| 1. |
- Carlsson, Gunilla, et al.
(författare)
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Det nakna vårdandet
- 2008
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Rapport (övrigt vetenskapligt/konstnärligt)
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| 2. |
- Ellingsen, Sidsel, 1959-, et al.
(författare)
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Being in transit and in transition : The experience of time at the place, when living with severe incurable disease - a phenomenological study
- 2014
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Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 28:3, s. 458-468
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study is to describe the experience of time as it presents itself at the place being situated when living with severe incurable disease and receiving palliative care. The empirical data consist of 26 open-ended interviews with 23 patients receiving palliative care at home, at a palliative day care, in a palliative bed unit in hospital or in a nursing home in Norway. A common meaning of a shifting space for living emerged from the analysis and was revealed through three different aspects: (i) Transition from a predictable to an unpredictable time: To live with severe incurable disease marks a transition to a changed life involving an ongoing weakened and altered body with bothersome symptoms making experience of time different and unpredictable. (ii) Transition between a safe and unsafe time: When time is unpredictable, feeling safe is revealed as essential to how time is experienced at the place being situated. (iii) To be in transition from a homely to a homeless existence: In a time of increased bodily weakness, unpredictable ailments and displacements, the sense of belonging to the place is revealed as significant to the experience of time. Not knowing where to be in a time of change is like an existential cry of distress where the foothold in existence is lost. The findings are discussed and interpreted as an embodied experience originating from the passage of time continually affecting life sometimes so fundamentally that it marks a transition to a changed space of life that is reflected in the experience of time. © 2013 Nordic College of Caring Science.
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| 3. |
- Ellingsen, Sidsel, 1959-, et al.
(författare)
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Entering a World with No Future : A phenomenological study describing the embodied experience of time when living with severe incurable disease
- 2013
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Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 27:1, s. 165-174
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Tidskriftsartikel (refereegranskat)abstract
- A phenomenological study describing the embodied experience of time when living with severe incurable disease This article presents findings from a phenomenological study exploring experience of time by patients living close to death. The empirical data consist of 26 open-ended interviews from 23 patients living with severe incurable disease receiving palliative care in Norway. Three aspects of experience of time were revealed as prominent: (i) Entering a world with no future; living close to death alters perception of and relationship to time. (ii) Listening to the rhythm of my body, not looking at the clock; embodied with severe illness, it is the body not the clock that structures and controls the activities of the day. (iii). Receiving time, taking time; being offered - not asked for - help is like receiving time that confirms humanity, in contrast to having to ask for help which is like taking others time and thereby revealing own helplessness. Experience of time close to death is discussed as an embodied experience of inner, contextual, relational dimensions in harmony and disharmony with the rhythm of nature, environment and others. Rhythms in harmony provide relief, while rhythms in disharmony confer weakness and limit time. © 2012 The Authors. Scandinavian Journal of Caring Sciences © 2012 Nordic College of Caring Science.
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| 4. |
- Ellingsen, Sidsel, 1959-, et al.
(författare)
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Experience of Time when Living with Incurable Disease : A Qualitative Study
- 2011
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Ingår i: 12th Congress of the European Association for Palliative Care (EAPC), Lisbon, Portugal, 18-21 May, 2011. - Newmarket : Hayward Medical Communications. ; , s. 190-190
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: The healthcare system’s unilateral focus on clock time has given motivation to explore the diversity of time and in particular the impact of time in vulnerable patients. When living with severe incurable disease, the diversity and impact of time become prominent.Aim: Knowledge on patients’ experiences of time may be helpful both in planning, organizing, preparing and performing treatment and care for patients with short life expectancy. Especially to open up the communication with the patient and his/her relatives, this knowledge is important and therefore of general interest.Theoretical frame: The philosophical and theoretical approach in this study is phenomenological. Edmund Husserl, the founder of modern phenomenology, has stated that consciousness of time is the most important area in phenomenology. Martin Heidegger, known as a master in phenomenology after Husserl, emphasizes the impact of our relationship to time with respect to being.Method: An unstructured open-ended in-depth interview has been used with support of a theme guide reflecting different aspects of time. The data consist of 26 interviews from 23 participants receiving palliative care. The study was carried out from April 2009 to February 2010 in the respondent’s home or at different palliative care units in Hordaland County in Norway.Preliminary result: Time, context and care are related. The patients feeling of security for themselves and their relatives determine whether the time feels good or bad. It is evident that our relationship to time is expressed by body language. The body also communicates a rhythm, when health worker and the patients have different rhythm the care can become an unpleasant experience. Patients, relatives and health workers are in different aspects of time, normally we are prospective, when death are approaching the future become uncertain, which can entail that it is a challenge to meet in harmony in the present.
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| 5. |
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| 6. |
- Ellingsen, Sidsel, et al.
(författare)
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The pendulum time of life : the experience of time, when living with severe incurable disease—a phenomenological and philosophical study
- 2015
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Ingår i: Medicine, Health care and Philosophy. - Dordrecht : Springer Netherlands. - 1386-7423 .- 1572-8633. ; 18:2, s. 203-215
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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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| 7. |
- Eriksson, Monica, 1952-, et al.
(författare)
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Conceptual Clarification of Wellness and Sense of Coherence (SOC). : Rodgers' evolutionary concept analysis in health care settings
- 2018
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Ingår i: Nordic Conference in Nursing Research Methods and Networks for the future. - 9788299531528 ; , s. 31-31
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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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| 8. |
- Eriksson, Monica, 1952-, et al.
(författare)
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Meaning of wellness in caring science based on Rodgers's evolutionary concept analysis
- 2024
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Ingår i: Scandinavian Journal of Caring Sciences. - West Sussex : John Wiley & Sons. - 0283-9318 .- 1471-6712. ; 38:1, s. 185-99
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Tidskriftsartikel (refereegranskat)abstract
- Background: Wellness is a holistic, multidimensional, and process-oriented property on a continuum. It has been used interchangeably with and is undifferentiated from concepts such as health and well-being without an in-depth clarification of its theoretical foundations and a reflection on its meaning. The concept of wellness is frequently used, but its definition remains unclear. Aim: To conceptually and theoretically explore the concept of wellness to contribute to a deeper understanding in caring science. Method: Rodgers' evolutionary concept analysis was applied to the theoretical investigation of data from publications of international origins. The focus was on antecedents, attributes, consequences, surrogate and related terms, and contextual references. A literature search was performed through a manual review of reference lists and an online search in CINAHL and PubMed via EBSCO, and in ProQuest. Abstracts were examined to identify relevant studies for further review. The inclusion criteria were peer-reviewed papers in English; papers published in scientific journals using the surrogate terms ‘wellness’, ‘health’, ‘health care’, and ‘health care and wellness’; and papers discussing and/or defining the concept of wellness. Twenty-six studies met the inclusion criteria. Results: Based on the findings from this concept analysis, a definition of wellness was developed: ‘a holistic and multidimensional concept represented on a continuum of being well that goes beyond health’. Implications for nursing practice were correspondingly presented. Conclusion: Wellness is defined as a holistic and comprehensive multidimensional concept represented on a continuum of being well, that goes beyond health. It calls attention by applying the salutogenic perspective to health promotion in caring science. It is strongly related to individual lifestyle and health behaviour and is frequently used interchangeably with health and well-being without an in-depth clarification of its theoretical foundation.
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| 9. |
- Holmqvist, Gärd, 1950-
(författare)
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Bildterapi – en väg till inre förändring och förbättrad hälsa
- 2018
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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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| 10. |
- Holmqvist, Gärd, 1950-, et al.
(författare)
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Expressions of vitality affects and basic affects during art therapy and their meaning for inner change
- 2019
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Ingår i: International Journal of Art Therapy. - Abingdon : Taylor & Francis. - 1745-4832 .- 1745-4840. ; 24:1, s. 30-39
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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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| 11. |
- Holmqvist, Gärd, 1950-, et al.
(författare)
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What art therapists considerto be patient's inner change and how it may appear during art therpy
- 2017
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Ingår i: The arts in psychotherapy. - Kidlington : Elsevier. - 0197-4556 .- 1873-5878. ; 56, s. 45-52
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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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| 12. |
- Johansson, Elsie, 1952-, et al.
(författare)
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Nurse’s consolation : A grounded theory study
- 2008
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Ingår i: Vård i Norden. - London : Sage Publications. - 0107-4083 .- 1890-4238. ; 28:2, s. 19-22
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Tidskriftsartikel (refereegranskat)abstract
- To date, consolation has not been clearly defined in nursing science. The purpose of this study was to identify the phenomenon of consolation from the perspective of practising nurses. Data from interviews with 21 nurses were analysed by means of the grounded theory approach. Consolation comprised supportive consolation, avoiding consolation, insufficient consolation and inaccessible consolation, which were integrated into the nurses’ professional approach and personal outlook. More basic research is required in order to illuminate the meaning of the phenomenon of consolation with focus on supportive consolation as well as the non-consolation phenomenon comprising the so-called avoiding, insufficient and inaccessible consolation. In order for nurses to be able to prescribe, carry out and evaluate consoling care which alleviates patient suffering, there is a need for further knowledge of what constitutes and does not constitute consolation.
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| 13. |
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| 14. |
- Karlsson, Margareta, 1958-, et al.
(författare)
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Community nurses’ experiences of ethical dilemmas in palliative care : A Swedish study
- 2010
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Ingår i: International Journal of Palliative Nursing. - London : Mark Allen Group. - 1357-6321 .- 2052-286X. ; 16:5, s. 224-231
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this study was to highlight community nurses' experiences of ethical dilemmas in palliative care.Background: There are many studies on palliative care but research on how community nurses experience ethical dilemmas in palliative home care is lacking. The ethical dilemmas to which these nurses are exposed seriously challenge their ethical competence.Method: Seven community nurses described their experiences of ethical dilemmas in palliative home care. The data was analysed by means of qualitative content analysis.Findings: The core themes that emerged were: powerlessness, frustration, and concern in relation to ethical dilemmas in palliative care. The nurses were motivated and felt responsibility for their patients' end of life, and their relatives, and took their duties seriously. They wanted to satisfy all parties; the patient, the relatives and other palliative care professionals.Conclusion: The study confirms the need for knowledge about how community nurses experience dilemmas in ethical decision-making. They have the freedom to act and the willingness to make decisions, but they lack competence and knowledge about how their colleagues' experience and deal with such issues.
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| 15. |
- Kitzmüller, Gabriele, et al.
(författare)
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Å skrive om trøst og livsmot
- 2023
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Ingår i: Nordisk tidsskrift for helseforskning. - 1504-3614 .- 1891-2982. ; 18:3, s. 1-8
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Som mennesker er vi grunnleggende sett født sosiale. Vi trøster og trøstes gjennom hele livet som en viktig del av den omsorgen vi har ovenfor hverandre i det daglige.I situasjoner hvor livet byr på utfordringer, motgang og lidelse har gode mellommenneskelige relasjonerpreget av oppmerksomt nærvær stor betydning for hvordan vi mestrer livet. Trøsten som formidles i slike relasjoner kan støtte vårt livsmot og håp.På lik linje kan naturen og steder som vi setter pris på, være et fristed hvor vi kan samle oss og finne trøst. Trøstens elementære betydning har vært gjenstand for filosofiske og religiøse betraktninger og har gitt opphav for litterære verk, billedkunst og musikk. I denne innledningen til temanummeret «Trøst» gir vi en kort beskrivelse av dette fenomenet. I tillegg oppsummeres temanummerets åtte bidrag, de fleste skrevet av medlemmer i forskningsgruppen Liv og Livsmot ved UiT, Norges arktiske universitet. Bidragsyterne beskriver sine erfaringer med trøst i en helsefaglig, sosialfaglig eller livsfilosofisk kontekst.
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| 16. |
- Koslander, Tiburtius, 1969-, et al.
(författare)
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Existential and Spiritual Needs in Mental Health Care : An Ethical and Holistic Perspective
- 2009
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Ingår i: Journal of Holistic Nursing. - Thousand Oaks, CA : Sage Publications. - 0898-0101 .- 1552-5724. ; 27:1, s. 34-42
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Tidskriftsartikel (refereegranskat)abstract
- This study illuminates how existential needs and spiritual needs are connected with health care ethics and individuals’ mental health and well-being. The term existential needs is defined as the necessity of experiencing life as meaningful, whereas the term spiritual needs is defined as the need of deliverance from despair, guilt and/or sin, and of pastoral care. It discusses whether or not patients’ needs are holistically addressed in Western health care systems that neglect patients’ existential and spiritual needs, because of their biomedical view of Man which recognizes only patients’ physical needs. It excludes a holistic health care which considers all needs, expressed by patients in treatment of mental illness. Addressing all needs is important for patients’ improvement and recovery. For some patients, this is the only way to regain their mental health and well-being.
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| 17. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand
- 2018
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Ingår i: Journal of Holistic Nursing. - Thousand Oaks, CA : Sage Publications. - 0898-0101 .- 1552-5724. ; 36:1, s. 54-67
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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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| 18. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Conceptions of healthy ageing held by relatives of older people in Isan-Thai culture : A phenomenographic study
- 2018
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Ingår i: Journal of Aging Research. - : Hindawi Limited. - 2090-2204 .- 2090-2212.
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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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| 19. |
- Manasatchakun, Pornpun, et al.
(författare)
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Conceptions of healthy aging held by relatives of older persons in Isan-Thai culture : a phenomenographic study
- 2018
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Ingår i: Journal of Aging Research. - New York, NY : Hindawi Publishing Corporation. - 2090-2204 .- 2090-2212. ; 2018
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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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| 20. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Factors associated with healthy ageing among older persons in Northeastern Thailand
- 2016
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Ingår i: Journal of Cross-Cultural Gerontology. - New York : Springer. - 0169-3816 .- 1573-0719. ; 31:4, s. 369-384
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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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| 21. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Healthy Ageing in Isan-Thai culture – A phenomenographic study based on older persons' lived experiences
- 2016
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla : Co-Action Publishing. - 1748-2623 .- 1748-2631. ; 11
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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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| 22. |
- 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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| 23. |
- Nunstedt, Håkan, 1956-, et al.
(författare)
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Förståelse som fenomen
- 2021. - Upplaga 1
-
Ingår i: Att förstå sjukdomen. - Lund : Studentlitteratur. - 9789144126043 ; , s. 21-45
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 24. |
- 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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| 25. |
- Rask, Mikael, 1958-, et al.
(författare)
-
Validity and reliability of a Swedish version of the Relationship Assessment Scale (RAS) : a pilot study
- 2010
-
Ingår i: Canadian journal of cardiovascular nursing. - Ottawa : Canadian Council of Cardiovascular Nurses. - 0843-6096. ; 20:1, s. 16-21
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: There is a need for a short and easily administered scale, in the Swedish language, for assessing partner relationships in the health care of persons with cardiac disease. PURPOSE: To establish the reliability and validity of the Swedish version of the Relationship Assessment Scale (RAS). DESIGN: The present pilot study has a methodological design. FINDINGS: Content validity has been tested for relevance, clarity and readability. The scale was tested for construct validity with explorative factor analysis. The reliability was tested by internal consistency and test-retest analysis. The result showed a two-factor solution, which does not correspond to the original proposed one-factor solution. The factor analyses revealed two quite distinct factors of RAS, labelled "Relationship built on expectations and satisfaction of needs" and "Relationship built on love and devotion". CONCLUSIONS: The scale has satisfactory psychometric properties in terms of content validity, construct validity, homogeneity and stability in a population of persons with cardiac disease. Wider evaluations of the RAS for other populations and settings are recommended.
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| 26. |
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| 27. |
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| 28. |
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| 29. |
- Roxberg, Åsa, 1953-
(författare)
-
I det otänkbaras mitt
- 2011
-
Ingår i: BestPractice Psykiatri/Neurologi Yrkesdialog mellan specialister. - : BestPractice ApS. - 1902-7583. ; 7:2, s. 18-20
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- SlutsatsDe som drabbats av naturkatastrof lever som i två världar, den tidigare välkända och den nuvarande oigenkännliga. Att samtidigt köpa mjölk och gravljus är ett exempel på denna komplexitet. I dessa världar söker de rekonstruera och möblera sitt inre rum att känna sig hemma i. I denna process behövs medmänniskor som uthärdar rekonstruktionen och som varsamt återför dem till detta arbete när de går vilse. Renoveringen är de drabbades möjlighet, en väg till en framtid med förändrade livsmål.
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| 30. |
- Roxberg, Åsa
(författare)
-
I det otänkbaras mitt
- 2011
-
Ingår i: BestPractice PSYKIATRI OG NEUROLOGI. ; 7:2, s. 18-20
-
Tidskriftsartikel (refereegranskat)
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| 31. |
- Roxberg, Åsa, 1953-, et al.
(författare)
-
In the midst of the unthinkable. A phenomenological life-world approach to the experiences of suffering and relieved suffering during the tsunami catastrophe, 2004.
- 2009
-
Ingår i: International Journal of Qualitative Studies on Health and Well-being. - New York, NY : Informa Healthcare. - 1748-2623 .- 1748-2631. ; 4:1, s. 17-27
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to highlight the instantaneous experience of suffering and relieved suffering that was presented on the Swedish Television (SVT) by those who experienced the tsunami wave in Thailand, 26 December 2004. The selected TV-interviews were watched, transcribed and conducted with an empirical phenomenological analysis. A phenomenological lifeworld approach, inspired by the French philosopher Maurice Merleau-Ponty, was chosen for the theoretical framework. The findings showed three main features: the motion, the stillness and the shift in perspective. The motion comprised both the motion of the wave and the motion it caused the victims in terms of external as well as internal disorder. When the tsunami waves withdrew, it was followed by stillness. The feeling of being unreal was prominent, triggered by lack of information and endless waiting. Another prominent feature was the victims’ incapacity to answer ‘‘how long’’ they had suffered before being rescued. The tsunami catastrophe seemed to be a timeless event. Caring for other victims meant a shift in perspective in one’s own devastated world to that of another person. The shift between focus and comprehension, contributed to the making of life-saving decisions, for the victims themselves and for other victims. The findings were mainly reflected on from the perspective of the French philosopher Maurice Merleau-Ponty, for example the experience of time as an embedded and lived now. It was also reflected on from the perspective of the German philosopher Karl Jaspers as a limit-experience and as a fulfilment of love. A suggestion for further research is to investigate how suffering and relieved suffering is experienced and encountered when further time has passed.
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| 32. |
- Roxberg, Åsa, 1953-
(författare)
-
Om tröst och att trösta
- 2010
-
Ingår i: Michael. - Oslo : Norwegian Medical Society. - 1504-0658. ; 7:2, s. 282-286
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Syftet med denna artikel är att undersöka tröstens innebörd, med fokus på vårdande och icke-vårdande tröst såsom den framträder i Jobs bok i Gamla testamentet. Analysen visar att Job upplever den tröst som förmedlas till honom som frånvaro, frånvarande tröst och närvaro, närvarande tröst. Några dimensioner av den frånvarande trösten är att den förminskar lidandet och är en tröst som stannar vid ytan. Den närvarande trösten framträder i dimensioner som karakteriseras av en öppnande tröst och en motsägelsefull tröst. I artikeln urskiljes en vårdande och icke-vårdande tröst, och argumenteras för att även vårdarna själva upplever tröst av att förmedla en tröst som vårdar den lidande.
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| 33. |
- Roxberg, Åsa
(författare)
-
Om tröst och att trösta
- 2010
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Ingår i: Michael. - 1504-0658. ; 7, s. 282-286
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 34. |
- Roxberg, Åsa, 1953-, et al.
(författare)
-
Out of the wave : The meaning of suffering and relief from suffering as described in autobiographies by survivors of the 2004 Indian Ocean tsunami
- 2010
-
Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla : Co-Action Publishing. - 1748-2623 .- 1748-2631. ; 5:3
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore the meaning of suffering and relief from suffering as described in autobiographies by tourists who experienced the tsunami on 26 December 2004 and lost loved ones. A lifeworld approach, inspired by the French philosopher Merleau-Ponty's phenomenology of perception, was chosen for the theoretical framework. This catastrophe totally changed the survivors' world within a moment. In this new world, there were three main phases: the power of remaining focused, a life of despair, and the unbearable becoming bearable. Life turns into a matter of making the unbearable bearable. Such challenging experiences are discussed in terms of the philosophy of Weil, Jaspers, and Merleau-Ponty. The survivors of the tsunami catastrophe were facing a boundary situation and "le malheur," the unthinkable misfortune. Even at this lowest level of misfortune, joy is possible to experience. This is part of the survivors' ambivalent experiences of their lifeworld. In this world of the uttermost despair there are also rays of hope, joy, and new life possibilities. © 2010 Å. Roxberg et al.
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| 35. |
- Roxberg, Åsa, 1953-, et al.
(författare)
-
Out of the wave : the meaning of suffering and relieved suffering for survivors of the tsunami catastrophe. An hermeneutic-phenomenological study of TV-interviews one year after the tsunami catastrophe, 2004
- 2010
-
Ingår i: Scandinavian Journal of Caring Sciences. - Chichester : Wiley-Blackwell. - 0283-9318 .- 1471-6712. ; 24:4, s. 707-715
-
Tidskriftsartikel (refereegranskat)abstract
- The tsunami catastrophe, 26th December 2004, is one of a number of catastrophes that has stricken mankind. Climate reports forecast that natural disasters will increase in number in the future. Research on human suffering after a major catastrophe, using a caring science perspective, is scarce. The aim of the study was to explore the meaning of suffering and relieved suffering of survivors of the tsunami catastrophe, 26th December 2004. An explorative study design, inspired by the French philosopher Paul Ricoeur’s hermeneutic-phenomenology, was used. Interviews made by the Swedish Television (SVT) in connection with the 1 year anniversary were carried out on site in the disaster area and in Sweden. The text analysis revealed four main themes: ‘An incomprehensible event’, ‘A heavy burden’, ‘Help that helps’, and to ‘Being changed in a changed life situation’. The findings were mainly interpreted in light of Paul Ricoeur’s thinking on suffering, quilt, forgiveness, time and narrative. The first year after the loss of loved ones in the tsunami catastrophe, 2004, was like starting an inner as well as an outer journey. This journey was experienced as living with the heavy burden of an incomprehensible event. Help that helped was mediated by consolers who endured the suffering of the other. An ‘enduring courage’ is a key moral virtue to encounter the alienation of the sufferer and how it in turn alienates from the sufferer. It is also important to recognize that the complexity of the world of those who have lost loved ones in major catastrophes includes possibilities for reconciliation with the loss. The reconciliation creates hope that opens up for being changed in a changed life situation.© 2010 The Authors. Scandinavian Journal of Caring Sciences © 2010 Nordic College of Caring Science.
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| 36. |
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| 37. |
- Roxberg, Åsa, 1953-, et al.
(författare)
-
Space and place for health and care
- 2020
-
Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Abingdon : Taylor and Francis Ltd.. - 1748-2623 .- 1748-2631. ; 15:sup1
-
Tidskriftsartikel (refereegranskat)abstract
- Purpose: This discussion paper aims to contribute to a greater understanding of the state of the art of research engaged with conceptual matters of space and place for health and care. Method: The authors, who represent a variety of academic disciplines, discuss and demonstrate the conceptual recognition of space and place in research in health and caring sciences building upon own work and experience. Results: To explore the concepts of space and place for health and care is a research pursuit of utmost importance, and should be made through transdisciplinary research collaborations, whereby spatial theories from various disciplines could be communicated to cultivate truly novel and well-informed research. Furthermore, engaging with relational and topological perceptions of space and place poses methodological challenges to overcome in future research on health and care. Conclusions: We argue that there is a need for accelerating spatially informed research on health and care that is informed by current theories and perspectives on space and place, and transdisciplinary research collaborations are a means to achieving this. © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
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| 38. |
- Roxberg, Åsa, et al.
(författare)
-
The 2004 Indian Ocean Tsunami Catastrophe, its Survivors, Job and the Universal Features of Suffering : A Theoretical Study
- 2014
-
Ingår i: Journal of religion and health. - New York, NY : Springer Science and Business Media LLC. - 0022-4197 .- 1573-6571. ; 53:4, s. 1257-1266
-
Tidskriftsartikel (refereegranskat)abstract
- The purpose of this theoretical article is to discuss the existential and universal feature of suffering-as illustrated by Job's suffering in the Book of Job in the Bible and by the survivors of the 2004 Asian tsunami catastrophe-and to highlight its significance for health care. Further, the study is aiming at contributing to health professionals' understanding of patients' suffering. The sources are narratives, comprising Job's book, TV interviews 1 year after the tsunami catastrophe and the survivors' autobiographies. The methodological approach is a philosophical analysis. The existential, universal, ontological and epistemological aspects of suffering are carefully scrutinized to unveil the universal and existential versus culture-specific features of suffering. Based on the results, the authors' recommendations are (1) a holistic concept of the patient and health care has to seriously consider suffering in all its complexity because when a person is in pain, it is not his/her body but the whole person as a unity of body, psyche and spirit that suffers and (2) suffering should be seen as the most central concept of health care, which should provide treatment for physical pain and all dimensions of suffering: physical, social, mental and spiritual aspects.
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| 39. |
- Roxberg, Åsa, 1953-, et al.
(författare)
-
The meaning of consolation as experienced by nurses in a home-care setting
- 2008
-
Ingår i: Journal of Clinical Nursing. - Chichester : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 17:8, s. 1079-1087
-
Tidskriftsartikel (refereegranskat)abstract
- Aims and objective. The aim of this study was to illuminate nurses’ experiences of consolation and how these experiences relate to suffering and care.Background. Consolation is commonly associated with the relief of suffering. The question of consolation in terms of its definition and relevance for care has, however, been a matter of discussion among nurse researchers. The question raised concerns about the nature of consolation, its place and its role in relation to care and the caring sciences.Design. An explorative qualitative interview study with 12 participants, six registered and six enrolled nurses, was carried out in a home-care context.Methods. A phenomenological-hermeneutic method inspired by the French philosopher Paul Ricoeur was used for the text analysis.Results. Two main aspects of consolation appeared: ‘the present consolation’, which is flexible, sustaining and opening and ‘the absent consolation’, which conceals the suffering and is incapable of consoling. The result was interpreted from a philosophical-ethical perspective, based on the works of Levinas and Lögstrup.Conclusions. Consolation appears as a complex phenomenon, both in terms of its existence and its absence consolation, constituting a caring and non-caring consolation. A caring consolation entails meeting the other as different and being present in a way that gives the other space to be the one he or she really is. It requires acceptance, accepting the sufferer and his/her way of suffering as unique.Relevance to clinical practice. The clinical nurse is involved in complex care situations, which entails both reflecting upon and using intuition when consoling. A caring consolation is a contradictory phenomenon that requires a nurse to be capable of both reflecting upon and acting intuitively on the unique suffering of the other. © 2008 Blackwell Publishing Ltd.
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| 40. |
- Roxberg, Åsa, 1953-
(författare)
-
Tröst
- 2012. - 1
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Ingår i: Vårdvetenskapliga begrepp i teori och praktik. - Lund : Studentlitteratur. - 9789144071046 ; , s. 437-446
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Vad är tröst och Hur trösta? Svaren på frågorna tycks givna. Forskning visar emellertid att tröst inte alltid är vad vi tror att den är, önskar att den skulle vara och förmedlas på sätt som vi minst anar. Frågan är vilken betydelse tröst har för människor idag på 2000-talet och hur viktig tröst och tröstande är för vårdvetenskap.
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| 41. |
- Roxberg, Åsa
(författare)
-
Tröst
- 2012
-
Ingår i: Vårdvetenskapliga Begrepp i teori och praktik. - Lund : Studentlitteratur. - 9789144071046 ; , s. 438-446
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 42. |
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| 43. |
- Roxberg, Åsa
(författare)
-
Vårdande och icke-vårdande tröst
- 2005
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Syftet med avhandlingen är att, ur ett vårdvetenskapligt, och ett i detta inkluderat vårdteologiskt per- spektiv, belysa innebörden av fenomenet tröst och hur tröst förhåller sig till lidande och vård. Det görs i två empiriska intervjustudier med vårdare och äldre vårdtagare samt en tredje delstudie som analyse- rar tröst såsom den framstår i Jobs bok i Gamla testamentet. Dessa delstudier behandlar vårdares upp- levelse av tröst och att trösta, äldre vårdtagares upplevelse av tröst samt Jobs upplevelse av tröst.Metodologiskt har forskningen sin utgångspunkt i fenomenologi och hermeneutik. En fenomenolo- gisk-hermeneutisk metod, inspirerad av Paul Ricoeur, har använts för textanalyserna. I avhandlingen behandlas också det som är signifikant för poetisk och religiös text. De metaforer som förekommer i de empiriska delstudierna med vårdare och äldre analyseras för att ta tillvara det överskott av mening som metaforer, enligt Ricoeur, kan uttrycka.Resultatet visar fem övergripande innebörder: Den motsägelsefulla trösten, Den sammanbindande trösten, Den stumma trösten, Den okontrollerade trösten och Den vilsamma trösten. En vårdande tröst är motsägelsefull såtillvida att den innebär dels att den lidande överlämnar sitt lidande till någon an- nan, dels att lidandet kan ges tillbaka för att lidas. Tröst kan således vara att lida. En sammanbindande tröst är närvarande, d.v.s. är hos den lidande och utgår från dennes lidande. Denna tröst kännetecknas av djup gemenskap, en upplevelse av att vara förstådd på ett djupare sätt. Resultatet visar också en tröst som är stum. Denna tröst svarar inte an på den lidandes upplevelse av sitt lidande, är oformlig och saknar följsamhet för lidandet. Ett exempel på en stum och icke-vårdande tröst är vännernas tröst i Jobs bok. Denna tröst förmår inte trösta därför att den inte är där Job är, d.v.s. i hans upplevelse av sitt lidande. Vidare framstår en vårdande tröst som okontrollerad därför att den dels är spontan, dels bistår den lidande att släppa kontrollen över lidandet. Att släppa kontrollen innebär bl.a. att den lidande ger upp försöken att förstå lidandet för att istället låta det oförståeliga vara oförståeligt. Genom att ge upp det som på olika sätt binder lidandet infinner sig en tröstande och hälsobringande vila i eller från li- dandekampen.Resultatet som helhet tolkas ur ett vårdvetenskapligt perspektiv som vårdgemenskap, tro, hälsa och offer. Tröst som hälsa förstås utifrån en teoretisk modell, inspirerad av Katie Erikssons ontologiska hälsomodell. Filosofiskt-etiskt belyses forskningen utifrån företrädesvis Emmanuel Levinas. Resultatet diskuteras i förhållande till tidigare forskning och i förhållande till vårdvetenskap, samhälle och vård.
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| 44. |
- Roxberg, Åsa
(författare)
-
Vårdande och icke-vårdande tröst : Caring and non-caring consolation
- 2005
-
Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The aim of the thesis is, from a caring science perspective including a caring theology perspective, to illustrate the meaning of the phenomenon consolation and how consolation relates to suffering and care. Two studies were completed where staff and elderly care receivers were interviewed and a third study focused on an analysis of consolation as it is presented in the Book of Job in the Old Testament. These studies deal with carers’ experiences of consolation and consoling, elderly care receivers’ experiences of consolation, and Job’s experience of consolation. Phenomenology and hermeneutics form the basis for the methodological approach. A phenomenological-hermeneutic method, inspired by Paul Ricoeur, has been used for the text analyses. The thesis alsocovers significant aspects of poetical and religious texts. The metaphors that occur in the interview studies with the carers and the elderly are analysed in order to take care of the excess of meaning that, according to Ricoeur, can be expressed in metaphors. The result show five overall meanings: The contradictory consolation, The bonding consolation, The mute and rigid consolation, The uncontrolled consolation and The restful consolation. A caring consolation is contradictory in the sense that it entails that the sufferer on the one hand passes on his or her suffering to someone else and on the other hand that the suffering can be returned to be suffered. Consolation can thus entail suffering. The bonding consolation is present, i.e. is with the sufferer and is based on that person’s suffering. This consolation is characterised by a close fellowship, a feeling of being understood at a deeper level. The results also reveal a consolation that is mute and rigid. This consolation does not respond to the sufferer’s experience of his or her suffering, is shapeless and therefore unable to follow the suffering. An example of a mute, rigid and non-caring consolation is the consolation of the friends in the Book of Job. This consolation is not capable of consoling because it does not correspond to where Job is, i.e. in his experience of his suffering. A caring consolation is also uncontrolled because it is on the one hand spontaneous and on the other hand helps the sufferer to lose control over the suffering. To lose control entails, amongst other things, the sufferer giving up trying to understand suffering and instead lets that which is incomprehensible be incomprehensible. A consoling and health-bringing rest in or from the struggle with suffering presents itself by giving up what in various ways is tied to the suffering. The result as a whole is interpreted from a caring science perspective with the following important concepts: caring relationship, faith, health and sacrifice. Consolation as health is considered on the basis of a theoretical model inspired by Katie Eriksson’s ontological health model. The research is also illustrated from a philosophical-ethical perspective, mainly based on the work of Emmanuel Levinas.
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| 45. |
- Roxberg, Åsa, 1953-, et al.
(författare)
-
Where Can I Find Consolation? A Theoretical Analysis of the Meaning of Consolation as Experienced by Job in the Book of Job in the Hebrew Bible
- 2013
-
Ingår i: Journal of religion and health. - New York, NY : Springer-Verlag New York. - 0022-4197 .- 1573-6571. ; 52:1, s. 114-127
-
Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to explore the meaning of consolation as experienced by Job in the Book of Job and as presented in literature and how consolation relates to suffering and care. The study’s theoretical design applied Ricoeur’s view on phenomenology and hermeneutics. The resulting themes were as follows: consolation that is present, that originates in confrontation, that keeps suffering at a distance, that does not alleviate suffering, that originates in experience from giving comfort, and that facilitates a change of perspective. The authentic and caring consolation accepts the sufferer’s incomprehensible “otherness” but however provides no answers about how to console. © 2011 Springer Science+Business Media, LLC.
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| 46. |
- Strand, Thomas, 1970-, et al.
(författare)
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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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| 47. |
- Strand, Thomas, et al.
(författare)
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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
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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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| 48. |
- Strand, Thomas, 1970-
(författare)
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Hjälp mig att hjälpa dig! : upplevelser och uppfattningar av undersökning med MRT för personer med metastaser i ryggen
- 2018
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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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| 49. |
- Strand, Thomas, 1970-, et al.
(författare)
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The Experience of Patients With Neoplasm Metastasis in the Spine During a Magnetic Resonance Imaging Examination
- 2014
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Ingår i: Journal of Radiology Nursing. - Philadelphia, PA : Elsevier. - 1546-0843 .- 1555-9912. ; 33:4, s. 191-198
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to explore the experience of a magnetic resonance imaging (MRI) examination by patients with neoplasm metastasis in the spine. MRI is the most accurate method to diagnose and evaluate suspected metastatic disease in the spine. Patients may experience anxiety because of the fear of pain, fear of the unknown, and the apprehension about what the test might reveal. The study had a qualitative design, and the collected data were analyzed by means of latent content analysis. Twelve semistructured in-depth interviews were carried out starting with the question “Can you tell me about your experience of the MRI examination?” Four themes were identified: “motivation,” “worry and anxiety,” “insecurity,” and “security.” The patients were highly motivated to be examined by MRI, although most of them did experience some degree of worry or anxiety. The level of worry or anxiety was generated by the perception that an MRI examination was unpleasant, uncomfortable, or by the fear of what the result would show. All participants experienced some degree of insecurity, but in different ways, the insecurity of the patient could be reduced and the patients could experience a greater degree of security. The feelings of insecurity or security could be influenced by the radiographer, patients themselves, and MRI equipment. This study shows that most patients usually experience worry and anxiety. If the patients are motivated, they can manage to go through the examination in spite of the previously mentioned adverse feelings. Patients' feelings tend to fluctuate between a sense of insecurity and one of security. © 2014 Association for Radiologic & Imaging Nursing.
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| 50. |
- Svedberg, Petra, 1973-, et al.
(författare)
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Psychometric evaluation of a Swedish version of Krantz Health Opinion
- 2012
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Ingår i: Open Journal of Nursing, Article ID:23138. - Irvine, CA : Scientific Research Publishing, Inc.. - 2162-5344 .- 2162-5336. ; 2:3, s. 4-
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Tidskriftsartikel (refereegranskat)abstract
- The purpose of this study was to evaluate the psychometric properties of a Swedish version of The Krantz Health Opinion Survey (KHOS). A convenience sample of 79 persons (47 men and 32 women) was recruited from The Heart and Lung Patients’ National Association at ten local meeting places in different areas in Sweden. The questionnaire was examined for face and content validity, internal consistency and test-retest reliability. The findings showed that the Swedish version of KHOS is acceptable in terms of face and content validity, internal consistency and test-retest reliability over time among 79 individuals >65 years of age and with a cardiac disease. In conclusion, wider evaluations of the psychometric use of KHOS for other populations and settings are recommended.
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