| 1. |
- Andersson, B. T., et al.
(författare)
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Trends that have influenced the Swedish radiography profession over the last four decades
- 2017
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Ingår i: Radiography. - : Elsevier BV. - 1078-8174. ; 23:4, s. 292-297
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The expansion of the radiography profession in recent decades has widened the scope of radiographic practice. This has raised questions about which trends have had an impact on the profession over the years. The study aim was to explore trends that have influenced the radiography profession over the last four decades. Methods: A qualitative design was used. Eleven focus group interviews inspired by the Scenario Planning Method were conducted at 11 diagnostic radiology departments in public hospitals in Sweden. The target group consisted of 48 registered radiographers. To analyse the data, qualitative content analysis was used. Results: Thematic data analysis revealed three broad categories; technological development and radiation doses, current status of the radiography profession and specialisation leading to expert knowledge. Each category derived from two or three sub-categories. Conclusion: The results demonstrate significant trends of influences on the radiography profession in Sweden over the last four decades. New methods and technology and control of radiation doses have had a favourable effect on the development of the radiography profession. Nevertheless, current status such as shortage of radiographers has had an adverse way. Specialisation leading to expert knowledge has an influence on career advancement and a specialist education regulated by the law, might be a prerequisite for the development of the radiography profession.
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| 2. |
- Wennerberg, Mia M.T., et al.
(författare)
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Me and You in Caregivinghood : Dyadic resistance resources and deficits out of the informal caregiver's perspective
- 2019
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Ingår i: Aging & Mental Health. - : Informa UK Limited. - 1360-7863 .- 1364-6915. ; 23:8, s. 1041-1048
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE:To present Specific and Generalized Resistance Resources (SRRs/GRRs) and Deficits (SRDs/GRDs) described by 32 informal caregivers as originating from themselves and their older adult carerecipients as dyads.METHOD:Salutogenic interviewing was used to assemble data from caregivers. A theory-driven, memo-guided and comparative analysis using within- and across- case analysis was applied to unravel resources and deficits influencing the outcomes when they managed tension associated with caregiving.FINDINGS:Living in fellowship in a well-functioning dyad unites the essence of having access to dyadic SRRs/GRRs. Such access enables dyads to use their specific dyadic tension management to resolve challenges through cooperation, derives 'positive' life-experiences and preserves dyad functioning. Struggling alone in a malfunctioning dyad indicates the presence of dyadic SRDs/GRDs counteracting such a development. If these SRDs/GRDs accumulate, the dyad become less able to resolve challenges, 'negative' life-experiences accumulates, the carerecipient's capability to cooperate decreases, caregiver's workload increases, the dyad becomes increasingly malfunctioning and moves towards the point where caregiving ends due to lack of usable SRRs/GRRs.CONCLUSIONS:Findings reveals the complex duality of caregiving and the necessity to assess all available SRRs/GRRs and SRDs/GRDs for caregiving dyads, including out of the carerecipient's perspective. Appropriate 'salutogenic' support reduces SRDs/GRDs, makes available SRRs/GRRs usable or provides alternative SRRs/GRRs, thereby dyadic tension management and dyadic functionality is preserved during this phase of life labelled Caregivinghood. The study adds new knowledge to the salutogenic framework regarding central, theoretical concepts and suggests how data for health promoting initiatives conducted the 'salutogenic way' may be acquired.
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| 3. |
- Wennerberg, Mia M.T., et al.
(författare)
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Unravelling Swedish informal caregivers' Generalised Resistance Deficits
- 2018
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 32:1, s. 186-196
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Tidskriftsartikel (refereegranskat)abstract
- In salutogenic theory, individual/contextual, immaterial/material characteristics enabling movements towards health are labelled Specific and Generalised Resistance Resources, SRRs/GRRs, and characteristics counteracting such movements Specific and Generalised Resistance Deficits, SRDs/GRDs. The aim of this paper was to present SRDs and GRDs described by caregivers as stemming from themselves and their care recipient. Guided by salutogenic theory, an explorative design was used to collect data through interviews with 32 Swedish informal caregivers. During the theory-driven analysis, SRDs were unravelled using within-case approaches. To be able to unite them as GRDs across cases, a serviceable GRD definition was developed from the existing theoretical GRR definition. In findings, SRDs are visualised in citations and GRDs described in detail. Caregivers' experiences of SRDs/GRDs are presented as themes: 'Experiencing personal deficiencies', when stemming from themselves; and 'Struggling with an uncooperative co-worker', when stemming from their care recipients. Findings indicate that if these themes dominate a caregiver's view of life, she/he seems to have reached the 'breaking point' when caregiving ends due to lack of usable SRRs/GRRs. To prolong the time until this occurs, support, making otherwise unusable SRRs/GRRs usable, is needed. When designing this type of 'salutogenic' support, it seems essential to involve the target group (e.g. caregivers, care recipients), to ascertain what their SRRs/GRRs and SRDs/GRDs may consist of. Such knowledge regarding SRRs/SRDs could be used to design individualised support, and regarding GRRs/GRDs to design generalised support at group level. This study suggests how such new knowledge regarding resistance resources and deficits could be acquired.
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| 4. |
- Wennerberg, Mia M T, et al.
(författare)
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Unravelling Swedish informal caregivers' Generalised Resistance Resources. : identifying informal caregivers' GRRs
- 2016
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Ingår i: Scandinavian journal of caring sciences. - : Wiley. - 1471-6712 .- 0283-9318. ; 30:3, s. 602-613
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Tidskriftsartikel (refereegranskat)abstract
- Background Interlinked aspects, as demographic changes, accentuation on home-based community care, increase the amount of informal caregivers to older adults. To preserve and enhance their health are subsequently essential and a reoccurring topic on political agendas. How this may be achieved is vividly debated and mainly focused on elimination of risks and stresses associated with caregiving. Within health promotion, the salutogenic approach focusing on resources to health is recognised and this approach was used to acquire necessary knowledge to enhance caregivers' health ‘the salutogenic way’. Aim To present Generalised and Specific Resistance Resources (GRRs/SRRs) described by caregivers as stemming from themselves and their carerecipients. Methodology To unravel caregivers' GRRs/SRRs, a theory-driven, explorative design guided by definitions of GRRs/SRRs was utilised. Data were collected through salutogenically guided interviews with 32 Swedish caregivers in one municipality. Inductively, data were analysed using content analysis to identify each caregiver's SRRs and thereafter deduction to identify the population's GRRs. Findings The synthesis of findings, caregivinghood, encompasses several domains of GRRs seemingly involved in caregivers' movements towards health. In the caregiver domain, ‘Being someone significant in my own eyes’ unites the essence of having access to GRRs stemming from oneself and ‘Being “blessed” with a co-operative co-worker’ that of having access to GRRs stemming from the carerecipient. This may be the core in an orientation to life which creates positive life experiences, since it enables caregivers to find a ‘fit’ between the possible and desired when resolving challenges. Conclusion and implications Health-promoting initiatives should be conducted as partnerships between formal and informal sources due to the versatility of GRRs. It also seems essential to empower both parties so that they may make sense of their situation and use their available GRRs/SRRs in this ‘joint venture’ of managing. Thereby, their motivation to continue the journey through Caregivinghood may be enhanced.
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| 5. |
- Wennerberg, Mia M T, et al.
(författare)
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Using the salutogenic approach to unravel informal caregivers’ resources to health: theory and methodology
- 2012
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Ingår i: Aging & Mental Health. - 1360-7863. ; 16:3, s. 391-402
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: This article describes the theoretical foundation and methodology used in a study intended to increase knowledge concerning informal caregivers’ resources to health (in salutogenesis; General Resistance Resources, GRRs). A detailed description of how the approach derived from salutogenic theory was used and how it permeated the entire study, from design to findings, is provided. How participation in the study was experienced is discussed and methodological improvements and implications suggested. Method: Using an explorative, mixed method design, data was collected through salutogenically guided interviews with 32 Swedish caregivers to older adults. A constant comparative method of analysis was used to identify caregiver-GRRs, content analysis was further used to describe how participation was experienced. Findings: The methodology unraveled GRRs caregivers used to obtain positive experiences of caregiving, but also hindrances for such usage contributing to negative experiences. Mixed data made it possible to venture beyond actual findings to derive a synthesis describing the experienced, communal context of the population reliant on these GRRs; Caregivinghood. Participating in the salutogenic data-collection was found to be a reflective, mainly positive, empowering and enlightening experience. Conclusion: The methodology was advantageous, even if time-consuming, as it in one study unravelled caregiver- GRRs and hindrances for their usage on individual, communal and contextual levels. It is suggested that the ability to describe Caregivinghood may be essential when developing health-promoting strategies for caregivers at individual, municipal and national levels. The methodology makes such a description possible and suggested methodological improvements may enhance its usability and adaptability to other populations.
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| 6. |
- Andersson, B. T., et al.
(författare)
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Radiographers’ academic development in Sweden: Towards and after a doctoral degree
- 2020
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Ingår i: Radiography. - : Elsevier BV. - 1078-8174. ; 26:4, s. 275-281
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Radiography is a young discipline and having radiographers with a doctoral degree is central for its development. Academic development of this field in Sweden has been evolving. This study explored the diagnostic radiographers’ prerequisites for doctoral studies, post-doctoral employment and research activities. Methods: Data were collected through a questionnaire designed to give insight into doctoral radiographers’ qualification paths, funding, doctoral status, employment and basic demography. Sixteen radiographers participated. A conventional content analysis was used. Results: The median age at dissertation defence was 53 for doctorates and 60 for licentiates. This indicates that after receiving the doctorate, there is short time left in the profession, increasing the challenge to develop the field. Most doctorates were employed within educational establishments. Unfortunately, few had supervised doctoral students, but those employed within academia contributed significantly to academic research. Conclusion: Compared to other Nordic countries, Sweden is at the forefront with a positive development in obtained high academic degrees. Nevertheless, there is an urgent need for post-doctorate radiographers in order to maintain the workforce to meet current and future demands. Radiographers with doctorates need to be consulted when planning research projects to establish a clear radiographic perspective. Swedish radiographers with a doctorate or licentiate have limited research time, indicating that Sweden may not invest enough in radiographic research. Implications for practice: There is a need for more doctoral positions and doctorates radiographers to supervise doctoral students. Clinical departments should recognise the benefits of having radiographic clinical research. © 2020
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| 7. |
- Bazzi, May, 1979, et al.
(författare)
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Patients' lived experiences of waiting for and undergoing endovascular aortic repair in a hybrid operating room: A qualitative study
- 2020
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Ingår i: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 29:5-6, s. 810-820
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives The overall aim of the study was to illuminate the patients' lived experiences of waiting for and undergoing an endovascular aortic repair (EVAR) in a hybrid operating room (OR). Background The hybrid OR is an example of the technological advancements within hospitals. The environmental impact on humans is well recognised but is rarely taken into account when hospitals are designed or rebuilt. The patient's experience of a hybrid OR is not earlier described. Design A qualitative design based on hermeneutic phenomenology was implemented. Methods Interviews were conducted with 18 patients. A thematic interpretation based on van Manen's approach was then used to analyse the findings. The consolidated criteria for reporting qualitative studies (COREQ) were used (Data S1). Results The following three themes emerged from the interviews: (a) being scheduled for surgery induced both anxiety and hopefulness; (b) feeling watched over and surrendering to others in the technology intense environment and (c) feeling relief but unexpected exhaustion after surgery. In the discussion, the results were additionally reflected upon out from the four lifeworld existentials: lived body, lived space, lived time and lived others. Conclusions The hybrid OR technology did not frighten the patients, but it was also not an environment that promoted or was conductive to having a dialogue with the staff. The disease and surgery brought feelings of anxiety, which was largely associated with the uncertainty of the situation. We suggest that continuity in contact with staff and patient-centred information could be solutions to further calm the patients. Relevance to clinical practice The hybrid OR environment itself did not seem to frighten the patient, but the way the high-tech environment increased the distance between the patient and the multiple staff members needs further investigation.
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| 8. |
- Bazzi, May, 1979, et al.
(författare)
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Team composition and staff roles in a hybrid operating room: A prospective study using video observations
- 2019
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Ingår i: Nursing Open. - : Wiley. - 2054-1058. ; 6:3, s. 1245-1253
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Tidskriftsartikel (refereegranskat)abstract
- Aim The aim of the study was to evaluate team composition and staff roles in a hybrid operating room during endovascular aortic repairs. Design Quantitative descriptive design. Methods Nine endovascular aortic repairs procedures were video-recorded between December 2014 and September 2015. The data analysis involved examining the work process, number of people in the room and categories of staff and their involvement in the procedure. Results The procedures were divided into four phases. The hybrid operating room was most crowded in phase 3 when the skin wound was open. Some staff categories were in the room for the entire procedure even if they were not actively involved. The largest number of people simultaneously in the room was 14.
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| 9. |
- Bazzi, May, 1979, et al.
(författare)
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The drama in the hybrid OR: Video observations of work processes and staff collaboration during endovascular aortic repair
- 2019
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Ingår i: Journal of Multidisciplinary Healthcare. - 1178-2390. ; 12, s. 453-464
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: A hybrid operating room (OR) is a surgical OR with integrated imaging equipment and the possibility to serve both open surgery and image-guided interventions. Aim: This study aimed to investigate the work processes and types of collaboration in a hybrid OR during endovascular aortic repair (EVAR). Methods: Data consisted of video recordings from nine procedures, with a total recording time of 48 hrs 39 mins. The procedures were divided into four episodes (Acts). A qualitative cross-case analysis was conducted, resulting in a typical case. The type of collaboration during specific tasks was discussed and determined based on Thylefors' team typology. Results: An extensive amount of safety activities occurred in the preparation phase (Acts 1 and 2), involving a number of staff categories. After the skin incision (Act 3), the main activities were performed by fewer staff categories, while some persons had a standby position and there were persons who were not at all involved in the procedure. Discussion: The different specialist staff in the hybrid OR worked through different types of collaboration: multi-, inter-and transprofessional. The level of needed collaboration depended on the activity performed, but it was largely multiprofessional and took place largely in separate groups of specialties: anesthesiology, surgery and radiology. Waiting time and overlapping tasks indicate that the procedures could be more efficient and safe for the patient. Conclusion: This study highlights that the three expertise specialties were required for safe treatment in the hybrid OR, but the extent of interprofessional activities was limited. Our results provide a basis for the development of more effective procedures with closer and more efficient interprofessional collaboration and reduction of overlapping roles. Considerable waiting times, traffic flow and presence of people who were not involved in the patient care are areas of further investigation. © 2019 Bazzi et al.
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| 10. |
- Bergelin, Eva, 1950, et al.
(författare)
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Patients' experiences of seeing their obesity in CT images allow for an active self-care: a qualitative study' : Patients´experiences of seeing their CT images
- 2014
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318. ; 28:1, s. 122-129
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Tidskriftsartikel (refereegranskat)abstract
- Medical images are primarily used to ensure an accurate diagnosis and make treatment possible. They are more rarely used for explanation or information to or education of patients. This study investigates patients' experiences of being shown and given an explanation of their obesity disease using CT images. Twelve patients participated: >30 BMI kg/m2, age between 34 and 65, and mixed sexes, seven women and five men. Patients said that seeing their own images made them more aware of and more involved in their disease, enabling them to carry out more active self-care. The deeper involvement offered them a new approach to their body and helped them to make decisions on treatment to reduce their weight.
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| 11. |
- Engman, Maria, et al.
(författare)
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What does rehabilitation and nursing care implies for patients with stroke? : Vad innebär rehabilitering och sjuksköterskans omvårdnad för patienter vid stroke?
- 2009
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Ingår i: Vård i Norden. - 0107-4083. ; 29:3, s. 32-36
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT Previous research and literature related to nursing roll in stroke rehabilitation stresses that the nurses have a central roll in the rehabilitation process. This central roll implies that the nurse throw education, guidance and emotional support can facilitate that the patients recognise their ability to perform self-care activities. The aim of this interview study was to explore what rehabilitation and nursing care implies for patients with stroke. Data was obtained from eleven patients at two stroke rehabilitation wards, analyzed with content analyze. The result shows that the patients experienced a possibility for an independent life, and that nurse´s mode of care as diffuse. They asked for more of personal dialog with the nurse. It is important that nurses change their manner, becomes more distinctive in their mode of care if nurses rehabilitative function are going to be fulfilled. Key words: nursing, rehabilitation, stroke, patient experience
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| 12. |
- Fatahi, Nabi, 1961, et al.
(författare)
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Nurse radiographers' experiences of communication with patients who do not speak the native language
- 2010
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Ingår i: Journal of Advanced Nursing. - 1365-2648. ; 66:4, s. 774-783
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Tidskriftsartikel (refereegranskat)abstract
- Aim. This paper is a report of a study exploring nurse radiographers' experiences of examining patients who do not speak the native language. Background. The increased number of immigrant patients in Western countries poses a challenge to healthcare staff, as mutual understanding is needed in encounters with patients who do not speak the language of the host country. In particular, little is known about the quality of communication in the setting of radiological examinations, i.e. short encounters with demanding technical and caring components. Methods. Three focus group interviews with experienced nurse radiographers (n = 11) were carried out in 2007. The interviews were audiotaped and transcribed. A qualitative content analysis method was applied to analyse the interview texts. Findings. Four main categories emerged in the analysis: modes, needs, quality and improvements of interpreting. The need for an interpreter is strongly associated with the type of examination. For interventional procedures and contrast-enhanced examinations, a professional interpreter is required to inform the patient and to identify and handle side effects and complications. Friends, relatives, particularly children, and staff as interpreters were not considered ideal as an alternative. Shortage of time and lack of specific knowledge about radiological procedures were identified as problems with professional interpreters. Interpreter training and checklists specific for radiology department routines were suggested, as well as improved nurse radiographers' education on intercultural communication. Conclusion. The need for an interpreter, and the native tongue of the patient, should be clearly stated on the radiology request form, to allow timely scheduling of an interpreter. Intercultural communication in nurse radiographers' education should be enhanced.
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| 13. |
- Fatahi, Nabi, 1961, et al.
(författare)
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Nurse radiographers’ experiences of communication with patients who do not speak the native language
- 2009
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Ingår i: Australian Journal of Advanced Nursing. - 0813-0531 .- 1447-4328. ; 66:4, s. 774-783
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Tidskriftsartikel (refereegranskat)abstract
- Improvements are needed in order to give satisfactory healthcare to patients with limited language abilities. These include improved education of interpreters, especially about cultural diversity, medical terminology and radiology methods. Early identification of the need for an interpreter, preferably stated on the radiology request form, and sufficient on-site time for radiological examinations are needed. Employment by the healthcare system of professional interpreters in the most frequent foreign languages seems warranted. Finally, inter-cultural communication skills and issues should be emphasized in nurse radiographers’ and other healthcare professionals’ educational programmes
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| 14. |
- Holmberg, Marie, et al.
(författare)
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Patients' experiences of homecare nursing : balancing the duality between obtaining care and to maintain dignity and self-determination
- 2012
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318. ; 26:4, s. 705-712
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe patients’ experiences and perceptions of receiving nursing care in their private homes. A home is a place of security, independence and an arena for one’s own routines. When nurses enter a patient’s home, there are expectations from both sides which affect the social interaction. Maintaining patients’ dignity demands that the nurse gets to know the patients and shows respect for their autonomy and integrity. A qualitative research method was chosen. Twenty-one patients with homecare nursing were interviewed in open interviews during 2008. Data were analysed according to the principles of interpretive description. The results are described in terms of three main themes: to be a person, to have trust and to have self-esteem. Patients reported experiencing certain events that could pose threats to their dignity, integrity and autonomy, as well as to their trust in nursing care. Patients have to deal with this ambiguity of accepting care while simultaneously maintaining independence and privacy. The nurses were perceived not as a guest but as professionals who would carry out a task in the interest of the patient. For patients, there is a duality in receiving homecare nursing and still exerting independence and self-determination in their homes. The patients developed strategies to balance their own privacy and dignity, despite the inconveniences the nursing treatment and procedures involved. This empowered them in their relationship with the professional caregivers.
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| 15. |
- Kustrimovic, Mirjana, et al.
(författare)
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[Patients Experience of the Computer Tomography-Colography – CTC Examination] : Patientens upplevelse av kolon undersökning med datortomografi
- 2013
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Ingår i: Vård i Norden. - 0107-4083. ; 29:3, s. 9-13
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT Background: Previous research has investigated and compared patients’ experiences of different examinations of colon like colography, coloscopy and Computer Tomography- Colography – CTC. Aim: To describe how the patients experienced Computer Tomography – CTC-examination. Methods: Data was obtained from interviews with seventeen patients, analyzed with qualitative content analysis. Findings: The result showed that the patient’s experiences of CTC are depending of both nurse’s encounter and patient's expectations and experiences from previous treatment sessions. Patients felt safe when radiology nurse showed sensitivity, sense of humor and gave optimal oral information, and when they had positive experiences from similar examinations. The lacks of information, along with the preparations for the examination, were the main reasons why the patients felt discomfort. Patients could accept the discomfort of the examination because they knew that it was important to find out what caused their problems. Results from this study can help the radiology nurse to individualize their approach to patient care in upcoming encounters by knowing what it is that affects the individual patient's experiences of CTC.
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| 16. |
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| 17. |
- Lundén, Maud, 1959, et al.
(författare)
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Hours During and after Coronary Intervention and Angiography
- 2006
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Ingår i: CLINICAL NURSING RESEARCH. ; 15:4, s. 1-16
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to describe patients experience during and after coronary angiography and percutaneous coronary intervention. Data were collected by interviews with fourteen patients. A qualitative content analysis approach was used. Four main categories were identified which describe patients experience of the hours during and following intervention: emotional thoughts; bodily sensations; nursing intervention of importance; and personal strategies. All patients made a comment on staff conduct and pointed out that even minor nursing actions may be of great importance. Patients were most positive towards the transradial approach. Even though approach via arteria radialis will increase, many patients will still have their procedure done via arteria femoralis. In spite of all research and technical developments, the patients experience from intervention via arteria femoralis is pretty much the same as it was 1997.
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| 18. |
- Lundén, Maud, 1959, et al.
(författare)
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Patients´experiences and feelings before undergoing peripheral transluminal angioplasty
- 2013
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Ingår i: Journal of Vascular Nursing. - : Elsevier BV. - 1062-0303. ; 31:4, s. 158-164
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Tidskriftsartikel (refereegranskat)abstract
- The use of interventional radiology as treatment has increased dramatically and peripheral arterial disease (PAD) is now a common indication for vascular interventions such as percutaneous transluminal angioplasty (PTA).1 PAD seriously impairs quality of life, and patients experience a lack of control over the disease. The aim of this study was to identify patients who are predominantly anxious or calm before PTA treatment and to explore reasons for these feelings. The study includes both individual interviews, a shortened version of a Swedish Mood Adjective Check List (MACL), and an overall assessment of the perceived degree of calmness–anxiety. Forty-two patients were included in the study. The ‘anxious’ group showed a significantly lower mood in all scales of the MACL compared with the ‘calm’ group. Reasons for feeling calm were a sense of being safe and high expectations. Reasons for feeling anxious were represented by a sense of despair and apprehension about the PTA. The main reason for feeling calm was related to trust in their caregivers and an ability to foresee upcoming events. The main reason for feeling anxious before the PTA was fear of a negative outcome and being unsure of treatment options. Greater knowledge and a better understanding of their disease and treatment options would support patients’ ability to accept reasons for waiting before using invasive treatment. Moreover, this could decrease their anxiety and increase their feeling of being in control of their situation.
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| 19. |
- Lundén, Maud, 1959, et al.
(författare)
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Patients' feelings and experiences during and after peripheral percutaneous transluminal angioplasty
- 2015
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Ingår i: Radiography. - : Elsevier BV. - 1078-8174 .- 1532-2831. ; 21
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Tidskriftsartikel (refereegranskat)abstract
- © 2014 The College of Radiographers. Background: Peripheral Arterial Disease (PAD) often caused by atherosclerosis is a major health care issue worldwide. Percutaneous Transluminal Angioplasty (PTA) on the lower limb is a common procedure used to enhance peripheral circulation. With an increasing number of individuals acquiring peripheral PTA treatment and with an increased focus on patient centred care, there is a need to find out more about patients' feelings and thoughts of undergoing PTA. Aim: The aim was to identify patients who are predominantly anxious or calm during and after peripheral PTA and to explore reasons for these feelings. Method: The study includes 51 patients who received PTA treatment in western Sweden. Findings: Seventy-eight percent of the patients rated themselves as calm after the PTA. The analysed interviews resulted in two themes: reasons for feelings of calmness and reasons for feelings of anxiety. Conclusion: In order to feel calm during and after the PTA, information given prior to the PTA needs to be comprehensive and consistent with the actual situation at the angiography suite. The dialogue with the physician and the radiographers was considered valuable, as was the ability to follow the procedure on the image screen. It is concluded that a thorough dialogue with the physician in a calm setting after the PTA is important for the patients' ability to foresee and plan for the future. Moreover, there is a need to find ways to improve analgesic routines regarding assessment and evaluation in connection with PTA treatment as pain is shown to increase anxiety.
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| 20. |
- Lundén, Maud, 1959, et al.
(författare)
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The Nurse Radiographers´ Experience of Meeting with Patients During Interventional Radiology : Nurse Radiographers´Experience During IR
- 2012
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Ingår i: Journal of Radiology Nursing. - : Elsevier BV. - 1546-0843. ; 31:2, s. 53-61
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT: A wide range is carried out in catheterization laboratories in radiological departments everyday. In Sweden, the nurse radiographers are usually responsible for patient care, medical technical equipment, and sterility during interventional radiology. The competence of a nurse radiographer is mainly equated with that of registered nurses. The aim of this qualitative study was to describe nurse radiographers’ experiences of caring for patients undergoing radiological interventions at the catheterization laboratories. The study is based on individual interviews analyzed using a hermeneutic approach. “Sensing and responding to the patient” was the main theme that appeared in this study from the radiographers’ descriptions of their encounters with patients undergoing radiological intervention. The meaning of this main theme is based on four themes; creating a trusting atmosphere, creating a dialogue, dealing with unpredictable outcomes, and dealing with pain and agony. (J Radiol Nurs 2012;31:53-61.) KEYWORDS: Experience; Nurse radiographer; Hermeneutic.
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| 21. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Home Care Encounters in a Multicultural Context - A Diverse Space for Caring
- 2011
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Ingår i: International Journal for Human Caring. - 1091-5710. ; 15:1, s. 23-30
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore care encounters in homes of patients living in multicultural area. The shadowing method enabled researchers to closely follow nurses in their every-day work. Complexities in the care environment, an ambivalent role played by the family, and varying meanings of care encounters were found. Despite difficulties in communication, nurses and patients together created mutual space for caring. Regular meetings were essential for creation of trust, support and consolation. Nurses’ sensitivity regarding patient’s needs and awareness of diversity of space for caring gave insights into the complexity of home care encounters in multicultural contexts.
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| 22. |
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| 23. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Job satisfaction in relation to change to all-RN staffing
- 2005
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Ingår i: Journal of Nursing Management. - 0966-0429. ; :13, s. 322-328
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Tidskriftsartikel (refereegranskat)abstract
- Background A university hospital clinic changed from a mixed to only registered nurse staffing, to reduce the staff and to encourage a philosophy of patient centred care. The aim was to maintain the same level of service and quality of care at a lower cost. Aim The main purpose of the study was to examine job satisfaction in relation to the change from mixed to only registered nurse staffing and reduction in number of staff. Methods Data were collected by an established questionnaire measuring job satisfaction. Non-parametric statistics were used to analyse the data. The questionnaire was distributed to 22 nurses on the ward on three occasions, covering a period of 3 years. Result The experience of having time to plan patient care changed during the investigation period, from 'sometimes' to 'most often having time'. Nurses with longer work experience gave more verbal information to patients and perceived less stress. Information about job performance was more important to newcomers on the ward and became less important with time. However, quite a few have had regrets over choice of work and had considered non-caring work, nevertheless the results show no significant changes in overall job satisfaction.
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| 24. |
- Lundgren, Solveig M, 1943
(författare)
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Learning opportunities for nurses working within home care
- 2010
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Ingår i: Journal of Workplace Learning. - 1366-5626. ; 23:1, s. 6-19
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Tidskriftsartikel (refereegranskat)abstract
- Purpose – The purpose of this study is to explore home care nurses' experience of learning in a multicultural environment. Design/methodology/approach – The study was based on qualitative research design. Data were collected through repeated interviews with registered home care nurses working in a multicultural area. The data were analyzed through a qualitative content analysis with a direct approach. Findings – Six categories describing nurses' experiences of learning were developed in order to define which components were determinative in facilitating or constraining home care in a multicultural environment. The findings show that home care demands high individual nursing skills and also offers many opportunities for further learning. The most important sources of learning were the challenges presented in the daily experience of encountering diversity of patients and families, by informal social interactions and exchange of knowledge with colleagues. Research limitations/implications – The strength of this study is that data are collected by two different methods with time for reflection in between. Limitations are that only female nurses participate in the study and from one team of nurses. Practical implications – The findings can be used by nurses to create an awareness of the opportunities that exist in everyday work. For managers, this study highlights learning and constraints that exist on the organisation level. Originality/value – This article adds to existing research by describing the learning environment for home care nurses in relation to the theoretical framework that examines the factors which either facilitate or constrain learning at work.
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| 25. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Nurses' altered conception of work in a ward with all-RN staffing.
- 2002
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Ingår i: Journal of Clinical Nursing. - 0962-1067. ; :11, s. 197-204
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to investigate how nurses' conceptions of their patients and work changed after reorganization to all RN-staffing and the adoption of a patient-in-focus philosophy on the ward. 2. The study builds on the perspective that the individual's conception of work precedes and forms the basis for the development of knowledge, skills and attributes used in accomplishing work. 3. The findings are based on a secondary analysis of two open interviews with 22 nurses on the ward. These interviews were conducted on two occasions with an interval of 2 years. The third interview was carried out 6 months later, when 10 nurses were asked to talk about a patient's care episode in a narrative form. 4. The nurses' conceptions changed towards a holistic view of the patient, they developed a new approach to work and they used the altered circumstances in their work.
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| 26. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Nurses´ use of time in a medical-surgical ward with all-RN staffing
- 2001
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Ingår i: Journal of Nursing Management. - 0966-0429. ; :9, s. 13-20
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Tidskriftsartikel (refereegranskat)abstract
- Aims: To investigate allocation of nursing time, organisation of nursing activities and whether or not allocation and organisation have changed over time. Background: In a ward that changed to all-RN staffing, the nurses were encouraged to implement a patient-focused philosophy. The nurses perceived that they had difficulty in using the time available efficiently. Methods: Non-participant observations were conducted with 2-year intervals. Ten consecutive weekdays were covered on two occasions. The study was carried out at a university hospital in Sweden. Findings Between observations, a significant change in the organization of the direct care had occurred, and the same tendency was found in patient administration and general management. The organization of work changed from a partly fragmented to a more coherent one. The time used for direct care and administrative activities increased between the two observations, while indirect care, personal and service activities decreased. Conclusion: It can be suggested that the nurses used their time efficiently and, over time, they developed a more coherent way of organizing nursing activities.
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| 27. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Quality assessment and comparison of grading between examiners and supervisors of Bachelor theses in nursing education.
- 2008
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Ingår i: Nurse education today. - : Elsevier BV. - 0260-6917. ; 28:1, s. 24-32
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Tidskriftsartikel (refereegranskat)abstract
- This study compares supervisors' and examiners' grading of quality of theses at Bachelor level in nursing. An instrument developed to asses the quality of theses was used. Eight aspects of quality were rated. One hundred and fifteen theses were rated by both examiner and supervisor. Significant correlations were found between examiners' and supervisors' ratings of all aspects of quality. Good agreement was found in 89-96% of the ratings on individual aspects of quality. The means of differences between ratings were small but significantly differed from zero in four out of eight aspects. In theses rated low for quality of language and formality, differences between examiners' and supervisors' ratings on all aspects of quality were significantly larger than in theses rated high for quality of language and formality. The general conclusion is that the evaluations made by examiners and by supervisors corresponded well. Differences found indicates that examiners in general give lower scores than supervisors especially on quality aspects that are most closely related to research methods and experiences. This study is part of a larger project that is investigating quality of theses and the student's attitudes and learning experiences of writing theses.
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| 28. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Radiographic research in Sweden - A review of dissertations
- 2019
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Ingår i: Radiography. - : Elsevier BV. - 1078-8174. ; 25
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Radiographers have performed research since 1988 in Sweden. The amount of doctoral and licentiate dissertations written by registered diagnostic radiographers has increased considerably since 2000. How this new field of research was established and developed has facilitated understand of the boundaries that strengthen the professional evidence base. The aim of this dissertation review was to explore the nature and the current state of radiographic research, written by registered diagnostic radiographers in Sweden. Methods: Dissertations published between 1988 and 2017 were analysed both deductively and inductively with content analysis. Results: Radiographic research focused on structural factors, clinical radiography, radiographic technology and pedagogical approaches. The findings indicated a large interest in advancing patient information, wellbeing and care during examinations. The participants were predominantly clinical patients, followed by radiographers, adults/children and the general public. The most common study designs were descriptive with a trend towards interventional studies. Interviews and questionnaires were the most common data collection methods followed by clinical examinations and documents. Conclusion: The analyses demonstrate that the current radiographer research has its roots in clinical practice, focusing on pragmatic aspects and applied knowledge. The findings suggest that radiographer's dissertations meet the challenges of new technologies and working practise. If the knowledge is connected to the radiographic framework, radiography can be viewed as an independent discipline with its own philosophical base. When radiographers are encouraged to conduct research, evidence based knowledge increase which strengthens the profession. Radiography, as a scientific discipline is evolving in Sweden. (C) 2019 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.
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| 29. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Radiography-An etymological and semantic concept analysis from the perspective of radiographic science
- 2023
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318. ; 37:4, s. 1091-1099
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Concepts are cornerstones in science, and their determination is a prerequisite for understanding their substance and meaning. Radiography as a concept is not straightforward nor simple to understand, and there are different interpretations depending on the scientific perspective. To develop truthful knowledge of radiography from the perspective of the discipline, a determination of the subject and substance of radiography is required and thereby is a precursor for theory development. The aim of this study was to investigate the etymological and semantic meaning of radiography from the radiography science perspective.Methods: An etymological and semantic analysis has been applied according to Koort and Eriksson's theoretical model. Dictionaries published between 2004 and 2021 were used.Results: The findings show that etymologically, radiography is formed by compounding the words 'radio' and 'graphy', originating historically from Latin and Greek. The semantic analysis revealed that the substance of radiography consisted of four characteristics that are the basic substance of radiography. The characteristics were X-ray and radiation, human beings-opaque objects, process including an act and art and images.Conclusion: This study clarifies the substance and meaning of radiography as a subject from the perspective of radiography science. The subject and substance consisted of the four basic characteristics that all are vital and required to understand the concept of radiography. The characteristics revealed that radiography science is based on scientific knowledge and carrier of properties of meaning that provide a fundamental understanding of radiography science.Implications for Practice: Investigating the subject, substance and meaning of radiography as a concept can become the base for further theoretical, contextual and practical understanding and support in the development of theory in radiography science.
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| 30. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Radiography – How do students understand the concept of radiography?
- 2015
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Ingår i: Radiography. - : Elsevier BV. - 1078-8174. ; 21:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Radiography as a concept has mainly been associated with the functional role of the radiographer. The concept has been studied from a theoretical point of view. However, there is a lack of a theoretical foundation and research on the actual substance of the term radiography used in education. It is therefore important to undertake an investigation in order to determine how students after three years education understand the subject of radiography. Aim: The aim of this study was to analyse how students in the Swedish radiographers' degree program understand the concept of radiography. Method: A concept analysis was made according to the hybrid model, which combines theoretical, fieldwork and analytical phases. A summative content analysis was used to identify the number and content of statements. The empirical data were collected from questionnaires answered by radiography students at four universities in Sweden. Findings: All radiography students' exemplified radiography with statements related to the practical level although some of them also identified radiography at an abstract level, as a subject within a discipline. The attribute ‘An interdisciplinary area of knowledge’ emerged, which is an attribute on the abstract level. The practical level was described by four attributes: Mastering Medical Imaging’, ‘To accomplish images for diagnosis and interventions’, ‘Creating a caring environment’ and ‘Enabling fruitful encounters’. Conclusion: The hybrid model used was a versatile model of concept development. The results of this study have increased the understanding of what characterizes the concept of radiography in a Swedish context. © 2015 The College of Radiographers. Published by Elsevier Ltd. All rights reserved.
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| 31. |
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| 32. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Swedish Bachelor of Science in Diagnostic Radiology Nursing. A curriculum study.
- 2014
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Ingår i: Nordic Journal of Nursing Research. - : SAGE Publications. - 2057-1585 .- 2057-1593. ; 34:1, s. 24-28
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT Aim: The aim of this study was to describe and analyse what characterise curricula and syllabi in diagnostic radiology nursing programs in Sweden after the implementation of the Bologna process. Background: Significant changes in diagnostic radiology nursing educations and in radiographers’ clinical work have occurred during the last years in Sweden. Method: Curricula and syllabi documents were collected and used to analyse data at eight universities and university colleges. Content analysis was used. Findings: The findings show that the mix of theoretical, clinical studies, grades, elective studies, content and scope between subjects, vary among programs. In most programs, the major subject is described as multidisciplinary, closely linked to nursing and medicine, and the majority of other subjects are integrated into the major subjects. The average degree of clinical study is 30 %, which means that theoretical study cover 70 % of the programs as a whole. Conclusion: The steering policy documents differ in terms of major subjects, content, structure, grades as well as integrated and collective codes between diagnostic radiology nursing programs in Sweden.Whether newly educated radiographers are professionally and academically skilled for their coming profession is a matter of further research. KEYWORDS: Curriculum, radiography, diagnostic radiology nursing, education, major subject, integrated code.
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| 33. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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The meaning and implications of receiving care : Receiving care
- 2011
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Ingår i: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318. ; 25:2, s. 235-242
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to gain an understanding of the concept of receiving care, from the perspective of the general public, nursing students and graduate nurses. The need for, and acceptance of care can occur at many different times during a human life and is sometimes necessary for survival. Experiences of receiving care are often retained as a tacit and subconscious awareness and knowledge. It is reasonable to expect that perceptions of receiving care can differ depending on different situation and experiences. Data were gathered by a questionnaire containing an open-ended question, which were presented to and answered by the general public, nursing students and graduate nurses. Content analysis was used to analyse the question posed. Having analysed the data, one main theme could be identified; being of value despite any potential disadvantages which include both edifying and not very edifying aspects. This study demonstrates that if one is in need of receiving care, there are not many choices available. Those requiring care must accept the situation and be prepared to leave themselves in the hands of caregivers. Receiving care highlights the human mode of being, which includes experiences of being exposed, which in turn motivates a seeking for valued and appreciated mutual interactions within the caring process. Within current nursing practice, our findings confirm the necessity of nurses to be fully aware of the importance of mutuality when giving care to patients. It is essential that modern nursing education continuously review the many complex aspects involved in the giving of, and receiving care.
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| 34. |
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| 35. |
- Lundgren, Solveig M, 1943, et al.
(författare)
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Writing a bachelor thesis generates transferable knowledge and skills useable in nursing practice.
- 2013
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Ingår i: Nurse Education Today. - : Elsevier BV. - 0260-6917 .- 1532-2793. ; 33:11, s. 1406-10
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Tidskriftsartikel (refereegranskat)abstract
- Generic skills or transferable skills have been discussed in terms of whether or not skills learned in one context can be transferred into another context. The current study was aimed to explore nurses' self-perceptions of the knowledge and skills they had obtained while writing a Bachelor's thesis in nursing education, their experience of the extent of transfer and utilization in their currentwork. Responding nurses (N=42) had all worked from 1 to 1.5 years after their final examination and had completed a questionnaire that was structured with open-ended questions. Only five nurses reported that they were unable to use any of the knowledge and skills they had obtained from writing a thesis. A majority of the nurses (37/42) could give many examples of the practical application of the skills and knowledge they had obtained. Our findings indicate that writing a thesis as part of an undergraduate degree program plays a major role in the acquisition and development of knowledge and skills which can subsequently be transferred into and utilized in nursing practice
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| 36. |
- Maud, Lunden, 1959, et al.
(författare)
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Topics and Epistemological Trends in Swedish Bachelor Theses in Radiography
- 2016
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Ingår i: Creative Education. - : Scientific Research Publishing, Inc.. - 2151-4755 .- 2151-4771. ; 7:6, s. 852-860
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Tidskriftsartikel (refereegranskat)abstract
- Abstract When investigating the general state of radiography, an allied health care education in Sweden, one possible starting point is to conduct a review of Bachelor theses from radiography education programmes. The nature and function of the thesis can have an academic or professional perspec- tive or a combination of both. The review of the theses can give insight into both the current state and the future of radiography. The aim of this study was to explore the contemporary theoretical, topical and methodological trends in Bachelor theses in the field of radiography. An explorative design with a qualitative approach using content analysis was employed to determine the addressed theoretical framework, topics, research questions, and designs and methods used in Bachelor theses in radiography. The theoretical framework gave the impression of a discipline with a great deal of imported knowledge, showing a theoretical pluralism. The analysis of research questions yielded four topics: evidence based care, evidence behind imaging, work environment and additional minor trends. The research designs used, involve literature review of other re- search and interviews. The students use qualitative, quantitative and mixed methods, whereas quality content analysis holds an exceptional position for analysis. Academically oriented theses should focus on knowledge of the subject, and it can therefore be claimed that the analysis of Bachelor theses provides a window into the state of radiography and can thereby have an impact on the development of radiography as a discipline. Keywords Radiography, Bachelor Theses, Explorative Design, Content Analysis
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| 37. |
- Nilsson, Kerstin, et al.
(författare)
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Registered nurses' everyday activities in municipal health care : A study of diaries
- 2009
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Ingår i: International Journal of Nursing Practice. - : Blackwell Publishing. - 1322-7114 .- 1440-172X. ; 15:6, s. 543-552
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Tidskriftsartikel (refereegranskat)abstract
- This study described the work content of registered nurses (RNs) employed in municipal health care. Diary notes of three working days from 34 RNs were analysed using content analysis, and a total of 3185 activities were identified. Of these, 2807 were analysed further and grouped by comparing similarities and differences. The content of the RNs' nursing activities consisted of assessing health, giving treatments and conducting check-ups, handling pharmaceuticals and teaching. In the administration category, the content comprised planning and reporting, followed by documentation. The RNs' role in municipal health care is consultative, which reinforces their need for competence in advanced nursing, as well as in leadership and pedagogy. RNs mostly work without colleagues and they are responsible for many seriously ill patients. In order to be confident in providing qualified nursing, specialist nursing education in elderly care is needed.
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| 38. |
- Segesten, Kerstin, 1939, et al.
(författare)
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Nurses' experiences of change: a new professional collaboration model and all-R.N. staffing.
- 1994
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Ingår i: Nurs Adm Q.. - 0363-9568. ; 18:4, s. 72-8
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Tidskriftsartikel (refereegranskat)abstract
- Changes in staffing toward a higher number of R.N.'s are common in a number of countries today. This article aims at describing the experiences of a management-induced change from mixed to all-R.N. staffing. All R.N.s in a surgical ward at a Swedish university hospital were interviewed two months after such replacements were completed. The nurses described a period of chaos and conflicts but also of support for the idea and enthusiasm for the future. A more careful planning of the change process is to be recommended.
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| 39. |
- Segesten, Kerstin, 1939, et al.
(författare)
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Versatility--consequence of changing from mixed to all registered nurse staffing on a surgical ward.
- 1998
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Ingår i: J Nurs Manag.. - 0966-0429. ; 6:4, s. 223-30
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Pressure on governments to reduce the costs of healthcare whilst improving the quality continue unabated throughout the developed world. As a consequence of budget cuts on a large Swedish University hospital, a decision to change from mixed nurse staffing to all registered nurses (RNs) in one surgical ward was made to evaluate if nursing costs could be reduced. AIM: This study was developed to gain a deeper understanding of the process of change in a hospital ward when all practical nurses were replaced by registered nurses. METHODS: A substantive theory was inductively derived, using a modified version of grounded theory methodology. FINDINGS: The change encouraged the nurses to become versatile. When the nurses adopted a patient focussed philosophy the content of their work changed and individualized care became possible. The versatility fostered a spirit of creativity, permitted a high degree of freedom of choice and increased the competence, but also led to some negative reactions in the form of complaints about weariness, lack of support and vulnerability with regard to the working environment. CONCLUSION: Versatility can be an opportunity for the nurses to expand their knowledge and develop nursing care but there is a risk that versatility results in weariness.
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| 40. |
- Skott, Carola, 1942, et al.
(författare)
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Complexity and contradiction - home care in a multicultural area : Complexity and contradiction
- 2009
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Ingår i: Nursing Inquiry. - 1440-1800. ; 16:3, s. 221-231
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the meaning of experience for home care nurses in a multicultural area of Sweden. Interviews and group discussions with a team of five home care nurses were interpreted according to a hermeneutical perspective. The meaning was expressed in connection with the complexities of place, and space for care. Contradictions developed from diversities of perspectives incorporated in this specific multicultural area. Nurses saw themselves as mediators and allowed complexity to be considered in order to manage care. They took on responsibility of creating a ‘space of care’ while the organizational structures of home care were perceived as something outside the care praxis. Making contradictions evident render an intermediary caring strategy feasible.
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| 41. |
- Skott, Carola, 1942, et al.
(författare)
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The value of caring episodes of desired change.
- 2006
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Ingår i: International Journal of Human Caring. - 1091-5710. ; 10:1
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Tidskriftsartikel (refereegranskat)abstract
- With the aim to expose how situations of valued caring were described by the participants, written episodes were analyzed and interpreted. The value of a caring act in the specific situation was narrated as an image of what actually happened. The scene in which a caring act took place shaped the meaning of the act. Caring was connected to a diversity of acts designed to achieve different purposes. Comparison between the described episodes revealed that recovery, alleviation, security and comfort were most often seen as purposes of the caring acts. The all-encompassing motive was fulfillment of the participants desired change.
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| 42. |
- Ågersten, Marie, et al.
(författare)
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Vårdande undervisning
- 2006
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Ingår i: Theoria, Journal of Nursing Theory. - 1400-8033. ; 15:1, s. 4-11
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this literature review was to explore how nurses can create satisfying pedagogical encounters that enable the patients to master their own situation. Following questions are addressed: Nurses ' attitudes towards patient teaching and preparedness in the pedagogical encounter, patients ' needs and experience in the pedagogical encounter and the interplay in the pedagogical situation. The result is founded on three theses and fourteen articles. The result shows that, in nursing, pedagogical situations mostly are an unplanned and unconscious phenomenon. When the patients' describes their needs in the pedagogical encounter it mostly concerns participation, dignity and knowledge. A patient-centred teaching situation is determined if aöö those factors are considered. This involves that nurses assume the patients´ life-world when teaching is carried out....
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