| 1. |
- Björk Brämberg, Elisabeth, et al.
(author)
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Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden
- 2012
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In: Nursing & Health Sciences. - : Wiley. - 1441-0745 .- 1442-2018. ; 14:2, s. 244-249
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Journal article (peer-reviewed)abstract
- This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, the diabetes nurse specialist as the conductor of the visit, and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care.
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| 2. |
- Dahlborg Lyckhage, Elisabeth, 1956-, et al.
(author)
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The influence of gender in academia: a case study of a university college in Sweden
- 2011
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In: Equality, Diversity and Inclusion. - : Emerald Group Publishing Limited. - 2040-7149 .- 2040-7157. ; 30:5, s. 379-393
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Journal article (peer-reviewed)abstract
- Purpose – The aim of this paper is to describe senior lecturers' experiences of and reflections on the influence of gender on their work and career possibilities.Design/methodology/approach – Eight informants, four female and four male university teachers, representing different schools at a Swedish university college were interviewed. A qualitative content method was used for analysis.Findings – The findings revealed that the lecturers at the university college had an experience of academic gender neutrality. The findings also pointed to experiences of gendered practice that had been internalized and made normal. It also revealed that the lecturers did not consider or reflect on the gap between experiences of and reflections on gender neutrality and gendered practice.Research limitations/implications – Even if the number of informants is small, the findings have something important to tell about the gap between gender-neutral academia and practice in academia.Originality/value – The findings imply that although the Swedish model of equality work has been successful in many ways, a confrontation on the micro-political level is required to achieve a gender equality workplace environment and to increase women's career possibilities.
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| 3. |
- Kokkinakis, Dimitrios, 1965, et al.
(author)
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Contextualisation of functional symptoms in primary health care
- 2012
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In: The 5th GENEVA Conference on Person-Centered Medicine. Geneva, Switzerland..
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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.
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| 4. |
- Krupic, Ferid, et al.
(author)
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Preoperative information provided to Swedish and immigrant patients before total hip replacement.
- 2012
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In: Medicinski arhiv. - : ScopeMed. - 0350-199X .- 1986-5961. ; 66:6, s. 399-404
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Journal article (peer-reviewed)abstract
- Total hip replacement is an operation that usually leads to pain relief and improved health related quality of life (HRQoL). Previous studies have demonstrated the importance of information about upcoming surgery. Therefore, it was of interest to study how both immigrants, whose first language was not Swedish, and Swedish patients described pre-operative information.
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| 5. |
- Lepp, Margret, 1954, et al.
(author)
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Jordanian nursing faculty experiences of participation in international exchange programs with Sweden.
- 2011
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In: Diversity in Health and Care. - 1759-1422. ; 8:3, s. 181-188
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Journal article (peer-reviewed)abstract
- The purpose of this study was to apply the principles of phenomenography to describe Jordanian nurse faculty members' experiences of participation in international exchange programmes (IEPs) with Sweden. Five faculty members from a large university in Jordan participated in focus group interviews. The findings highlighted the importance of careful planning before the exchange, of developing a programme, and of trying to implement the experiences gained on returning home. The findings suggest that IEPs should be well thought out, particularly in terms of selecting the right people and the right time for the exchange. Developing a programme at the host site, and clear goals, objectives, and activities that incorporate social and cultural events are also important. Participation in IEPs can enhance interest in and awareness of cultural and educational differences as well as similarities. However, sometimes it is difficult to implement experiences gained from the exchange when back at home. A plan for implementation should therefore be included in future programmes. In addition, further research is needed into the giver-receiver relationships inherent in IEPs, and how these relationships influence participants' feelings about their exchange experience.
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| 6. |
- Määttä, Sylvia, et al.
(author)
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Att beakta genusperspektivet i omvårdnad.
- 2010
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In: Omvårdnadens grunder. En specialutgåva för sjuksköterskor. Redaktörer: Edberg, Anna-Karin, m.fl.. - Stockholm : Studentlitteratur. - 9789144060583 ; , s. 131-148
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Book chapter (other academic/artistic)
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| 7. |
- Määttä, Sylvia, et al.
(author)
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Clinical librarians as facilitators of nurses´ evidence-based practice.
- 2010
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In: Journal of Clinical Nursing. - 1365-2702. ; 19:23/24, s. 3427-3434
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Journal article (peer-reviewed)abstract
- Aim. The aim of this study was to explore nurses’ and ward-based clinical librarians’ reflections on ward-based clinical librarians as facilitators for nurses’ use of evidences-based practice. Background. Nurses’ use of evidence-based practice is reported to be weak. Studies have suggested that clinical librarians may promote evidence-based practice. To date, little is known about clinical librarians participating nurses in the wards. Design. A descriptive, qualitative design was adopted for the study. Method. In 2007, 16 nurses who had been attended by a clinical librarian in the wards were interviewed in focus groups. Two clinical librarians were interviewed by individual interviews. In the analysis, a content analysis was used. Results. Three themes were generated from the interviews with nurses: ‘The grip of everyday work’, ‘To articulate clinical nursing issues’ and ‘The clinical librarians at a catalyst’. The nurses experienced the grip of everyday work as a hindrance and had difficulties to articulate and formulate relevant nursing issues. In such a state, the nurses found the clinical librarian presence in the ward as enhancing the awareness of and the use of evidence-based practice. Three themes emerged from the analysis with the librarians. They felt as outsiders, had new knowledge and acquired a new role as ward-based clinical librarians. Conclusions. Facilitation is needed if nurses’ evidence-based practice is going to increase. The combined use of nurses and clinical librarians’ knowledge and skills can be optimised. To achieve this, nurses’ skills in consuming and implementing evidence ought to be strengthened. Relevance to clinical practice. The fusion of the information and knowledge management skill of the ward-based clinical librarian and the clinical expertise of the nurses can be of value. With such a collaborative model, nurse and ward-based clinical librarian might join forces to increase the use of evidence-based practice.
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| 8. |
- Määttä, Sylvia, et al.
(author)
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Genuskoll i omvårdnad och vårdvetenskap
- 2010
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In: Omvårdnadens grunder, perspektiv och förhållningssätt. Redaktörer Friberg, Febe och Öhlén, Joakim.. - Lund : Studentlitteratur. - 9789144049069 ; , s. 85-101
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Book chapter (other academic/artistic)
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| 9. |
- Määttä, Sylvia, et al.
(author)
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Swedish nursing faculty experiences of participation in international exchange programmes
- 2010
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In: Diversity in Health and Care. - 1759-1430. ; 7:1, s. 35-42
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Journal article (peer-reviewed)abstract
- The purpose of this study was to apply the principles of phenomenography to an exploration of the experiences of nursing faculty members taking part in international exchange programmes. Seven faculty members from a university in western Sweden participated in focus group interviews. The findings highlighted the importance of certain personality traits, a transition process and the integration of international experiences into teaching at home. The findings suggest that personality traits should be considered when preparing for international exchange programmes, as interest in other people, flexibility and an open mind are pivotal when encountering new situations. It is also important to note, and to recognise, that the transition process that can occur during international exchange programmes takes time. Nursing faculty go through a transition from being local teachers to becoming more global teachers. Thus participation in international exchange programmes can enhance awareness and understanding of difference. International exchange programmes may be one way to encourage nursing faculty to reflect upon themselves, their transition and the incorporation of their international experience into all teaching and learning.
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| 10. |
- Nielsen, Susanne, 1969, et al.
(author)
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Sex-specific trends in 4-year survival in 37 276 men and women with acute myocardial infarction before the age of 55 years in Sweden, 1987-2006: a register-based cohort study.
- 2014
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In: BMJ open. - : BMJ. - 2044-6055. ; 4:5
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Journal article (peer-reviewed)abstract
- To examine sex-specific trends in 4-year mortality among young patients with first acute myocardial infarction (AMI), 1987-2006. Results From the first to last 5-year period, the absolute excess risk decreased from 1.38 to 0.50 and 1.53 to 0.59 per 100 person-years among men aged 25–44 and 45–54years, respectively. Corresponding figures for women were a decrease from 2.26 to 1.17 and from 1.93 to 1.45 per 100 person-years, respectively. Trends for women were non-linear, decreasing to the same extent as those for men until the third period, then increasing. For the last 5-year period, the standardised mortality ratio for young survivors of AMI compared with the general population was 4.34 (95% CI 3.04 to 5.87) and 2.43 (95% CI 2.12 to 2.76) for men aged 25–44 and 45–54years, respectively, and 13.53 (95% CI 8.36 to 19.93) and 6.42 (95% CI 5.24 to 7.73) for women, respectively. Deaths not associated with cardiovascular causes increased from 21.5% to 44.6% in men and 41.5% to 65.9% in women. Conclusions Young male survivors of AMI have low absolute long-term mortality rates, but these rates remain twofold to fourfold that of the general population. After favourable development until 2001, women now have higher absolute mortality than men and a 6-fold to 14-fold risk of death compared with women in the general population.
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| 11. |
- Oresland, S., et al.
(author)
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Nurses as 'guests' - a study of a concept in light of Jacques Derrida's philosophy of hospitality
- 2013
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In: Nursing Philosophy. - : Wiley-Blackwell. - 1466-7681 .- 1466-769X. ; 14:2, s. 117-126
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Journal article (peer-reviewed)abstract
- As revealed in previous empirical research, nurses describe their position in home-based nursing care (HBNC) as that of ‘guests’ in the patient's home. Such a description is problematic as ‘guests’ might not be considered to belong to the realm of professionalism. As Jacques Derrida's work on hospitality has received wide publicity, sparking theoretical and philosophical discussion about host and guest, the aim of this study was to explore how the concept ‘guests’ can be understood in the light of Derrida's philosophy of hospitality. The study revealed that (a) guest must be considered a binary concept; and (b) hospitality should be regarded as an exchange of giving and receiving between a host and a guest. The present study demonstrated that it is important to reflect on the meaning of the concepts used by nurses in HBNC. Further theoretical and empirical exploration of the concept ‘hospitality’ would be fruitful, i.e. what is patients' understanding of ‘hospitality’ and ‘hostility’ related to nurses' descriptions of themselves as ‘guests’ in the patient's home.
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| 12. |
- Persson, Eva I, et al.
(author)
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To provide care and be cared for in a multiple-bed hospital room
- 2012
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In: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 26:4, s. 663-670
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Journal article (peer-reviewed)abstract
- Aims: To illuminate patients experiences of being cared for and nurses experiences of caring for patients in a multiple-bed hospital room. Background: Many patients and healthcare personnel seem to prefer single-bed hospital rooms. However, certain advantages of multiple-bed hospital rooms (MBRs) have also been described. Method: Eight men and eight women being cared for in a multiple-bedroom were interviewed, and two focus-group interviews (FGI) with 12 nurses were performed. A qualitative content analysis was used. Results: One theme Creating a sphere of privacy and three categories were identified based on the patient interviews. The categories were: Being considerate, Having company and The patients area. In the FGI, one theme Integrating individual care with care for all and two categories emerged: Experiencing a friendly atmosphere and Providing exigent care. Both patients and nurses described the advantages and disadvantages of multiple-bed rooms. The patient culture of taking care of one another and enjoying the company of room-mates were considered positive and gave a sense of security of both patients and nurses. The advantages were slight and could easily become disadvantages if, for example, room-mates were very ill or confused. The patients tried to maintain their privacy and dignity and claimed that there were small problems with room-mates listening to conversations. In contrast, the nurses stressed patient integrity as a main disadvantage and worked to protect the integrity of individual patients. Providing care for all patients simultaneously had the advantage of saving time. Conclusions: The insights gained in the present study could assist nurses in reducing the disadvantages and taking advantage of the positive elements of providing care in MBRs. Health professionals need to be aware of how attitudes towards male and female patients, respectively, could affect care provision.
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| 13. |
- Öresland, Stina, et al.
(author)
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Home-based nursing : an endless journey
- 2011
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In: Nursing Ethics. - : Sage Publications. - 0969-7330 .- 1477-0989. ; 18:3, s. 408-417
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Journal article (peer-reviewed)abstract
- The aim of this study was to explore metaphors for discovering values and norms held by nurses in home-based nursing care. Ten interviews were analysed and interpreted in accordance with a metaphor analytical method. In the analysis, metaphoric linguistic expressions and two entailments emerged, grounded in the conceptual metaphor ‘home-based nursing care is an endless journey’, which were created in a cross-domain mapping between the two conceptual domains of home-based nursing care and travel. The metaphor exposed home-based nursing care as being in constant motion, thereby requiring nurses to adjust to circumstances that demand ethical maturity. The study focuses on the importance of developing further theories supporting nurses’ expressions of their experiences of everyday ethical issues.
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| 14. |
- Öresland, Stina, 1952-
(author)
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Nurses go visiting : ethics and gender in home-based nursing care
- 2011
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Doctoral thesis (other academic/artistic)abstract
- The overall aim of this thesis is to explore how nursing is constructed in home-based nursing care from the viewpoint of patients and nurses who are receiving or giving care. Since nursing both constructs and is in turn constructed by the context in which it serves, language plays a central part in those constructions and in this thesis. The thesis has been guided by social constructionism, meaning that the positions the patients and the nurses inhabits have been considered as social phenomenon constructed in discursive processes. There are two ideas that guided this thesis. One idea was that home-based nursing care promotes the association of caring abilities in relation to nursing, women and the private sphere. Another idea was that the place where the care was carried out has ethical implications. Data was collected from interviews with 10 home-based nurses (study I) working in community in the western part of Sweden and 10 patients cared for in their home by these nurses (study II). Nurses and patients were interviewed about their experiences of giving respectively receiving home-based nursing care. The interviews were transcribed verbatim and analyzed with a discourse analytic method in study I and II. The findings in study I show that the nurses described their subject positions as "guests" and "professionals" and that they have to make a choice between these positions, as it is impossible to perform both positions at the same time. Dependent on the situation, both an ethics of care and an ethics of justice were applied by the nurses, that is, to perform according to the subject positions of "guest" or "professional." In study II, the patients describe their own subject position as "safeguard" and the nurses‟ positions as "substitutes". These subject positions provided the opportunities, and the obstacles, for the patients‟ possibilities to receive care in their home which included which kind of strategies, habits and activities the patients described and what tasks and how they considered or expected the nurses to perform. These findings are discussed within a theoretical framework, i.e. a gendered dichotomy of the private spheres versus the public spheres. Inherent in this framework is a discussion of the findings related to the habits that are essential in the nurses‟ and the patients‟ constructions of subject positions. In study III, metaphors used by home-based nurses‟ were explored as a means to discover values and norms held by nurses working in home-based nursing care. Ten interviews with nurses working in home-based nursing care (the same interviews as in study I) were analyzed and interpreted with a metaphor analytic method. In the analysis metaphoric linguistic expressions (MLE) were explored and patterns of MLEs formed two entailments. After exploring MLEs and entailments on an explicit surface level the analysis went to a broader underlying dimension of conceptual metaphors identifying the overall metaphor: "Home-based nursing care is an endless journey". The metaphor "Home-based nursing care is an endless journey" exposed home-based nursing care in constant motion, thereby requiring nurses to adjust to circumstances. This adjustment required ethical maturity based on experience, knowledge, and creativity. The study III focuses on the importance of further developing reflections over experiences related to everyday ethical issues. In study IV, the findings from study I were the starting point for a philosophical exploration of the concept "guest" and its relation to other adjacent concepts such as hosts and hospitality. The question to be answered was as follows: In what ways can home-based nurses‟ description of being "guests" in patients‟ home be understood? The exploration was based on Derrida‟s philosophy of unconditional and conditional hospitality, Levinas‟ philosophy of "face" and "the Other" and Arendt‟s philosophy of "go visiting". The findings indicated that the concept "guest" was not appropriate for the nurses to use when describing their position in home-based nursing care, since the concept was problematic for the content and the complexity of home-based nursing care. The findings also showed that exposing concepts as binaries is fruitful since they show relationship between concepts. Just illuminating the concept "guest" did not reveal the power relationship between the "guest" and the "host" and their relationship to hospitality. The distinction between diverse ethical perspectives could be seen as problematic or as an opportunity. According to this study, the nurses used a plurality of different ethical ideas, such as an ethics of care, an ethics of justice, an ethics of virtue and an "everyday ethics." A possible interpretation could be that this was a sign of a difficulty to maintain distinction between ethical theories in clinical practice. Ethical issues in the private sphere are less commonly explored compared to ethical issues in the public sphere, for example in hospital care. As showed in this thesis, the distinction between the private and the public spheres was problematic. It does not describe two spatially separate spheres, but rather it describes functionally dependent activities, interests and relations, such as diverse areas of ethical ideas and "feminine" and "masculine" positions. Home-based nursing care is a complex area and discourse analysis of the relation between home-based nursing care, subject positions, ethics and gender is more or less lacking. Exploring home-based nursing care outgoing from discourse analytic perspectives and methods is rewarding for nurses‟ practice, education and research as it opens up new perspectives of home-based nursing care.
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