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1.
  • Ellingsen, Sidsel, et al. (författare)
  • The pendulum time of life : the experience of time, when living with severe incurable disease—a phenomenological and philosophical study
  • 2015
  • Ingår i: Medicine, Health care and Philosophy. - Dordrecht : Springer Netherlands. - 1386-7423 .- 1572-8633. ; 18:2, s. 203-215
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to gain a deeper understanding of the experience of time when living with severe incurable disease. A phenomenological and philosophical approach of description and deciphering were used. In our modern health care system there is an on-going focus on utilizing and recording the use of time, but less focus on the patient’s experience of time, which highlights the need to explore the patients’ experiences, particularly when life is vulnerable and time is limited. The empirical data consisted of 26 open-ended interviews with 23 participants receiving palliative care at home, in hospital or in a nursing home in Norway. The theoretical frameworks used are mainly based upon K. Martinsens philosophy of care, K. E. Løgstrup phenomenological philosophy, in addition to C. Saunders’ hospice philosophy, L. Feigenberg’s thanatology and U. Qvarnström’s research exploring patient’s reactions to impending death. Experience of time is described as being a movement that moves the individual towards death in the field of opposites, and deciphered to be a universal, but a typical and unique experience emerging through three integrated levels: Sense of time; where time is described as a movement that is proceeding at varying speeds. Relate totime; where the awareness of limited life changes the understanding of time to be more existential. Being in time; where limited time seems to clarify the basic living conditions and phenomena of life. The existence of life when the prospect of death is present is characterized by emotional swings that move within polarizing dimensions which is reflected in the experience of time illustrated as the moves of the pendulum in a grandfather clock. The diversity of the experience of time is oscillating between going fast or slow, being busy or calm, being unpredictable but predictable, safe or unsafe and between being good or bad, depending on the embodied situation of the individual. © 2014, Springer Science+Business Media Dordrecht.
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2.
  • Eriksson, Monica, 1952-, et al. (författare)
  • Conceptual Clarification of Wellness and Sense of Coherence (SOC). : Rodgers' evolutionary concept analysis in health care settings
  • 2018
  • Ingår i: Nordic Conference in Nursing Research Methods and Networks for the future. - 9788299531528 ; , s. 31-31
  • Konferensbidrag (refereegranskat)abstract
    • Background: Clarification of concepts is important in the process of developing theories and concepts. The concept of «wellness» is frequently used, but the content is still unclear. Is the content of «wellness» the same as «health»,«sense of coherence», «wellbeing», «spirituality», «quality oflife» or another contentObjective: To conceptually explore the concept of«wellness» in health care settings, and relate the results to the salutogenic core concept SOC.Method: Rodger's evolutionary concept analysis is used for the theoretical analysis of the data. The focus has been on attributes, related concepts, consequences, antecedents,references, exemplars and implications. The literature search has been performed through manual review of reference lists and online search in databases for relevant papers. The abstracts has been examined to identify relevant studies for further review. The inclusion criteria was peer reviewed papers in English, published in scientific journals using the keywords wellness/health/health care/healthcare and wellness/sense of coherence/salutogenesis, discussing and/or defining the concept of wellness. The search was run in Cinahl and PubMed via EBSCO and in ProQuest. Results: Fifty studies met the inclusion criteria. Preliminary results confirm a multidimensional property of «wellness». It seems to be used interchangeable with related concepts such as «health», «SOC», «wellbeing», «spirituality» or«quality of life» without a deeper clarification of theoretical aspects. A general impression is that wellness is strongly related to individual lifestyle and health behavior.
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3.
  • Holmqvist, Gärd, 1950- (författare)
  • Bildterapi – en väg till inre förändring och förbättrad hälsa
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Avhandlingens övergripande syfte var att undersöka bildterapins möjlighet att bidra till inre förändring och förbättrad hälsa hos individen. Med inre förändring avses en strukturell och varaktig förändring som sker på ett psykologiskt djupare plan, till skillnad mot en yttre och mer tillfällig förändring. Den bildterapeutiska behandlingen bygger på en kombination av bildskapande och olika grad av reflekterande, bearbetande samtal. En triangulär relation, patient – bild – terapeut, är det som på ett avgörande sätt skiljer bildterapi från andra verbala behandlingsmetoder.Avhandlingens design var främst kvalitativ, med undantag för delstudie I som var en review. I delstudie I granskades studier om bildterapi för tre olika patientgrupper. En kvalitetsbedömning genomfördes med två olika system för evidens. I delstudie II djupintervjuades kvinnor om upplevelser av inre förändring och om den visat sig i utvalda målade bilder. Intervjuerna analyserades med deduktiv och induktiv innehållsanalys. I delstudie III ställdes via e-post två öppna enkätfrågor till bildterapeuter om vad de uppfattade som en inre förändring hos patienten. Data analyserades med tematisk analys. I delstudie IV genomfördes en sekundäranalys av intervjuerna från delstudie II. Utifrån ett teoretiskt perspektiv undersöktes förekomst av vitalitetsaffekter och grundaffekter samt deras betydelse för inre förändring. En deduktiv innehållsanalys genomfördes.I avhandlingen beskrivs inre förändring och förbättrad hälsa ur tre olika perspektiv; en grupp kvinnliga patienters upplevelser, en grupp bildterapeuters uppfattningar samt ur ett teoretiskt perspektiv. Resultatet visar att bildterapi kan bidra till en varaktig inre förändring som innebär identitetsförändring, förändrat beteende och förbättrad hälsa. Kvinnor som inte upplevt en inre förändring fann att bildterapin var ett stöd i vardagen. Existentiella frågor om meningen med livet var centrala både i kvinnornas och i bildterapeuternas utsagor. Resultatet visar att den terapeutiska alliansen och förmågan att utveckla en reflektiv distans till bilden är avgörande för om en individuell inre förändring är möjlig. Vidare är det viktigt med ett utforskande förhållningssätt och samtal om bildens betydelse för att en inre förändring skall kunna ske. En bildterapeutisk förändringsprocess innehåller vitalitetsaffekter och grundaffekter. Den leder till ökad insikt och medvetenhet om känslor. Den förbättrar självbilden, ökar autenticitet och autonomi, samt ger vidgade perspektiv.Avhandlingen bidrar till ökad kunskap om inre förändring och förbättrad hälsa genom behandling med bildterapi. Genom att beskriva och visa på att inre förändringar sker, beskriva vad i terapin som upplevs och bedöms som en inre förändring och att bekräfta inre förändring utifrån bakomliggande teorier, kan avhandlingen bidra till att avmystifiera den konstnärsmyt som ofta omger bildterapin och göra den mer förklarbar. Avhandlingen kan bidra till förbättrad kommunikationen mellan bildterapeuter och vårdgivare avseende metodens möjligheter och begränsningar. Vården kan därigenom överväga att använda bildterapi både som ett komplement eller ett alternativ till annan behandling. 
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4.
  • Holmqvist, Gärd, 1950-, et al. (författare)
  • Expressions of vitality affects and basic affects during art therapy and their meaning for inner change
  • 2019
  • Ingår i: International Journal of Art Therapy. - Abingdon : Taylor & Francis. - 1745-4832 .- 1745-4840. ; 24:1, s. 30-39
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to describe the occurrence of vitality affects and basic affects and to shed light on their importance in terms of patients' inner change through art therapy. In an earlier study, where 17 women were interviewed about inner change through art therapy, a secondary deductive content analysis of images and statements was performed exploring the presence of vitality affects and basic affects. Nine of the 17 interviews contained clear descriptions of vitality affects and basic affects in the intersubjective communication between the patient and the therapist, these affects were also mirrored in the patients’ painted images.Three cases are used to illustrate the result and how affects were related to inner change. These three cases differ from each other in that they described vitality affects either arising from the art therapist’s empathetic verbal or non-verbal response, from a particular experience in nature, or from the interpreted symbolic language of the image. The common denominator uniting the three cases was the intersubjective communication with the therapist. This study indicates that image making in art therapy gives rise to vitality affects and basic affects that contributes to inner change. It also indicates the importance of having trust in both the method and the art therapist.   
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5.
  • Holmqvist, Gärd, 1950-, et al. (författare)
  • What art therapists considerto be patient's inner change and how it may appear during art therpy
  • 2017
  • Ingår i: The arts in psychotherapy. - Kidlington : Elsevier. - 0197-4556 .- 1873-5878. ; 56, s. 45-52
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to explore what art therapists consider to be patients’ inner change and how it may appear during art therapy. Thirty-eight trained art therapists with experience of using art therapy as a treatment were included in the study. They were asked to describehow they perceived their patients’ inner change and a situation during arttherapy when they observed such change. An inductive thematic analysis resulted in five themes; Therapeutic alliance, describing trust to the therapist and believe to the method, Creating, which concerns the work in the therapeutic process, while Affect consciousness, Self-awareness,and Ego-strengthare part of the therapy outcome. The situations in which an inner change can be observed have been presented by means of quotations and discussed in relation to different theories and art therapy research. The participating art therapists formed a very heterogeneous group, resulting in an unexpected consistency about what they considered to be an inner change in the patient. The study may be seen as a contribution to further discussion about the benefits of a more common language to describe patients’ inner change in art therapy
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6.
  • Manasatchakun, Pornpun, 1983-, et al. (författare)
  • Community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand
  • 2018
  • Ingår i: Journal of Holistic Nursing. - Thousand Oaks, CA : Sage Publications. - 0898-0101 .- 1552-5724. ; 36:1, s. 54-67
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Describe community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand.Method: Data were collected through five focus group interviews with 36 community nurses in northeastern Thailand. Latent content analysis was conducted to analyze the data.Findings: Healthy aging was characterized by the interconnection of older persons, older persons’ family members and the community. Healthy aging was associated with two themes: “being strong” and “being a supporter and feeling supported”. The nurses’ experiences in promoting healthy aging were described using the themes “providing health assessment”, “sharing knowledge” and “having limited resources”.Conclusions: The findings of this study provide a deeper understanding of the meaning of healthy aging from a holistic viewpoint. Community nurses must pay attention to older persons and their surroundings when planning how to promote healthy aging. Person-centredness should be applied in practice to promote healthy aging. The current findings contribute useful information that should help policy makers develop healthy aging strategies in Thailand.
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7.
  • Manasatchakun, Pornpun, 1983-, et al. (författare)
  • Conceptions of healthy ageing held by relatives of older people in Isan-Thai culture : A phenomenographic study
  • 2018
  • Ingår i: Journal of Aging Research. - : Hindawi Limited. - 2090-2204 .- 2090-2212.
  • Tidskriftsartikel (refereegranskat)abstract
    • Healthy ageing has been studied in various contexts. However, no studies have focused on healthy ageing from the perspective of children or grandchildren, who are the main informal caregivers for older people in northeast Thailand, also referred to as the Isan region. Therefore, this study aimed to describe the conceptions of healthy ageing harboured by children and grandchildren caring for older people in northeast Thailand. A qualitative descriptive design was performed using a phenomenographic approach with an epistemological basis in the lifeworld theory to understand the varying conceptions of healthy ageing based on participants’ lived experience. We conducted in-depth interviews comprising open-ended questions to gain an understanding of the conceptions of healthy ageing held by 14 children and grandchildren of older persons in northeast Thailand. The data collected during these interviews were analysed using the phenomenographic analysis method. The results of our analysis indicated that the conceptions of healthy ageing can be categorized into the following four descriptive categories: being independent, not being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. These findings highlight that healthy ageing entails autonomy, interdependence and wisdom and emphasize the importance of holistic view on the meaning of healthy ageing. Healthcare providers should understand the different meanings of healthy ageing from the perspectives of children and grandchildren of older people and integrate their perspectives when collaborating with them to promote healthy ageing. The findings of this study may facilitate further research and ensure the provision of support to the relatives of older people to promote healthy ageing in northeast Thailand. 
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8.
  • Manasatchakun, Pornpun, et al. (författare)
  • Conceptions of healthy aging held by relatives of older persons in Isan-Thai culture : a phenomenographic study
  • 2018
  • Ingår i: Journal of Aging Research. - New York, NY : Hindawi Publishing Corporation. - 2090-2204 .- 2090-2212. ; 2018
  • Tidskriftsartikel (refereegranskat)abstract
    • In Thailand, family nurses are expected to provide support for older persons and their family members to promote healthy aging. Family bonds are strong, and relatives are expected to take care of their older family members. However, there is limited research on how older persons’ family members perceive healthy aging. This study aimed to describe the conceptions of healthy aging held by the children and grandchildren of older persons in northeast Thailand. In a phenomenographic study, 14 interviews were performed to qualitatively analyze different conceptions of healthy aging. Four descriptive categories emerged: being independent, not being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. The conceptions of healthy aging entail both autonomy and interdependence. The relative’s perspective needs to be considered when policies relating to healthy aging are implemented in the community and when family nurses provide support to families to promote healthy aging.
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9.
  • Manasatchakun, Pornpun, 1983-, et al. (författare)
  • Factors associated with healthy ageing among older persons in Northeastern Thailand
  • 2016
  • Ingår i: Journal of Cross-Cultural Gerontology. - New York : Springer. - 0169-3816 .- 1573-0719. ; 31:4, s. 369-384
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this study was to describe factors associated with perceived health and healthy aging among older people in northeastern Thailand. Thailand's aging population is growing and facing an increasing old-age dependency ratio. Northeastern Thailand, known as Isan, is a region in which the number of older residents is projected to grow rapidly. Older people in this region are likely to confront great threats to their health and well-being. These issues require appropriate attention and actions to promote healthy aging. However, healthy aging in this region has not been studied. A cross-sectional study was conducted on a sample of 453 older people, aged 60 years or older. Participants completed the Healthy Aging Instrument (HAI) and provided relevant demographic characteristics. Mann-Whitney U tests, Kruskal-Wallis tests and multiple regression models were used to analyze the data. Through comparative analyses, significant differences in HAI scores were observed for the following factors: marital status, residential area, disability, income level, and perceived meaningfulness in life. In the multiple regression models, residential area, disability, and marital status explained 24.30 % of the variance in HAI scores. Health promotion strategies and future targeted intervention programs should consider the importance of these factors.
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10.
  • Manasatchakun, Pornpun, 1983-, et al. (författare)
  • Healthy Ageing in Isan-Thai culture – A phenomenographic study based on older persons' lived experiences
  • 2016
  • Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla : Co-Action Publishing. - 1748-2623 .- 1748-2631. ; 11
  • Tidskriftsartikel (refereegranskat)abstract
    • Healthy ageing is a concept that concerns older persons’ quality of life and is a key factor in promoting wellbeing. The older population in Thailand is growing. Isan (a region of north-eastern Thailand) has been reported as having one of the most rapidly increasing older populations in the country. In order to care for and promote the health of older people, healthcare providers should understand how healthy ageing is perceived by this target group. Although healthy ageing has been studied in different contexts as well as perspectives,no studies have previously focused on older persons’ experiences of healthy ageing from a life world perspective in Isan-Thai. Therefore, the aim of this study is to describe older persons’ qualitatively different conceptions of healthy ageing in Isan-Thai culture. A phenomenographic approach with an epistemological base in lifeworld theory was used to disclose the various ways to conceptualize healthy ageing. Individual, qualitative interviews were conducted with 17 older people aged 60 and above who live in Isan-Thai. The findings of this study revealed three categories of descriptions: “being independent in dependence”, “being at peace”, and “being a valuable person”. This study also found family members, friends, healthcare providers, and religion important to healthy ageing in the Isan-Thai culture. Understanding how older people conceptualize healthy aging is valuable for healthcare providers. They can apply these findings regarding healthy ageing in their fieldwork when caring for older people. © 2016 P. Manasatchakun et al.
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11.
  • Manasatchakun, Pornpun (författare)
  • Understanding healthy aging in Isan-Thai culture
  • 2017
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • The older population in Thailand is growing, and the number of older people who suffer from health problems is increasing as well. The health situation of the older population challenges healthcare providers to care for older people. Healthy aging is key to promoting the health of older people and sustaining their well-being. However, little is known about healthy aging in Thailand, especially in northeastern Thailand, or the Isan region, where the number of older people is increasing. Thus, this thesis aims to understand the factors associated with perceived health and healthy aging and how older people and their relatives in the Isan region conceptualize healthy aging. This thesis also focuses on how community nurses experience the meaning and promotion of healthy aging in this region.This thesis includes four studies. The first is a quantitative cross-sectional study with 453 participants aged 60 years or older. The second and third studies are qualitative with a phenomenographic approach that is based on lifeworld theory. Participants in the second and third studies include 17 older people and 14 relatives who are responsible for caring for older people, respectively. The fourth study is a qualitative study that involves focus group interviews with 36 community nurses who work with older people in the Isan region.The findings of the first study show a variance (24.3%) in perceived health and healthy aging based on residential area, marital status and disability status. The meaning of healthy aging, which was derived from the second, third and fourth studies, was divided into three domains: being interconnected; being able to do something good and feeling strong; and thinking beyond the capacity and functions of body and mind. The promotion of healthy aging was described as “providing health assessments”, “sharing knowledge”, and “having limited resources”.The findings of the first study revealed the key factors that will help healthcare providers promote healthy aging. The findings of the second, third and fourth studies revealed that older people, their children and grandchildren, and community nurses attach different meanings to healthy aging. The finding regarding promotion of healthy aging emphasizes that the person-centredness should be integrated in practice when promoting healthy aging. The results of this thesis will be useful to policymakers, who can apply this enhanced understanding of healthy aging to develop healthcare practices that promote healthy aging. 
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12.
  • Pelters, Britta, 1972-, et al. (författare)
  • “Don’t stop believing!” From health religiosity to an equality-enhancing hermeneutic of health promotion
  • 2018
  • Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor & Francis. - 1748-2623 .- 1748-2631. ; 13:sup1: Equal Health
  • Tidskriftsartikel (refereegranskat)abstract
    • Purpose: Health beliefs are usually regarded as subjective understandings of one’s health. They can, however, be re-interpreted by drawing on the understanding that the structural features of the health discourse resemble the characteristics of a religion and on the spiritual dimension of health with its possibly salutogenic influence. The applicability of the notion of“health religiosity” and its consequences for individual health promotion are explored.Method: Data consist of already existent semi-structured interviews. These have been reana- lyzed in a deductive-hermeneutical way by using a five-dimensional concept of religiosity as deductive template.Results: The concept of religiosity proved to be productive and revealed that all health dimensions in the case are infused with spiritually ennobled ideas.Conclusion: We conclude that, irrespective of their factual accuracy, the salutogenic potential of ennobled ideas may best be utilized by understanding them hermeneutically. An explora- tion of a narrative hermeneutic approach to individual health promotion is suggested as the merging of meaning horizons in a hermeneutic dialogue is expected to increase awareness of spiritualized aspects of health beliefs. This may mitigate healthism and health disparities. Moreover, three challenges for individual health promotion are anticipated: realizing the situation, recognizing its complexity and resisting a simplistic practical approach. © 2018 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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13.
  • Strand, Thomas, 1970-, et al. (författare)
  • An intervention-based study of how MRI is perceived by patients with spinal metastasis after adjustments to the examination procedures
  • 2018
  • Ingår i: Journal of Radiology Nursing. - Philadelphia, PA : Elsevier. - 1546-0843 .- 1555-9912. ; 37:2, s. 119-125
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim was to explore magnetic resonance imaging (MRI) experiences of patients with spinal metastasis after adjustments to the examination procedures have been made in accordance with the findings from a previous study. MRI is an important medical technology, which is considered to be the first choice of examination method when diagnosing and evaluating spinal metastatic tumors. It is a challenge to care for patients who experience anxiety and pain during an MRI. However, several aspects of the examination can be adjusted to improve the care for these patients. Findings from previous research were used to develop a care intervention, the effects of which are explored in this study. Qualitative deductive-inductive content analysis was used in this study. Eleven patients with spinal metastasis were interviewed about their experiences of going through an MRI scan based on an intervention designed in accordance with the findings from previous research. The findings showed that adjustments to the examination often were perceived as beneficial. However, patients needed to be involved in the decisions that influenced their own care. Time was an important component that affected the need for being prepared as well as the degree of personalization of the examination. This study shows that patients need to be seen as unique individuals, and they need to be able to influence the care that is given to them. The personalization of and adjustments to the examination routines need to be carried out in agreement with the patient.
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14.
  • Strand, Thomas, et al. (författare)
  • Caring for patients with spinal metastasis during an MRI examination
  • 2018
  • Ingår i: Radiography. - London : Elsevier. - 1078-8174 .- 1532-2831. ; 24:1, s. 79-83
  • Tidskriftsartikel (refereegranskat)abstract
    • Introduction: Magnetic resonance imaging (MRI) is without question the best tool used for diagnosing and evaluating spinal metastasis. An MRI examination is known to be of great value for the treatment planning and survival of these patients. Radiographers have an important role in how the quality of care is experienced by the patients during an MRI examination. The purpose of the study was to describe the radiographers’ perceptions of caring for patients with spinal metastasis during an examination with MRI.Methods: Phenomenography was used to analyze the data in this study. Ten radiographers, one male and nine females were interviewed about their perception of caring for patients with spinal metastasis during an MRI examination.Results: The findings showed that the radiographers’ caring perspective influenced their approach towards what they consider to be essential in the care of patients with spinal metastasis. This can impact the extent of the adjustment to the care needs of the patients. Furthermore, the findings showed that there was a strong connection between the radiographers’ care approach and preparedness to personalize the care.Conclusion: This study shows that it is important to be flexible when providing care for the patients. A person-centered care is achieved when the caring perspective is based on the patient’s view and adjustments are made in agreement with the patient.
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15.
  • Strand, Thomas, 1970- (författare)
  • Hjälp mig att hjälpa dig! : upplevelser och uppfattningar av undersökning med MRT för personer med metastaser i ryggen
  • 2018
  • Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
    • Aim: The overall aim was to explore how patients with spinal metastasesexperience a magnetic resonance imaging examination (MRI). Furthermore,the purpose was to investigate the radiographers’ perceptions of the patients’care needs and what measures can be taken to relieve the suffering associatedwith an MRI examination.Methods: The design for all four studies was qualitative with content analysisused in Studies I, III and IV and a phenomenographic approach in Study II.Main Findings: The results showed that the patients could experience worry,anxiety, insecurity and pain during an MRI examination. These adverse feelingscan be reduced by adjustments to the examination’s routines as well as byadjustments to the examination’s settings. A short break in the middle of theexamination can be beneficial if the patient is involved in the decision regardingthe break or other adjustments made in conjunction with the examination.Radiographers’ perceptions of the caring for patients were influenced by theircaring perspective and their approach towards what they consider to be essentialin the care of patients with spinal metastasis. The radiographers used theirintuition as a moral compass when they decided what, when and how to adjustthe different aspects of the MRI examination. A shortage of time can affect theextent of the adjustments that can be made as well as the establishment of acaring relationship with the patient.Conclusions: The patients may feel a sense of security when they receive correctinformation prior to and during the examination. Patients want to influencetheir own care. The personalization and adjustments of the examinationroutines need to be performed in agreement with the patient. The radiographersshould not use intuition as the foundation for their care and assumptions aboutthe care needs of the patients should be avoided. The
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16.
  • Werkander Harstäde, Carina, et al. (författare)
  • The Room as Metaphor : Next-of-Kin’s Experiences in End-of-Life Care
  • 2015
  • Ingår i: International Journal of Palliative Care. - New York, NY : Hindawi Publishing Corporation. - 2356-7074 .- 2314-579X. ; 2015, s. 1-7
  • Tidskriftsartikel (refereegranskat)abstract
    • The “room” in end-of-life is a phenomenon that needs deeper understanding as it is a dimension that shows how health and suffering are shaped. Research on the concept of room was chosen as theoretical foundation in this study in order to reach a profound understanding of the next-of-kin’s “room” in end-of-life care. Lassenius’s hermeneutic interpretation in metaphorical language was used as an deductive-inductive approach to the empirical data. The data material comprised 33 interviews with next-of-kin about their experiences of end-of-life care when being close to a relative dying from a cancer disease. The analysis of the data formed four cases: the Standby, the Asylum, the Wall, and the Place. These cases lend their voices to the experiences of the next-of-kin in the study. The findings of this study explain and may well assist nurses to understand the experiences of being next-of-kin in end-of-life care as forming a room of rest from the suffering, a room of controlling the suffering, a room of hiding from the suffering, and a room of belonging.© 2015 Carina Werkander Harstäde and Åsa Roxberg
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