |
- Alnervik, Karin, 1958-, et al.
(author)
-
Barn och vårdnadshavares minnen av deltagande i pedagogisk dokumentation
- 2018
-
In: Nordisk Barnehageforskning. - : OsloMet – storbyuniversitetet. - 1890-9167. ; 17:1
-
Journal article (peer-reviewed)abstract
- Syftet med artikeln är att bidra till kunskapandet om pedagogisk dokumentation med specifikt fokus på dokumentationens betydelse ur ett demokratiperspektiv. Trots många studier kring pedagogisk dokumentation finns det få studier som explicit utgår ifrån barn och vårdnadshavares perspektiv. I artikeln analyseras barns och vårdnadshavares samtal utifrån minnesbilder, vilka framträder i fokusgruppssamtal, från förskoletiden i relation till pedagogiskt dokumentationsarbete. Resultatet visar att den pedagogiska dokumentationspraktiken bidrog till skapandet av en praktikgemenskap på förskolan vilket i sin tur möjliggjorde en demokratisk undervisning.
|
|
| 6. |
- Bångsbo, Angela, 1968, et al.
(author)
-
Barriers for Inter-Organisational Collaboration: What Matters for an Integrated Care Programme?
- 2022
-
In: International Journal of Integrated Care. - : Ubiquity Press, Ltd.. - 1568-4156. ; 22:22
-
Journal article (peer-reviewed)abstract
- Introduction: Inter-organisational collaboration is challenging but essential in managing the complex and comprehensive needs of frail older people. Therefore, there is a need to investigate the influence of different barriers to inter-organisational collaboration when implementing an integrated care programme. The aim of this study was to investigate both inpatient and outpatient staff views on the factors they deemed to be influential to inter-organisational collaboration for an integrated care programme. Methods: The study was a cross-sectional study and included staff from hospitals, primary care and municipal health and social care. Results: There were no significant differences between staff from inpatient and outpatient care in measuring factors that may cause difficulties for inter-organisational collaboration. Staff views diverged significantly on all factors, such as educational level at long physical distances, laws and regulations, knowledge of each others work settings, experience from inter-organisational collaboration, different professions, variations in professional status and power, psychosocial factors such as positive work environment and interpersonal chemistry. Discussion: A multidisciplinary team culture and avenues for inter-organisational collaboration need to be developed for improved care continuity. Conclusion: The staffs’ educational level influenced what was perceived as barriers to inter-organisational collaboration, and may guide future development of integrated care programmes.
|
|
| 7. |
- Bångsbo, Angela, 1968, et al.
(author)
-
Collaboration in discharge planning in relation to an implicit framework
- 2017
-
In: Applied Nursing Research. - : Elsevier BV. - 0897-1897 .- 1532-8201. ; 36, s. 57-62
-
Journal article (peer-reviewed)abstract
- Aim: The aim of our study was to explore healthcare and social care professionals’ experiences of preconditions for interorganizational and interprofessional collaboration to support frail elderly patients in discharge planning conferences. Background: At the time for hospital discharge, healthcare and social care professionals have to balance safe care, need for continuity of care, and elderly patients’ own expectations with economical demands. Therefore, collaboration interorganizationally and interprofessionally is essential, since deficiencies are risks to patient safety. Methods: Four focus groups, which consisted of 30 participants—occupational therapists, social workers, physiotherapists, and nurses from hospital, primary care, municipal health, and social welfare—were held. Results: The tacit framing of normative and contextual aspects that influenced discharge conferences’ outcomes, such as around decision-making about post-discharge activities, was identified as a main category in the results, comprised of the following four categories: (1) Different perceptions of prioritizing the elderly patients’ involvement in practice; (2) Choice of method for information transferal affecting collaboration; (3) The limited timeframe affecting assessments and choice of actions; (4) Underlying professional hierarchies. Conclusions: Overall, we found professional hierarchies and organizational administrative demands on efficiency reduced collaboration interorganizationally and between healthcare and social care professionals. Based on our findings, it is our opinion further development is needed both locally at hospitals and at a systemic level in Sweden.
|
|
| 8. |
- Bångsbo, Angela, 1968, et al.
(author)
-
Kommunikativa processer och upplevelser av delaktighet i vård- och omsorgsplaneringsmöten
- 2010
-
Reports (other academic/artistic)abstract
- Äldre personer med flera ohälsoproblem och komplexa vård- och omsorgsbehov är en ökande grupp i samhället. För att åstadkomma en vård och omsorg som svarar mot den enskilda personens behov är samverkan mellan olika vårdgivare och professioner en viktig utgångspunkt vid vård- och omsorgsplanering. I denna studie har vi undersökt hur delaktighet för patienter skapas vid vård- och omsorgsplaneringsmöten (VOP-möten) samt hur deltagarna upplever detta. Datamaterialet består av bandinspelade VOP-möten samt efterföljande intervjuer med mötesdeltagarna. I datamaterialet ingick dels möten som genomfördes av vård- och omsorgspersonal vars huvudsakliga arbetsuppgift är att genomföra vård- och omsorgsplaneringar (här kallade specialiserade vårdplaneringsteam), dels möten som genomfördes av personal som inte specifikt arbetade enbart med VOP-möten. De inspelade VOP-mötena analyserades utifrån dimensionerna aktiv-passiv, subjekt-objekt. I analysen belystes hur såväl patienternas, närståendes samt vård- och omsorgspersonalens förhållningssätt bidrog till den bild av patienten som framställdes under mötet. Resultatet presenteras utifrån följande kategorier: Att vara ett ”aktivt subjekt”, d v s att man är delaktig i sin vård- och omsorgsplanering och förväntas ta ansvar vid formulering av målsättningar; Att vara ett ”passivt subjekt” det vill säga patienten framstår som en hel person som lever i ett livssammanhang men som på grund av hälsoskäl eller påverkan i omgivningen inte är så delaktig vid VOP-mötet; Att vara ett ”aktivt objekt” vilket innebär att endast begränsade aspekter av personen framträder exempelvis genom att patienten bidrar till en beskrivning av sig själv som ett objekt; samt slutligen; Att vara ett ”passivt objekt” där patienten fråntas möjligheten att delta i bedömning eller planering av vård och omsorg. I resultatet beskrivs dessutom omständigheterna kring mötet, ”Samtalsramen”, samt deltagarnas upplevelser före, under och efter mötet. I resultatet framkom att patienterna i huvudsak var aktiva vid VOP-mötena och bemöttes som subjekt. Patienternas delaktighet underlättades i den här studien av att de var väl förberedda inför mötet, de visste vad mötet skulle handla om, flera hade tidigare erfarenheter av VOP-möten och de gavs möjlighet att berätta vem man var och hade varit. Patienterna beskrev i de efterföljande intervjuerna att de, inför VOP-mötet, kände en oro att självbilden skulle komma att förändras från självständighet till beroende. Patienterna beskrev i de flesta fall att de kände sig bekväma under mötet. Vidare framkom att patienterna efter mötet upplevde både att deras önskemål infriats, men också en medvetenhet om att livsavgörande beslut hade aktualiserats, vilket kunde föranleda såväl besvikelse som anpassning till en ny livssituation. Resultatet kan inte sägas representera hur VOP-möten generellt sett genomförs och upplevs. Begränsningar i datamaterialet består av att inspelningarna av VOP-möten och intervjuer ägde rum i ett område där det fanns god tillgång på korttidsplatser. Majoriteten av datamaterialet utgjordes också av möten med vårdpersonal som var särskilt erfarna och intresserade av arbetsuppgiften. Denna rapport kan därför sägas beskriva i huvudsak ”goda exempel” på vård- och omsorgsplaneringsmöten, d v s när det fungerar väl. Trots detta anser vi att den modell som beskriver hur patienterna positionerar sig och positioneras som aktiv/passiv, subjekt/objekt är giltig och möjlig att använda i alla typer av VOP-möten och kan tjäna som stöd för att förstå vad som händer och hur det händer i kommunikationsprocessen.
|
|
| 9. |
- Bångsbo, Angela, 1968, et al.
(author)
-
Patient participation in discharge planning conference.
- 2014
-
In: International journal of integrated care. - 1568-4156. ; 14
-
Journal article (peer-reviewed)abstract
- There is a need for individualized discharge planning to support frail older persons at hospital discharge. In this context, active participation on their behalf cannot be taken for granted. The aim of this study was to elucidate patient participation in discharge planning conferences, with a focus on frail older persons, supported by the theory of positioning described by Harré & van Langenhove.
|
|
| 10. |
- Bångsbo, Angela, PhD, 1968-, et al.
(author)
-
Preconditions to implementation of an integrated care process programme
- 2021
-
In: Journal of Integrated Care. - : Emerald Group Publishing Limited. - 1476-9018.
-
Journal article (peer-reviewed)abstract
- PurposeThe purpose of this study was to investigate the preconditions of a full-scale implementation of an integrated care process programme for frail older people from the staff's understanding, commitment and ability to change their work procedures with comparisons over time and between organisations.Design/methodology/approachA repeated cross-sectional study was conducted in a hospital, municipal health and social care setting.FindingsStaff commitment decreased to the importance of a permanent municipal contact from baseline compared to the 12-months follow-up (p = 0.02) and the six- and 12-months follow-up (p = 0.05), to the information transfer from emergency department from the six- to the 12-months follow-up (p = 0.04), to discharge planning at the hospital at six- and 12-months follow-up (p = 0.04) and towards discharge planning at home from baseline to the six-month follow-up (p = 0.04). Significant differences occurred between the organisations about information transfer from the emergency department (p = 0.01) and discharge planning at home (p = 0.03). The hospital staff were the most committed.Practical implicationsThe results can guide the implementation of complex interventions in organisations with high-employee turnover and heavy workload.Originality/valueThe study design, allowing the comparison of implementation results over time and between organisations in a later phase, gives this study a unique perspective.
|
|
| 11. |
- Caesar, Ulla, et al.
(author)
-
A sense of being rejected : Patients’ lived experiences of cancelled knee or hip replacement surgery
- 2021
-
In: Scandinavian Journal of Caring Sciences. - : John Wiley & Sons. - 0283-9318 .- 1471-6712.
-
Journal article (peer-reviewed)abstract
- BackgroundGrowing care queues, reduced access to care and cancelled surgery are realities for some patients being treated with total hip or knee replacement surgery in Sweden.Most of the patients on the waiting lists have experienced pain and limited motion for a varying period of time, with a negative effect on their everyday lives. Overbooked surgical schedules are already contributing to the lengthy waiting times, but, with the addition of cancellations, longer waiting times will increase still further and may affect patients’ well‐being.MethodsIn the present study, we aimed to illuminate the experience of having planned surgery cancelled, based on narratives from 10 participants. The interview transcriptions were analysed using a phenomenological hermeneutic approach.ResultsThe comprehensive analyses revealed that the participants described the agony of being deselected and the additional impression of being excluded. Metaphors of being damaged and feeling physical pain were used and the interpretations referred to the cancellations as unpleasant. Additionally, the important relationship and the trust between the health workers and the patient were negatively affected by the cancellation.ConclusionAfter the cancellation, the participants expressed being vulnerable and from their perspective the cancelled surgery affected them deeply; in fact, much more than the healthcare workers appeared to understand. Therefore, information around the cancellation must be given respectfully and with dignity, in a dialogue between the patient and the healthcare workers. Taken together, to enable an opportunity to be involved in the continued care. The cancellations should be seen as an interruption, in which the patients’ chance of living a pain‐free, active life is postponed.
|
|
| 12. |
|
|
| 13. |
- Engnes, Kristin, et al.
(author)
-
Experiences of being exposed to intimate partner violence during pregnancy
- 2012
-
In: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 7:1
-
Journal article (peer-reviewed)abstract
- In this study a phenomenological approach was used in order to enter deeply into the experience of living with violence during pregnancy. The aim of the study was to gain a deeper understanding of women’s experiences of being exposed to intimate partner violence (IPV) during pregnancy. The data were collected through in-depth interviews with five Norwegian women; two during pregnancy and three after the birth. The women were between the age of 20 and 38 years. All women had received support from a professional research and treatment centre. The essential structure shows that IPV during pregnancy is characterized by difficult existential choices related to ambivalence. Existential choices mean questioning one’s existence, the meaning of life as well as one’s responsibility for oneself and others. Five constituents further explain the essential structure: Living in unpredictability, the violence is living in the body, losing oneself, feeling lonely and being pregnant leads to change. Future life with the child is experienced as a possibility for existential change. It is important for health professionals to recognize and support pregnant women who are exposed to violence as well as treating their bodies with care and respect.
|
|
| 14. |
- Engnes, Kristin, et al.
(author)
-
Women's experiences of important others in a pregnancy dominated by intimate partner violence.
- 2013
-
In: Scandinavian Journal of Caring Sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 27:3, s. 643-650
-
Journal article (peer-reviewed)abstract
- Women's experiences of important others in a pregnancy dominated by intimate partner violence Background: Being exposed to intimate partner violence (IPV) during pregnancy is a difficult and complex situation. Despite this, there are few studies describing women's own needs for help and support. Aim: The aim of this study is to gain a deeper understanding of women's experiences of important others in relation to changing their life situation in a pregnancy dominated by IPV. Methods:The study has a qualitative phenomenological design. The data were collected through in-depth interviews with seven Norwegian women, who were exposed to IPV during pregnancy. Findings:Being pregnant and exposed to violence in relation to important others means confronting present life, life history and future life. The essence implies striving for control in an uncontrolled situation, where other people might be experienced as both a rescuer and a risk. This is further described in four constitutions: the child needs protection; my mother is always present for me; an exhausted run for help; and a reduced, but important social network. Conclusions and implications for practice:For women exposed to violence, pregnancy can offer an opportunity for change. Midwives play a unique role in relation to care and continuity in this phase of life, as they can support pregnant women, help to identify their needs, possibilities for action and advise them about appropriate services. Midwives can encourage and support women to find people whom they can trust and who can offer assistance. It is vital that midwives ask about the women's relationship to the baby and their social networks, especially the relationship with their mothers. Ethical considerations: During the whole study process, guidelines for research on violence against women were followed, to respect the integrity, security and confidentiality of the participants. The study is ethically approved.
|
|
| 15. |
- Friberg, Febe, 1950, et al.
(author)
-
Communicating bodily changes : Physicians' ways of enabling patient understanding in gastrointestinal cancer consultations
- 2015
-
In: Palliative & Supportive Care. - 1478-9515 .- 1478-9523. ; 13:03, s. 661-671
-
Journal article (peer-reviewed)abstract
- Objective: To explore how physicians communicatively enable patients' understanding of bodily changes in gastrointestinal cancer care consultations.Method: Two datasets were used. The first consisted of transcribed video-recorded palliative care consultations with three oncologists and six patients diagnosed with advanced gastrointestinal cancer, in the context of outpatient palliative care. The second dataset was audio-recorded transcriptions from diagnostic consultations with six surgeons and seven patients diagnosed with colorectal cancer, in the context of cancer surgery. An inductively driven and iterative analysis of interaction was performed, guided by Wetherell et al. (2001).Results: Two overarching communicative strategies were identified: (1) “visualizing strategies,” with the dimensions: visible strategies (visualizing with what you actually or potentially can see), sensory strategies (visualizing with what is possible to feel), and imaginative strategies; and (2) “contrasting strategies,” with the dimensions: contrasting subjective experiences and contrasting between the patient and other people.Significance of results: The visualizing and contrasting communicative strategies form parts of physicians' tacit and experience-based knowledge. The strategies employed by physicians reveal clear potentials to enable patients' understanding and sense making of bodily changes. However, these strategies need to be explicated and problematized as parts of both consultation practice and basic medical education. By means of increased awareness, physicians can more easily identify turning points in patients' levels of understanding, thereby enriching ordinary medical consultations with reflected pedagogical strategies and skills in how to dialogue in a person-centered manner.
|
|
| 16. |
- Håland, Kristin, 1965, et al.
(author)
-
Fathers’ experiences of being in change during pregnancy and early parenthood in a context of intimate partner violence
- 2016
-
In: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 11
-
Journal article (peer-reviewed)abstract
- Objective: Intimate partner violence (IPV) is a large public health problem with far-reaching consequences for those involved. The aim of this study was to explore fathers’ experiences of change during pregnancy and early parenthood in the context of IPV. Methods: The methodological approach in this interview study was hermeneutics, based on a lifeworld perspective. Ten men, who had subjected their partners to violence during the childbearing period, and had become fathers within the previous 6 years, participated. Results: The analysis revealed four themes: beginning to acknowledge that you are inflicting violence, receiving confirmation that you are more than just a perpetrator of violence, becoming aware of the child, and the desire to receive support in the process of learning how to become a father. Levinas’ concept “the face of the other” is used to interpret the findings. Conclusion: This study contributes to a more nuanced and expanded picture of IPV. It shows that men who inflict violence want to be and learn how to be fathers. We need more knowledge about how to stop violent acts and support these men in the process of fatherhood.
|
|
| 17. |
- Håland, Kristin, 1965, et al.
(author)
-
The meaning of men's experiences of becoming and being fathers, in men who have subjected their partners to violence
- 2014
-
In: Fathering: A Journal of Theory, Research, and Practice about Men as Fathers. - 1537-6680 .- 1933-026X. ; 12:2, s. 178-195
-
Journal article (peer-reviewed)abstract
- A phenomenological hermeneutic approach was used to illuminate the meaning of the lived experience of becoming a father, in men who had subjected their partners to violence. Ten fathers were interviewed. Four themes were developed: being forced to take responsibility; being afraid that the violence will continue in subsequent generations; striving to stay in control; and being a “good enough” father. The transition to becoming a father is a demanding process with ambiguous emotions, and the situation is especially difficult when the men have a history of violent behavior. The men clearly distinguished between the pregnant woman and the unborn child. Although they exercised violence against the women, they wanted to make their children safe, to protect them from violence, and to become good fathers.
|
|
| 18. |
- Kokkinakis, Dimitrios, 1965, et al.
(author)
-
Contextualisation of functional symptoms in primary health care
- 2012
-
In: The 5th GENEVA Conference on Person-Centered Medicine. Geneva, Switzerland..
-
Conference paper (other academic/artistic)abstract
- Background: a number of patients consulting primary health care have physical symptoms that may be labeled “medically unexplained”, i.e. absence of a demonstrable organic etiology. Common functional somatic symptoms (FSS) are irritable bowel, tension headache and chronic fatigue. FSS-patients are generally frustrated with the inability of health care to alleviate their illness. Health care staff often also feel frustration. The communication between patient and care giver is the key for coming to terms with the problem. Objective: to investigate how complex, vague and long-standing symptoms with no identified organic cause are put into context, interpreted and acted upon in primary health-care interactions. Two types of interventions are envisaged (i) methods for early identification of patients at risk of entering a vicious circle of functional symptoms and (ii) methods for re-interpreting symptoms in alternative and more purposeful ways. Methods: the project studies interactions between patients and nurses giving advice over telephone, consultations between patients and physicians, interviews and study patients' medical case notes. Eligible patients (18-65 y.o.) contact their primary health care centre by telephone, have had at least eight physical consultations with nurses or physicians in the last 12 months and if a majority of the symptoms within this time span had no clear organic or psychiatric cause. The project contains a number of subprojects, according to the type of data collected. Several methods of analysis will be used, mainly critical discourse analysis, phenomenologic-hermeneutic and computation linguistic analyses. (Expected) Results: using the collected data, we describe characteristics of the communication that takes place in these settings and the way symptoms and diseases are represented. This will facilitate the development of future interventions aimed at decreasing the morbidity due to FSS and give further insights into the problem.
|
|
| 19. |
- Lidén, Eva, 1955, et al.
(author)
-
Att samordna och planera med personal i annan organisation
- 2010
-
In: Att bli sjuksköterska - en introduktion till yrke och ämne. - : Studentlitteratur. - 9789144054117 ; , s. 223-238
-
Book chapter (other academic/artistic)abstract
- Kapitlet handlar om samverkan mellan olika vårdgivare och yrkesgrupper inom hälso- och sjukvården. Framför allt handlar kapitlet om vilka möjligheter och problem som finns när de gäller att åstadkomma en omvårdnad som kännetecknas av en helhetssyn när patienter skrivs ut från sjukhus och behöver fortsatt vård i det egna hemmet eller i kommunens särskilda boenden. Att bidra till denna samverkan är en viktig uppgift och en utmaning för alla sjuksköterskor oavsett om du arbetar på sjukhus eller inom hemsjukvården.
|
|
| 20. |
- Lidén, Eva, 1955, et al.
(author)
-
Combining garden therapy and supported employment - a method for preparing women on long-term sick leave for working life
- 2016
-
In: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 30:2, s. 411-8
-
Journal article (peer-reviewed)abstract
- © 2015 Nordic College of Caring Science. Women are overrepresented among the group people suffering from long-term illness. In addition to their illness, suffering long-term sick leave leads to economical restraints as well social distress. There are gaps in our understanding of the challenges these women face. There is also lack of knowledge about how these challenges can be effectively addressed in rehabilitation. This deficiency is problematic from an ethical, justice and a caring perspective. In this study, changes in health-related quality of life (HRQoL) among women on long-term sick leave were investigated during and after participating in a rehabilitation programme combining two validated methods, Garden Therapy and Supported Employment (SE). The study also discusses difficulties in realising research related to vulnerable under-privileged people. From a population of 329 women who had reported their interest to participate, 245 were randomised to the programme. Of these 144 accepted participation in the research project and of these 123 women accepted to answer the SF-36 questionnaire. The participants were between 21 and 62 years with poor physical and mental health. They had received public financial support from <1 year to >10 years. The SF-36 measurement was carried out at baseline, after completion of Garden Therapy and after completion of SE. The results are based on data of respondents who participated at all the three occasions (n = 52). When comparing HRQoL baseline with the following occasions, the participants' General Health (GH), Vitality (VT), Social Functioning (SF) and mental health had improved significantly. The Four Leaf Clover (FLC) programme could be an appropriate method for reducing socially induced suffering. However, to conduct intervention studies where vulnerable persons are involved, it is off vital importance to consider whether the participants have the strength to complete the intervention.
|
|
| 21. |
- Lidén, Edvard, et al.
(author)
-
Metabolic syndrome - a risk factor for all-cause disability pension : a prospective study based on the Swedish WOLF cohort
- 2020
-
In: Scandinavian Journal of Work, Environment and Health. - : Nordic Association of Occupational Safety and Health (NOROSH). - 0355-3140 .- 1795-990X. ; 46:4, s. 402-409
-
Journal article (peer-reviewed)abstract
- Objective: The aim was to study the impact of metabolic syndrome on the risk for disability pension among Swedish employees.Methods: A working population-based prospective cohort [Work, Lipids and Fibrinogen (WOLF) cohort, N=10 803], was linked to national registry records of all-cause disability pension for the period 1992–2013. Occupational health service data included 1992–2009 anthropometric measurements, blood samples, and questionnaires. Metabolic syndrome was defined according to International Diabetes Federation criteria, and risk for any all-cause disability pension was analyzed using Cox proportional hazard regression as hazard ratios (HR) with 95% confidence intervals (CI) adjusted for age, sex and other covariates.Results: Of the employees, 17.9% (men 21.5%, women 9.7%) met the criteria for metabolic syndrome. The prevalence of all-cause disability pension was 15.2% in men with metabolic syndrome and 7.5% in men without metabolic syndrome; for women, the corresponding results were 23.2% and 12.7%. After adjustment for socio-demographic factors, health behaviors, work-related factors, diabetes, and obesity, the risk for all-cause disability pension among subjects with metabolic syndrome displayed an HR of 1.37 (95% CI 1.18–1.60). Results were similar for men and women. In a subgroup, further adjustment for chronic diseases resulted in an HR of 1.32 (95% CI 1.04–1.68).Conclusion: This study demonstrates an increased risk for all-cause disability pension, even after adjustment for other risk factors, among Swedish employees with metabolic syndrome compared to those without at baseline.
|
|
| 22. |
- Lidén, Eva, 1955
(author)
-
Omvårdnadens institutionella inramning
- 2009
-
In: Omvårdnadens grunder. Ansvar och utveckling. - Lund : Studentlitteratur. - 9789144049076 ; , s. 148-178
-
Book chapter (other academic/artistic)abstract
- Det här kapitlet handlar om hur de vårdsammanhang som sjuksköterskor befinner sig i är en del av en övergripande samhällsstruktur som är präglad av vissa synsätt på centrala företeelser, såsom människan, samhället, hälsa och kunskap. Kapitlet beskriver också hur de personer som deltar i vården på olika sätt bidrar till att befästa eller förändra hur omvårdnad bedrivs. Det lyfter särskilt fram frågor kring vad en institution är, vilka värderingar och normer som har utvecklas inom hälso- och sjukvården, samt hur det påverkar vårdpersonalens dagliga arbete i patienternas hem eller på sjukhus. Slutligen diskuteras hur institutionella förhållanden påverkar maktförhållanden i vården.
|
|
| 23. |
|
|
| 24. |
- Lidén, Eva, 1955, et al.
(author)
-
The meaning of encounters with health professionals in primary health care as reported by patients with medically unexplained symptoms
- 2017
-
In: Nordic Journal of Nursing Research. - : SAGE Publications. - 2057-1585 .- 2057-1593. ; 37:2, s. 70-77
-
Journal article (peer-reviewed)abstract
- Medically unexplained symptoms (MUS) afflict up to 30% of patients who visit primary health care (PHC) services. The approach of health professionals is most important in encounters with these patients to accomplish a caring and effective treatment. The aim of the present study was to elucidate the meaning of patients’ lived experiences of encounters with PHC professionals when suffering from MUS. The study was based on ten narrative interviews with informants aged 24–61 years. Phenomenological hermeneutics was used as the method of analysis. Three themes emerged: Striving for understanding, Expecting to be taken seriously and Fear of being abandoned. The result can be seen as a call for health professionals to invite patients into an interpreting process to create a joint understanding of the patient’s body experiences and life situation. Thus the patient might also become reconciled with suffering and move on in life.
|
|
| 25. |
- Lidén, Eva, 1955, et al.
(author)
-
The meaning of learning to live with medically unexplained symptoms as narrated by patients in primary care: A phenomenological-hermeneutic study
- 2015
-
In: International Journal of Qualitative Studies on Health and Well-being. - : Informa UK Limited. - 1748-2623 .- 1748-2631. ; 10
-
Journal article (peer-reviewed)abstract
- Background: Although research about medically unexplained symptoms (MUS) is extensive, problems still affect a large group of primary care patients. Most research seems to address the topic from a problem-oriented, medical perspective, and there is a lack of research addressing the topic from a perspective viewing the patient as a capable person with potential and resources to manage daily life. The aim of the present study is to describe and interpret the experiences of learning to live with MUS as narrated by patients in primary health-care settings. Methods: A phenomenological–hermeneutic method was used. Narrative interviews were performed with ten patients suffering from MUS aged 24–61 years. Data were analysed in three steps: naive reading, structural analysis, and comprehensive understanding. Findings: The findings revealed a learning process that is presented in two themes. The first, feeling that the symptoms overwhelm life, involved becoming restricted and dependent in daily life and losing the sense of self. The second, gaining insights and moving on, was based on subthemes describing the patients’ search for explanations, learning to take care of oneself, as well as learning to accept and becoming mindful. The findings were reflected against Antonovsky’s theory of sense of coherence and Kelly’s personal construct theory. Possibilities and obstacles, on an individual as well as a structural level, for promoting patients’ capacity and learning were illuminated. Conclusions: Patients suffering from MUS constantly engage in a reflective process involving reasoning about and interpretation of their symptoms. Their efforts to describe their symptoms to healthcare professionals are part of this reflection and search for meaning. The role of healthcare professionals in the interpretative process should be acknowledged as a conventional and necessary care activity.
|
|
| 26. |
- Lidén, Eva, 1955, et al.
(author)
-
Ways of talking about illness and prognosis in palliative cancer care consultations-two interactional frames
- 2010
-
In: SUPPORTIVE CARE IN CANCER. - : Springer Science and Business Media LLC. - 0941-4355 .- 1433-7339. ; 18:4, s. 399-408
-
Journal article (peer-reviewed)abstract
- The purpose of the study was to describe how interaction about changes in illness and prognosis was shaped by participants in outpatient palliative cancer care consultations. The data collection involved six video-recorded consultations at an outpatient oncology unit at a university hospital in Sweden. The interactions were studied by means of discourse analysis. Inclusion criteria for the patients were gastro-intestinal cancer and receiving palliative care. The sample included three men and three women, aged 54-70, with various metastasised gastro-intestinal tumours. Significant others (SOs) were included where patients brought one to the consultation. Three male consultants aged 55-59 participated. In palliative care consultations, the person-to-person and the patient-professional conversation frames were found to be in use as patients, SOs and physicians talked about the patients illness and prognosis. Within the patient-professional frame, three interactional patterns were found: the patient emphasising emotional experiences of illness or well-being and the physicians responding by toning down strategies, patients asking direct questions and getting straight answers and finally interaction marked by cautiousness and avoidances. Within the person-person frame, the interactions were described as: playful talk, collegial talk and existential talk. When patients shared their personal interpretations of illness and prognosis, their narrative was more enhanced by the person-to-person frame than the patient-professional frame. Finding out if and how patients and SOs want to express their worries and finding a balance between the interactional patterns that occur are ethical challenges which health professionals must face. Since patients and SOs may restrain their emotional experiences, investigating grounded ways of overcoming these difficulties is imperative.
|
|
| 27. |
- Lundin Gurné, Frida, et al.
(author)
-
District nurses' perspectives on health-promotive and disease-preventive work at primary health care centres: A qualitative study.
- 2023
-
In: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 37:1, s. 153-162
-
Journal article (peer-reviewed)abstract
- Health promotion and disease prevention are of utmost importance for sustainable health care and primary health care. District nurses play a key role in primary health care centres, where they meet people suffering from, and/or having risk factors for, non-communicable diseases.The study aim was to describe district nurses' perspectives on their health-promotive/disease-preventive work at primary health care centres.Interviews were conducted with 16 district nurses at primary health care centres in Sweden. An interpretive descriptive approach was employed for the analysis.The district nurses integrated a focus on health-promotive and disease-preventive work into every patient encounter, which manifested through four intertwined themes: finding opportunities and striving for visibility; building relationships; considering patients' life situations; and inviting patients to share responsibility. Our findings show how, through a flexible approach, the district nurses strived for equal health and care for all, and how the care was built on a shared responsibility between the district nurse and patient, where district nurses aimed to empower patients to take action for their own health.The district nurses described health-promotive endeavours, in line with person-centred care in prioritising building relationships with patients, starting from their lived experience. They spoke of barriers, at both micro and macro levels, to health-promotive/disease-preventive work. These included language barriers, the impact of the media, and the overall organisation of primary health care. The work at primary health care centres should be restructured to clarify the district nurse's role, and to strengthen community outreach, and thereby improve individuals' access to support in lifestyle changes.
|
|
| 28. |
- Lundin Gurné, Frida, et al.
(author)
-
Seeking lifestyle counselling at primary health care centres: a cross-sectional study in the Swedish population
- 2023
-
In: BMC Primary Care. - : Springer Science and Business Media LLC. - 2731-4553. ; 24:1
-
Journal article (peer-reviewed)abstract
- Background: Millions of people follow an unhealthy lifestyle in terms of tobacco consumption, hazardous use of alcohol, poor eating habits, and insufficient physical activity. Healthy lifestyles can to a large extent prevent and/or delay progression of non-communicable diseases. Factors influencing persons health-seeking behaviour regarding unhealthy lifestyles are of importance for sustainable health-promotive and disease-preventive work in primary health care. Generally, lifestyle interventions within primary health care are seen as feasible, but rarely reach all members of the general population. Few studies have been conducted about the likelihood among the general population to voluntarily contact a primary health care centre for support regarding lifestyle changes. The present study therefore aimed to investigate the general population’s likelihood of contacting a primary health care centre regarding their lifestyles, and factors associated with a lower such likelihood. Methods: A probability sample of adults living in Sweden (n = 3750) were invited to participate in a cross-sectional survey regarding how societal developments affect attitudes and behaviours of the adult Swedish population. Data were collected between September and December 2020. Participants completed a questionnaire about lifestyle changes, and the data were analysed using descriptive statistics, Chi-square test and logistic regression analysis. Results: The response rate was 52.0% (n = 1 896). Few persons responded that they would be likely to contact a primary health care centre for support regarding their lifestyles. Factors predicting a lower likelihood of contacting primary health care included few yearly visits to a primary health care centre, male sex, and living in a rural area. Conclusions: Primary health care centres are not the first choice for lifestyle counselling for the majority of adults living in Sweden. We have identified factors predicting low likelihood of using the support available at these centres. In order to work with sustainable and visible health-promotive and disease-preventive strategies at primary health care centres, these settings need to find valid methods to involve and collaborate with the members of the general community, to meet the needs of a population struggling with unhealthy lifestyles.
|
|
| 29. |
- Risa, Christina Furskog, et al.
(author)
-
Being in an oasis: a restorative and reassuring place - women’s experiences of a valuable antenatal diabetes midwifery consultation
- 2013
-
In: Nursing Reports. - : MDPI AG. - 2039-4403 .- 2039-439X. ; 3:1
-
Journal article (peer-reviewed)abstract
- The prevalence of diabetes in the childbearing population is increasing globally. Pregnant diabetic women are considered to be at high risk, and thus require specialized, multidisciplinary prenatal care in which midwives play an integral part. These women’s views and experiences of encounters with midwives during diabetes care have not yet been investigated. Our aim was to use an exploratory interpretive approach to investigate the experiences of pregnant women and their perceptions towards the meaning of prenatal consultation provided by midwives in the prenatal care team. A purposive sample was recruited from four hospital-based prenatal diabetes outpatient clinics in the urban areas of Norway: 10 pregnant women (5 primiparous, 5 multiparous) aged 28-45 and diagnosed with different types of diabetes. Data from semi-structured interviews were transcribed and subjected to thematic analysis. Three main themes emerged: being in an open atmosphere, being seen as a person, and being reassured. Together, these themes created a construct that we labeled being in an oasis-a restorative and reassuring place. The counterpoint of this view was a more negative perspective described as having insufficient time, feelings of being objectified and rushed, and diseaseoriented care. The women valued the focus on surveillance in the consultations, although at their best, the midwife-woman encounters complemented and counteracted the iatrogenic effect of the biomedical focus in specialist prenatal care. However, the organization of care may have contributed to and created feelings of suffering, as these women had limited scope for addressing their concerns in the consultation. We conclude that these consultations are complex co-created activities in which interpersonal aspects of the midwifewoman encounters, such as the midwives’ openness and responsiveness to the women, seem to be significant in developing a personal approach.
|
|
| 30. |
- Risa, Christina F, et al.
(author)
-
Communicative patterns in antenatal diabetes care. An exploratory and descriptive study of midwives led consultations
- 2011
-
In: Journal of Clinical Nursing. - : Wiley. - 0962-1067. ; 20:13/14, s. 2053-63
-
Journal article (peer-reviewed)abstract
- Aim. To explore and describe the verbal communication patterns in antenatal consultations between pregnant women with diabetes and their midwives. Background. Few studies have focused on the efficacy of communication during consultations between midwives and their clients, especially in a high-risk context. Design. An explorative and descriptive study of antenatal consultations between midwives and their clients at four antenatal diabetes clinics in Norway. Methods. Thematic analysis was used to study verbal communication in ten woman–midwife consultations that were audio recorded and transcribed. The analysis was based on the following questions: (1) who talks and to what degree? (2) What are the topics discussed and who is the initiator? and (3) What characterises the dialogue in the consultations? Results. The results suggest that there was a predominantly medical focus in the consultations, with the communication style characterised by a combination of informal and formal talk. The consultations were structured into three phases, each with its own conversation style. Conclusions. The communication patterns adopted appeared to limit the opportunities of mothers-to-be to express freely any concerns. It is suggested that a larger degree of openness to the emotional and psychological aspects of pregnancy should be incorporated into the consultations. To take advantage of the different competencies in this multidisciplinary diabetes team, the contribution of the midwife to this specialised antenatal care should be both recognised and defined. Relevance to clinical practice. Awareness of each midwife’s own communication style, as well as their attentiveness to a woman’s implicit concerns, is required for the satisfactory support and understanding of the individual pregnant woman. It is necessary to support midwives in the continuous development of their communication skills, a task that should be included as part of midwifery education and undertaken by practitioners in the clinical environment.
|
|
| 31. |
- Risa, Christina Furskog, et al.
(author)
-
Norwegian nurse-midwives' perspectives on the provision on antenatal diabetes care in an outpatient setting: A qualitative study
- 2015
-
In: Women and Birth. - : Elsevier BV. - 1871-5192. ; 28:2
-
Journal article (peer-reviewed)abstract
- Background: There is limited research related to nurse-midwives’ accounts of their provision of antenatal diabetes care in hospital outpatient settings. This study explored the perspectives and experiences of eight Norwegian nurse-midwives regarding the provision of the midwifery aspect of an antenatal consultation as part of the diabetes specialist team. Methods: A qualitative descriptive study was used. Eight nurse-midwives aged between 37 and 58 years, representing four Norwegian hospital outpatient clinics, participated in individual interviews. Transcribed interviews were analysed in accordance with a qualitative thematic analysis. Results: Three main themes were developed: ‘‘Approaching the women as persons in order to frame strengths and normalcy’’, ‘‘Managing different tasks judiciously’’ and ‘‘Balancing conflicting values’’. Some of the barriers were found to be related to the organisation of care, such as short timeframes with a medical focus, which overshadowed or forced the normalcy aspects of childbearing into the background. Managing risk and evidence-based knowledge were demanding tasks to fulfil in a judicious way. Some midwives experienced ambiguity while being forced to prioritise medical factors over woman-focused care while running others’ errands, an act of balancing conflicting values. Conclusions: The contextual conditions related to the organisation present barriers for pregnant women to receive woman-focused care beyond the medical approach. The midwifery contribution in this care setting should be clearly recognised and defined so that women can capitalise on the different professionals and their expert competencies and contributions in this setting.
|
|
| 32. |
- Risa Furskog, Christina, et al.
(author)
-
Experts' encounters in antenatal diabetes care. A descriptive study of verbal communication in mid-wife led consultations
- 2012
-
In: Nursing Research and Practice. - : Hindawi Limited. - 2090-1429 .- 2090-1437. ; 2012:May 2012
-
Journal article (peer-reviewed)abstract
- Aim. We regard consultations as cocreated communicatively by the parties involved. In this paper on verbal communication in midwife-led consultations, we consequently focus on the actual conversation taking place between the midwife and the pregnant woman with diabetes, especially on those sequences where the pregnant woman initiated a topic of concern in the conversation. Methods. This paper was undertaken in four hospital outpatient clinics in Norway. Ten antenatal consultations between midwives and pregnant women were audiotaped, transcribed to text, and analyzed using theme-oriented discourse analysis. Two communicative patterns were revealed: an expert's frame and a shared experts' frame. Within each frame, different communicative variations are presented. The topics women initiated in the conversations were (i) delivery, time and mode; (ii) previous birth experience; (iii) labor pain; and (iv) breast feeding, diabetes management, and fetal weight. Conclusion. Different ways of communicating seem to create different opportunities for the parties to share each other's perspectives. Adequate responses and a listening attitude as well as an ambiguous way of talking seem to open up for the pregnant women's perspectives. Further studies are needed to investigate the obstacles to, and premises for, providing midwifery care in a specialist outpatient setting.
|
|
| 33. |
- Silverglow, Anastasia, et al.
(author)
-
Patient safety culture in home care settings in Sweden: a cross-sectional survey among home care professionals
- 2023
-
In: BMC Health Services Research. - 1472-6963. ; 23:1
-
Journal article (peer-reviewed)abstract
- BACKGROUND: The connection between a weak patient safety culture and adverse patient events is well known, but although most long-term care is provided outside of hospitals, the focus of patient safety culture is most commonly on inpatient care. In Sweden, more than a third of people who receive care at home have been affected by adverse events, with the majority judged to be preventable. The aim of this study was to investigate the patient safety culture among care professionals working in care at home with older people. METHODS: This cross-sectional study used a purposive sample of 66 municipal care workers, health care professionals, and rehabilitation staff from five municipal care units in two districts in western Sweden who provided care at home for older people and had been employed for at least six months. The participants completed the Hospital Survey on Patient Safety Culture (HSOPSC) self-report questionnaire, which assessed aspects of patient safety culture-norms, beliefs, and attitudes. Logistic regression analysis was used to test how the global ratings of Patient safety grade in the care units and Reporting of patient safety events were related to the dimensions of safety culture according to the staff's professions and years of work experience. RESULTS: The most positively rated safety culture dimension was Teamwork within care units (82%), which indicates good cooperation with the closest co-workers. The least positively rated dimensions were Handoffs and transitions among care units (37%) and Management support (37%), which indicate weaknesses in the exchange of patient information across care units and limited support from top-level managers. The global rating of Patient safety grade was associated with Communication openness and Management support (p < 0.01 and p = 0.03, respectively). Staff with less work experience evaluated the Patient safety grade higher than those with more work experience. CONCLUSIONS: This study suggests that improvements are needed in care transitions and in support from top-level managers and that awareness of patient safety should be improved in staff with less work experience. The results also highlight that an open communication climate within the care unit is important for patient safety.
|
|
| 34. |
- Silverglow, Anastasia, et al.
(author)
-
Perceptions of providing safe care for frail older people at home: A qualitative study based on focus group interviews with home care staff
- 2022
-
In: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 36:3, s. 852-862
-
Journal article (peer-reviewed)abstract
- Background Providing safe care is a core competence in healthcare. The concept usually refers to hospitals but, consistent with the increasing importance of integrated care, the provision of safe care needs to be extended to the context of home care, and more research is needed concerning home healthcare providers' perspectives in this context. Aim The aim of this study was to describe care providers' perceptions of providing safe care for frail older persons living at home. Method A qualitative methodology was chosen. In total, 30 care providers agreed to participate. Data were collected through five focus group interviews and analysed using a phenomenographic approach. Results Three themes regarding care providers' perceptions of providing safe care emerged from the data: 'safe care is created in the encounter and interaction with the older person', 'safe care requires responsibility from the caregiver' and 'safe care is threatened by insufficient organisational resources'. The findings show that providing safe care is an endeavour that requires a holistic view among the care providers as well as effective collaboration within the team, but insufficient competence or a lack of time can make it difficult to safeguard the psychological and existential needs of older persons. Conclusion Providing safe care in home environments encompasses more than just risk reduction. The findings highlight the importance of establishing and integrating team-based and person-centred care into home care settings. Traditional communication structures for inpatient care also need to be adapted to the cross-disciplinary work in municipalities. Care providers should be given the opportunity to develop and maintain their competences and to prioritise relationship-oriented care.
|
|
| 35. |
- Silverglow, Anastasia, et al.
(author)
-
What constitutes feeling safe at home? A qualitative interview study with frail older people receiving home care
- 2021
-
In: Nursing Open. - : Wiley. - 2054-1058. ; 8:1, s. 191-199
-
Journal article (peer-reviewed)abstract
- Aim: To highlight experiences of what constitutes feeling safe at home among frail older people receiving home care. Design: Qualitative descriptive study. Methods: The sample consists of 12 individual recorded interviews with frail older people in their homes. Interviews were transcribed verbatim and analysed using qualitative content analysis. The data collection was performed in spring 2018. Results: The analysis resulted in three categories: "Having a feeling of'at-homeness'" describes the older people's surrounding environment and their efforts to maintain independence; "being able to influence" describes the importance for older people to shape their care by being in control and having an opportunity for self-determination in the context of home care; and "being able to trust staff" relates to expecting staff's knowledge and skills and to appreciating the staff's ability to create positive relations.
|
|
| 36. |
- Wijk, Helle, 1958, et al.
(author)
-
Verksamhetsförlagd utbildning på avancerad nivå : ny utmaning för specialistutbildningar för sjuksköterskor
- 2009
-
In: Vård i Norden. - København : Sjuksköterskornas samarbete i Norden. - 0107-4083 .- 1890-4238. ; 29:94, s. 41-43
-
Journal article (other academic/artistic)abstract
- The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher EducationReform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursingprogrammes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree witha masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbasedknowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions andclinics. Specific didactical issues are raised.
|
|
| 37. |
- Öhlén, Joakim, 1958, et al.
(author)
-
Students’ learning as the focus for shared involvement between universities and clinical practice : a didactic model for postgraduate degree projects
- 2012
-
In: Advances in Health Sciences Education. - Dordrecht : Springer Netherlands. - 1382-4996 .- 1573-1677. ; 17:4, s. 471-487
-
Journal article (peer-reviewed)abstract
- In an academic programme, completion of a postgraduate degree project could be a significant means of promoting student learning in evidence- and experience-based practice. In specialist nursing education, which through the European Bologna process would be raised to the master’s level, there is no tradition of including a postgraduate degree project. The aim was to develop a didactic model for specialist nursing students’ postgraduate degree projects within the second cycle of higher education (master’s level) and with a specific focus on nurturing shared involvement between universities and healthcare settings. This study embodies a participatory action research and theory-generating design founded on empirically practical try-outs. The 3-year project included five Swedish universities and related healthcare settings. A series of activities was performed and a number of data sources secured. Constant comparative analysis was applied. A didactic model is proposed for postgraduate degree projects in specialist nursing education aimed at nurturing shared involvement between universities and healthcare settings. The focus of the model is student learning in order to prepare the students for participation as specialist nurses in clinical knowledge development. The model is developed for the specialist nursing education, but it is general and could be applicable to various education programmes. © 2011 Springer Science+Business Media B.V.
|
|
