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1.
  • Arveklev Höglund, Susanna, et al. (författare)
  • Nursing students experiences of learning about nursing through drama
  • 2018
  • Ingår i: Nurse Education in Practice. - Edinburgh : Churchill Livingstone. - 1471-5953 .- 1873-5223. ; 28:1, s. 60-65
  • Tidskriftsartikel (refereegranskat)abstract
    • The ability to understand, interact and create a caring relationship with the patient is a core component in nursing. A shift in nursing education from traditional classroom teaching towards more experiential approaches should be encouraged as this will support learning that links theory with practice. The aim of this study was to describe nursing students' experiences of learning about nursing through drama. This qualitative study was conducted at a university in Sweden. Four focus group interviews were conducted with a total of 16 nursing students and the data was analyzed using a phenomenographic approach.Three themes with their attendant categories emerged through the analysis: "To explore the future professional self", "To develop an understanding of the patient perspective", and "To reflect on the nature of learning". In conclusion this study shows that the use of drama in nursing education can provide opportunities to explore interactions with others which can increase students' self-awareness and ability to reflect on their future professional identity. Acting in role as a patient can provide an opportunity to experience the patient perspective. Also clear was the importance of commitment and engagement ofthe students as a prerequisite for optimizing this form of learning experience through drama
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2.
  • Arveklev Höglund, Susanna, et al. (författare)
  • The use and application of drama in nursing education : An integrative review of the literature
  • 2015
  • Ingår i: Nurse Education Today. - Edinburgh : Churchill Livingstone. - 0260-6917 .- 1532-2793. ; :7, s. e12-e17
  • Tidskriftsartikel (refereegranskat)abstract
    • Background Caring is grounded on universal humanistic values such as kindness, empathy, concern and love for self and others. Nurses need to learn how to implement these values in the care for patients. Nursing students find it hard to assimilate theoretical knowledge in practice. Experiential learning in the form of drama has been used in several studies to enhance nursing students' learning. Aim The aim of this study was to review empirical and theoretical articles on the use and application of drama in nursing education. Design An integrative review of the literature.MethodThe databases CINAHL, PubMed, ProQuest and Academic search elite were searched for articles. Result The search generated 64 articles, with 20 articles meeting the inclusive criteria. Three themes with their attendant subthemes emerged through the analysis. The themes are: The Framing, The Objectives and The Embodiment. Conclusion Drama is effective in entry level courses in nursing education to enhance student learning and can be flexible and adjusted to various contexts. Further research using drama to enroll nursing students as fictive patients and relatives and thereby explore different perspectives is suggested, and more research on the application of drama in nursing education at an advanced level is required.
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3.
  • Arveklev, Susanna H., 1975, et al. (författare)
  • Learning About Conflict and Conflict Management Through Drama in Nursing Education
  • 2018
  • Ingår i: Journal of Nursing Education. - New York : SLACK, Inc.. - 0148-4834 .- 1938-2421. ; 57:4, s. 209-216
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: In the health care settings in which nurses work, involvement in some form of conflict is inevitable. The ability to manage conflicts is therefore necessary for nursing students to learn during their education. Method: A qualitative analysis of 43 written group assignments was undertaken using a content analysis approach. Results: Three main categories emerged in the analysis-to approach and integrate with the theoretical content, to step back and get an overview, and to concretize and practicetogether with the overall theme, to learn by oscillating between closeness and distance. Conclusion: Learning about conflict and conflict management through drama enables nursing students to form new knowledge by oscillating between closeness and distance, to engage in both the fictional world and the real world at the same time. This helps students to form a personal understanding of theoretical concepts and a readiness about how to manage future conflicts.
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4.
  • Berg, Linda, 1961, et al. (författare)
  • Dramapedagogik i vårdutbildning-sjuksköterskestudenters lärande i omvårdnad.
  • 2017
  • Ingår i: HKG 2017, Högskolepedagogisk konferens. Göteborg: 26 oktober.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Sjuksköterskeutbildningen ska förbereda framtidens sjuksköterskor för ett yrkesliv som ställer höga krav på professionalitet och kompetens i mötet med patienter, närstående, kollegor och studenter. I dessa möten kan problem, etiska dilemman och konflikter uppstå. Kunskap om bemötande och kommunikation är därför centralt i utbildningen. Det krävs undervisningsformer där studenterna får möjlighet att öva, pröva och reflektera kring olika vårdsituationer i en trygg miljö tillsammans med lärare och andra studenter. Dramapedagogik är en studentaktiv undervisningsform som kan möjliggöra detta. Drama är ett praktiskt och ett teoretiskt ämne som möjliggör en helhetssyn på individen. Drama erbjuder kunskap om hur känsla, tanke och handling samspelar och påverkar varandra i en specifik kontext. En läraktivitet, ett moment med drama ingår i kursen Omvårdnad vid hälsa och ohälsa (30 hp), under termin 3 i sjuksköterskeprogrammet vid Institutionen för vårdvetenskap och hälsa, Sahlgrenska akademin, Göteborgs universitet. Momentet innefattar temat ”kommunikation inom omvårdnad”, med fokus på tolkning och reflektion utifrån vårdsituation, berättelse och begrepp. Momentet har utvecklats till ett program, som består av en heldags dramaworkshop fördelat på sex dramapass, där praktiska dramaövningar och reflektioner varvas för att stödja studenters lärande för att uppnå kursens lärandemål. Reflektioner sker utifrån en omvårdnadsteoretisk grund med avsikten att integrera teori och praktik. Fokusgruppsintervjuer har genomförts med studenter som medverkat i dramaprogrammet. Programmet presenteras i en rapport utgiven av Centrum för Kultur och Hälsa vid Göteborgs universitet.
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6.
  • Berg, Linda, 1961 (författare)
  • Sjuksköterskans lärande om kärnkompetenser
  • 2017
  • Ingår i: Vårdpedagogik. Vårdens kärnkompetenser från ett pedagogiskt perspektiv. Margret Lepp & Janeth Leksell (red.). - Stockholm : Liber. - 9789147112296 ; , s. 252-270
  • Bokkapitel (refereegranskat)abstract
    • Kapitlet handlar om implementering av ett kompetensutvecklingsprogram för yrkesverksamma sjuksköterskor. Syftet med programmet var att stödja sjuksköterskors lärande med fokus på kärnkompetenserna och att implementera kärnkompetenserna i vården.
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7.
  • Höglund Arveklev, Susanna, 1975, et al. (författare)
  • Learning about conflict management and conflict management through drama in nursing education. : Learning about conflict management and conflict management.
  • 2017
  • Ingår i: ICN 2017. Barecelona, Spain, 27 May - 01 June 2017.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Conflicts are common in healthcare settings and affect the nursing care negatively causing suffering among the patients and other costs, such as burnout and higher absenteeism among the nursing staff. The ability to manage conflict is therefore a necessary for nursing students to learn during their education. But previous studies show that nursing students lack in preparation to face and handle conflicts. The aim of this study is to present a teaching structure with the purpose of supporting nursing students learning about conflict and conflict management. The teaching structure combines a theoretical lecture, a drama workshop and a group assignment where the students reflect over their learning. In this study, 43 group assignments are being analyzed using qualitative content analysis. The preliminary analysis consists of three main categories with their attendant sub categories (1) To approach and integrate with the theoretical content, (2) To create a distance and get an overview, and (3) To concretize, practice and apply. The final result as well as the conclusions and implications will be presented at the ICN conference in Barcelona, May 2017.
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8.
  • Jenholt Nolbris, Margaretha, 1956, et al. (författare)
  • Using Pedagogical Symbols in A Map in Supervision
  • 2019
  • Ingår i: International Journal of Nursing and Health Care Research. - 1050-1606. ; 4
  • Tidskriftsartikel (refereegranskat)abstract
    • The overall findings of this study for each nurse was that they have new tool to combine their emotions with symbols, which could be one way of own empowerment to prevent burn out. One way in which to raise the quality of nursing in daily practice is to develop and improve the nurses´ reflections on nursing situations. This may be aided by a map that can indicate a possible route to achieving an overview of circumstances and of various choices for improvement, a route to developing one’s own competence and to finding moral courage in the exercise of professional care.
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9.
  • Lepp, Margret, 1954, et al. (författare)
  • Drama, conflict and learning in nursing education
  • 2019
  • Ingår i: International Council of Nursing, ICN Congress (www.icn.ch) in Singapore Poster ID: eP397 Arveklev, S.H., Berg, L., Wigert, H., Morrison-Helme, M., & Lepp, M. (2018). Learning About Conflict and Conflict Management Through Drama in Nursing Education. Journal of Nursing Education. Vol. 57, No. 4. DOI: 10.3928/01484834-20180322-04.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Conclusion Learning about conflict and conflict management through drama can provide nursing students with new theoretical and practical knowledge. Through drama, nursing students can: come closer and form a personal understanding of theoretical concepts of conflict and conflict management develop a readiness about how to approach and manage future conflicts. develop nursing knowledge and practical wisdom in nursing practice provide an effective way to form new knowledge by oscillating between closeness and distance, be engaged both in the fictional and real world at the same time.
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10.
  • Lepp, Margret, 1954, et al. (författare)
  • Dramapedagogik i vårdutbildning - sjuksköterskestudenters lärande om konflikthantering. Nr 6. : Dramapedagogik i vårdutbildning
  • 2018
  • Rapport (övrigt vetenskapligt/konstnärligt)abstract
    • Kunskap om konflikthantering är nödvändig i dagens alltmer stressfulla arbetsklimat inom hälso- och sjukvårdssystemet eftersom arbetsklimatet påverkar personalen och ökar risken för interpersonella konflikter. Om dessa konflikter inte löses eller om de hanteras på ett felaktigt sätt, kan de ha negativ påverkan på såväl organisation som sjukvårdspersonal och patienter. Föreliggande Rapport handlar om hur ämnena omvårdnad, konflikthantering och dramapedagogik kan integreras och användas för att stödja sjuksköterskestudenters lärande med fokus på konflikthantering. Rapporten belyser undervisningsmomentet konflikthantering i kursen OM4380 Ledarskap och lärande, 15 hp. Kursen ges under sista året av totalt tre år i sjuksköterskeprogrammet vid Göteborgs universitet, Sahlgrenska Akademin, Institutionen för vårdvetenskap och hälsa. Undervisningsmomentet konflikthantering med drama har genomförts sedan 2008. Rapporten är tänkt att användas som ett pedagogiskt verktyg och riktar sig till alla som söker kunskap om hur dramapedagogik kan användas med fokus på konflikthantering. Den vänder sig till studenter, lärare och praktiskt verksamma inom utbildning, vård och omsorg där mötet mellan student, vårdare, patient och närstående är avgörande för utvecklingen av professionell kompetens och hög vårdkvalitet.
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11.
  • Melin-Johansson, Christina, et al. (författare)
  • The Recovery Process When Participating in Cancer Support and Rehabilitation Programs in Sweden
  • 2015
  • Ingår i: Global qualitative nursing research. - : Sage Publications. - 2333-3936. ; 2
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to illuminate the meaning of participating in support and rehabilitation programs described by people diagnosed with cancer. Nineteen persons were interviewed in focus groups and face-to-face. Data were analyzed with a qualitative phenomenological hermeneutical method for researching lived experiences. Interpretation proceeded through three phases: naïve reading, structural analysis, and comprehensive understanding. Three themes were disclosed: receiving support for recovery when being most vulnerable, recapturing capabilities through supportive activities, and searching to find stability and well-being in a changed life situation. Participating in the programs was an existential transition from living in an unpredictable situation that was turned into something meaningful. Recovery did not mean the return to a state of normality; rather, it meant a continuing recovery from cancer treatments and symptoms involving recapturing capabilities and searching for a balance in a forever changed life. This study provides new insights about the experiences of participating in cancer support and rehabilitation programs.
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12.
  • Rejnö, Åsa, 1970-, et al. (författare)
  • Combining Qualitative and Quantitative Content Analysis : A Way to Utilize Different Types of Data in Research of Ethical Problems in Acute Stroke Care
  • 2017
  • Ingår i: Sage Research Methods. - 1 Oliver's Yard, 55 City Road, London EC1Y 1SP United Kingdom  : Sage Publications. - 9781526424877
  • Annan publikation (refereegranskat)abstract
    • Most people who experience an acute stroke survive, but a substantial number die as a result of it. Stroke is, according to the World Health Organization, the second leading cause of death globally. Research in the area of stroke has previously been less focused on situations when patients die due to an acute stroke in favor of research on medical treatments, rehabilitation, and living with the aftermath of stroke. Research focusing on ethical problems in the care of dying patients can be found both in general and in specific care contexts such as palliative, intensive, and non-hospital care, but knowledge concerning ethical problems in the area of stroke, or arising as a result of acute stroke, was lacking. Both these subjects, death due to acute stroke and ethical problems, were combined for the first author's (Å. R.) thesis. Individual interviews with stroke team members were performed guided by their answers in a three-part form filled out before the interviews. This case study provides an account of how qualitative and quantitative content analysis was used in combination to deepen the results from the study utilizing data obtained from both the three-part forms and the interviews performed. The case highlights some challenges faced when combining the two different types of data. It also gives examples of how the analysis was performed when combining qualitative and quantitative content analysis to support and further explore data.
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13.
  • Rejnö, Åsa, 1970, et al. (författare)
  • Communication as a key in creating dignified encounters in unexpected sudden death by stroke
  • 2018
  • Ingår i: Palliative Medicine : A Multiprofessional Journal. Vol. 32, Suppl. 1. Abstract P253. - : SAGE Publications. - 0269-2163 .- 1477-030X.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Communication is present in all encounters in care and of importance to create a caring relation. A good relation between patients, next of kin and health care staff is crucial, not least in times of rapid changes in health and when questions about life and death are at stake such as in palliative care. The aim of this study was to illuminate communication and its meaning in unexpected sudden death with stroke as example, as experienced by next of kin and stroke team members. The design of the study is a secondary analysis of qualitative data as proposed by Heaton, from a project on unexpected sudden death by stroke. Material from four interview studies from the project with all in all twelve next of kin of patients who had died due to the acute stroke during hospital stay and twenty-seven stroke team members from stroke units were utilized. Data were analysed with qualitative content analysis according to Krippendorf and Baxter. The analysis reveals communication as the foundation for care and caring. The overarching theme foundation for dignified encounters in care is built up by six themes illuminating the meaning of communication in unexpected sudden death by stroke; creating relationship, information enabling understanding, giving ground for unanimity, personalizing the patient, preconditioning for decisions and giving and experiencing support. Communication and its meaning in unexpected sudden death as experienced by next of kin and stroke team members enables dignified encounters in care. Through the next of kin knowledge about the severely ill patient, possibility to preserve and uphold absolute dignity and dignity of identity is given, expressed through respect for the patient’s will and desire and derived through talks between carers and next of kin. Communication is one key to create dignified encounters in palliative care when unexpected sudden death occurs. It gives ground for unanimity about care and possibility to maintain and uphold dignity in care when acknowledging the next of kin familiarity with the patient. This gives ground for a person centeredness in palliative care despite the patients sever illness.
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14.
  • Rejnö, Åsa, 1970-, et al. (författare)
  • Communication, the Key in Creating Dignified Encounters in Unexpected Sudden Death - With Stroke as Example
  • 2019
  • Ingår i: Indian Journal of Palliative Care. - 0973-1075 .- 1998-3735. ; 25:1, s. 9-17
  • Tidskriftsartikel (refereegranskat)abstract
    • Aim: The aim of this study was to illuminate the communication and its meaning in unexpected sudden death with stroke as example, as experienced by stroke team members and next of kin. Subject and Methods: The study has a qualitative design. Secondary analysis of data from four previous interview studies with stroke team members; physicians, registered nurses, and enrolled nurses from the stroke units (SU) and next of kin of patients who had died due to acute stroke during hospital stay were utilized. Results: Communication is revealed as the foundation for care and caring with the overarching theme foundation for dignified encounters in care built-up by six themes illuminating the meaning of communication in unexpected sudden death by stroke. Conclusion: Communication shown as the foundation for dignified encounters in care as experienced by stroke team members and next of kin enables the patient to come forth as a unique person and uphold absolute dignity in care. Acknowledging the next of kin's familiarity with the severely ill patient will contribute to personalizing the patient and in this way be the ground for a person centeredness in care despite the patients' inability to defend their own interests. Through knowledge about the patient as a person, the foundation for dignified care is given, expressed through respect for the patient's will and desires and derived through conversations between carers and next of kin.
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15.
  • Rejnö, Åsa, 1970, et al. (författare)
  • Creating dignified encounters in unexpected sudden death by stroke –communication as a key
  • 2018
  • Ingår i: 4th European Stroke Conference ESOC in Gothenburg, 16-18 May. Poster presentation.
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Communication is present in all encounters in stroke care and of importance to create a caring relation. A good relation between patients, next of kin and health care staff is crucial, not least in unexpected sudden death by stroke. The aim of the study was to illuminate communication and its meaning in unexpected sudden death by stroke, as experienced by next of kin and stroke team members. The design is a secondary analysis of qualitative data from a project on unexpected sudden death by stroke. Material from four interview studies from the project with all in all twelve next of kin of patients who had died due to the acute stroke during hospital stay and twenty-seven stroke team members from stroke units were utilized. Data were analysed with qualitative content analysis. The analysis reveals communication as the foundation for care and caring in acute stroke care. The overarching themefoundation fordignified encounters in careis built up by six themes illuminating the meaning of communication in unexpected sudden death by stroke.
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16.
  • Rejnö, Åsa, 1970, et al. (författare)
  • Kommunikation, nyckeln till att skapa värdiga möten vid bråd död-med stroke som exempel.
  • 2018
  • Ingår i: 5:e nationella konferensen för palliativ vård i Stockholm 21-22 mars. Poster presentation..
  • Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
    • Kommunikation är närvarande i alla vårdmöten och av vikt för att skapa en vårdande relation. En god relation mellan patienter, närstående och vårdpersonal är viktig, inte minst vid hastiga förändringar i hälsan eller när livet står på spel som vid palliativ vård. Syftet med studien var att belysa kommunikationens betydelse vid bråd död med stroke som exempel, så som det upplevs av närstående och stroketeamets medlemmar. Data från fyra tidigare studier med tolv närstående till patienter som dött en bråd död till följd av stroke och sammanlagt tjugosju stroketeammedlemmar användes för sekundäranalys och analyserades med kvalitativ innehållsanalys. Kommunikation stiger fram som vårdens och vårdandets fundament vid bråd död. Det övergripande temat ”fundamentet för värdiga möten i vården” byggs upp av sex teman som belyser kommunikationens betydelse vid bråd död vid stroke; att skapa en relation, information möjliggör förståelse, ge grund för enighet, gör patienten till person, förutsättning för beslut och ge och känna stöd.
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17.
  • Rejnö, Åsa, 1970, et al. (författare)
  • Strategies for handling ethical problems in end of life care: obstacles and possibilities
  • 2015
  • Ingår i: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 22:7, s. 778-789
  • Tidskriftsartikel (refereegranskat)abstract
    • Background: In end of life care, ethical problems often come to the fore. Little research is performed on ways or strategies for handling those problems and even less on obstacles to and possibilities of using such strategies. A previous study illuminated stroke team members' experiences of ethical problems and how the teams managed the situation when caring for patients faced with sudden and unexpected death from stroke. These findings have been further explored in this study. Objective: The aim of the study was to illuminate obstacles and possibilities perceived by stroke team members in using strategies for handling ethical problems when caring for patients afflicted by sudden and unexpected death caused by stroke. Research design: A qualitative method with combined deductive and inductive content analysis was utilized. Participants and research context: Data were collected through individual interviews with 15 stroke team members working in stroke units of two associated county hospitals in western Sweden. Ethical considerations: The study was approved by the Regional Ethics Review Board, Gothenburg, Sweden. Permission was also obtained from the director of each stroke unit. Findings: All the studied strategies for handling of ethical problems were found to have both obstacles and possibilities. Uncertainty is shown as a major obstacle and unanimity as a possibility in the use of the strategies. The findings also illuminate the value of the concept the patient's best interests as a starting point for the carers' ethical reasoning. Conclusion: The concept the patient's best interests used as a starting point for ethical reasoning among the carers is not explicitly defined yet, which might make this value difficult to use both as a universal concept and as an argument for decisions. Carers therefore need to strengthen their argumentation and reflect on and use ethically grounded arguments and defined ethical values like dignity in their clinical work and decisions.
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