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| 5. |
- Balkmar, Dag, 1974-
(författare)
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Se upp - allt fler kvinnor kör som män! : Nollvisionen som diskurs och problemet män i trafiken
- 2009
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Ingår i: Tidskrift för Genusvetenskap. - Karlstad : Föreningen Tidskrift för Genusforskning. - 1654-5443 .- 2001-1377. ; :2-3, s. 97-118
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Tidskriftsartikel (refereegranskat)abstract
- Sweden is the first country in the world to have introduced the so-called Vision Zero (Nollvisionen). This is an ethical approach suggesting that road safety cannot be traded for mobility. Since the beginning of mass-motoring, men have been over-represented in traffic safety statistics, in terms of both ‘causing’ accidents and casualties. Against the background of the Swedish Vision Zero, it is quite extraordinary how little attention work on traffic safety has paid to men’s over-representation in Swedish fatal road accidents (90%), and (auto)mobility as a way of doing gender. The present article discusses how men and women driver subjects are produced through the Vision Zero discourse, with a particular focus on how men in traffic are constructed. This is important since such constructions and modes of address affect possible interventions and ‘solutions’ regarding road safety issues. Here I focus on three contemporary documents of policy making character or with general impact: first, the Governmental Act 2003 on road safety intervention; second, a report from the Swedish Road Administration which is applying a gender equality discourse on transport; and third a brochure issued by the Road Administration addressed to the everyday road user. These documents constitute case material that is illustrative of the Vision Zero as a generative apparatus of gender discourse. The article brings attention to the ambiguous ways in which the Vision Zero may, on the one hand, explicitly address men as problematic driver subjects, as an explicitly gendered high risk category; and, on the other, make men and masculine norms implicit through the rendering of young(er) driver subjects as problematic. This also involves pointing out women as an up and coming high risk category. To improve road safety, the discursive effects of this configuration suggest allocating responsibility partly to the ‘system’, partly to women driver subjects – in effect, to women who drive like men – rather than the men driver subjects.
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| 6. |
- Eriksson Baaz, Maria, 1971, et al.
(författare)
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Why Do Soldiers Rape? Masculinity, Violence, and Sexuality in the Armed Forces in the Congo (DRC)
- 2009
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Ingår i: International Studies Quarterly. - : Oxford University Press (OUP). - 1468-2478 .- 0020-8833. ; 53:2, s. 495-518
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Tidskriftsartikel (refereegranskat)abstract
- This article explores the ways soldiers in the Congo speak about the massive amount of rape committed by the armed forces in the recent war in the DRC. It focuses on the reasons that the soldiers give to why rape occurs. It discusses how the soldiers distinguish between ‘‘lust rapes’’ and ‘‘evil rapes’’ and argues that their explanations of rape must be understood in relation to notions of different (impossible) masculinities. Ultimately, through reading the soldiers’ words, we can glimpse the logics—arguably informed by the increasingly globalized context of soldiering—through which rape becomes possible, and even ‘‘normalized’’ in particular warscapes.
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| 8. |
- Johnson, Ericka
(författare)
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Chemistries of Love. Impotence, erectile dysfunction and Viagra in Läkartidningen
- 2008
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Ingår i: NORMA. - Oslo : Universitetsforlaget AS. - 1890-2138 .- 1890-2146. ; 3:1, s. 31-47
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Tidskriftsartikel (refereegranskat)abstract
- This article examines the discourse surrounding impotence, erectile dysfunction and Viagra in the Swedish medical journal Läkartidningen. It draws on articles published from 1990 to 2006, the eight years prior to and after Viagra’s 1998 introduction. Close reading of the articles has shown changes over this time period in how the impotent patient is defined. It has also revealed a transition in the discourse from the term impotence to erectile dysfunction. In these articles the role of the (female) partner in finding a solution to impotence and the social aspects of impotence also change dramatically once Viagra is available. Results from this study are contextualized against similar research that has examined the medical discourse around erectile dysfunction in the international arena.
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| 12. |
- Hasic, Tigran, 1969-
(författare)
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Reconstruction planning in post-conflict zones : Bosnia and Herzegovina and the international community
- 2004
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The history of mankind has been plagued by an almost continuous chain of various armed conflicts - local, regional, national and global - that have caused horrendous damage to the social and physical fabric of cities. The tragedy of millions deprived by war still continues. This study sets out to understand the nature of reconstruction after war in the light of recent armed conflicts. It attempts to catalogue and discuss the tasks involved in the process of reconstruction planning by establishing a conceptual framework of the main issues in the reconstruction process. The case of Bosnia and Herzegovina is examined in detail and on the whole acts as the leit-motif of the whole dissertation and positions reconstruction in the broader context of sustainable development. The study is organized into two parts that constitute the doctoral aggregate dissertation – a combining of papers with an introductory monograph. In this case the introductory monograph is an extended one and there are six papers that follow. Both sections can be read on their own merits but also constitute one entity.The rebuilding of war-devastated countries and communities can be seen as a series of nonintegrated activities carried out (and often imposed) by international agencies and governments, serving political and other agendas. The result is that calamities of war are often accompanied by the calamities of reconstruction without any regard to sustainable development. The body of knowledge related to post-conflict reconstruction lacks a strong and cohesive theory. In order to better understand the process of reconstruction we present a qualitative inquiry based on the Grounded Theory Method developed originally by Barney Glaser and Anselm Strauss (1967). This approach utilizes a complex conceptualization with empirical evidence to produce theoretical structure. The results of process have evolved into the development of a conceptual model, called SCOPE (Sustainable Communities in Post-conflict Environments).This study proposes both a structure within which to examine post-conflict reconstruction and provides an implementation method. We propose to use the SCOPE model as a set of strategy, policy and program recommendations to assist the international community and all relevant decision-makers to ensure that the destruction and carnage of war does not have to be followed by a disaster of post-conflict reconstruction. We also offer to provide a new foundation and paradigm on post-conflict reconstruction, which incorporates and integrates a number of approaches into a multidisciplinary and systems thinking manner in order to better understand the complexity and dependencies of issues at hand. We believe that such a systems approach could better be able to incorporate the complexities involved and would offer much better results than the approaches currently in use.The final section of this study returns to the fact that although it is probably impossible to produce universal answers, we desperately need to find commonalities amongst different postconflict reconstruction settings in order to better deal with the reconstruction planning in a more dynamic, proactive, and sustainable manner.
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| 14. |
- Dahl, Izabela A., 1972, et al.
(författare)
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Discourse analysis and oral history. Intersections of gender, locality, nation and religion in narratives from a Jewish refugee in Sweden
- 2009
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Ingår i: ENQUIRE. - 2041-6776. ; :1, s. 1-24
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Tidskriftsartikel (refereegranskat)abstract
- In this article we elaborate on the possibility to combine a social constructivist perspective and oral history within one methodological framework in order to explore how identities are narrated and negotiated in relation to different situations, contexts and interviewers. In oral history, the purpose is often to “give voice” to marginalized or forgotten individuals or groups, to listen to their stories and give them the possibility to speak from their perspectives. We agree with these emancipatory aims of oral history. Simultaneously we deconstruct and analyze interviews in order to investigate identity constructions. We work with the concepts of intersectionality and narrated identity, which allow us to investigate how groups and individuals that are marginalized and discriminated negotiate their own and other identities. At the same time it is unclear if our interviewees understand these kinds of analysis of their narratives. In order to combine a social constructivist perspective and oral history in a fruitful way, we must be aware of this relation of power and explain to the interviewees what we are doing and why we are doing it. In a broader research perspective this deconstructive approach illustrates interesting assumptions about multidimensional identity constructions.
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| 17. |
- Abrahamsson, Agneta, 1951-
(författare)
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"Det var inte så lätt som vi trodde" : tvärsektoriell samverkan på en familjecentral
- 2007
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Ingår i: Socialmedicinsk Tidskrift. - 0037-833X. ; 84:6, s. 529-540
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Tidskriftsartikel (refereegranskat)abstract
- Samarbete och samverkan tas ofta för givet som något gott. Men trots höga förväntningar på positiva effekter är det svårare än vad många förväntar sig. Familjecentralen som den här artikeln handlar om är ett exempel på hur tvärsektoriell samverkan kan se ut i praktiken. Personalen har tillsammans med en forskare studerat samarbetets grundvalar och i artikeln diskuteras det spänningsfält som personalen på grund av samlokalisering befinner sig i och som innebär såväl hinder som möjligheter för samarbete. För att skapa gynnsamma förutsättningar för tvärsektoriellt samarbete i en samlokaliserad verksamhet behöver följande aspekter diskuteras och övervägas. - Moderorganisationernas ledning behöver se över ekonomiska och administrativa rutiner för familjecentralen och skapa yttre förutsättningar i form av handledning och tid för lärande och utveckling inom gruppen. - Personalen behöver tänka över betydelsen av sin egen och professionens utveckling samt aspekter av den organisationskultur som de representerar och bär upp. Olikheter kan bli bränsle för lärande och utveckling i gruppen, som i sin tur kan leda till en utveckling och nytänkande i verksamheten och man kan undvika att olikheter blir grogrund för samarbetsproblem.
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| 18. |
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| 19. |
- Almborg, Ann-Helene, et al.
(författare)
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Discharge planning of stroke patients : the relatives' perceptions of participation
- 2009
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Ingår i: Journal of Clinical Nursing. - 0962-1067 .- 1365-2702. - 0962-1067 ; 18:6, s. 857-865
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Tidskriftsartikel (refereegranskat)abstract
- To describe relatives' perceived participation in discharge planning for patients with stroke and identify correlates to perceived participation. Stroke affects both patients and their relatives and previous research shows that relatives were often dissatisfied with their perceived involvement in discharge planning and the information they get. Prospective cross-sectional study. The study comprised 152 consecutively enrolled relatives (mean age = 60.8 years) of acute stroke patients admitted to a stroke unit in southern Sweden during 2003-2005. Data were collected through interviews 2-3 weeks after discharge using 'Relative's Questionnaire about Participation in Discharge planning'. This instrument measures perceived participation in three subscales: R-Information-Illness, R-Information-Care/support, and R-Goals and Needs. The Overall Rating of Relative's Perceived Participation in Discharge Planning was measured by a visual analogue scale (VAS) (1-10 score). Among the relatives, 56-68% reported positively according to R-Information-Illness, but 46-53% perceived that they did not receive any information about care/medication/rehabilitation/support. About 80% perceived no participation at all in goals and needs. The mean value of the VAS was 3.89 (SD 3.40) score. Regression analyses revealed that longer stay at hospital, patients with higher education, and relatives of female patients and female relatives were associated with relatives' perceptions of higher participation in discharge planning. Relatives perceived that they needed more information and knowledge about stroke and care/medication/rehabilitation/support. They also needed to be more involved in goal-setting and in identifying patient needs. Professionals should take into consideration these associated variables to improve relatives' perceived participation. Clinicians should give more attention to the altered situation of stroke patients' relatives when planning for continuing care and when setting postdischarge goals for the patients. The professionals need to develop strategies to involve relatives in sharing information, goal-setting and needs assessment in discharge planning.
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| 20. |
- Almborg, Ann-Helene, et al.
(författare)
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Patients' perceptions of their participation in discharge planning after acute stroke
- 2009
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Ingår i: Journal of Clinical Nursing. - : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 18:2, s. 199-209
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Tidskriftsartikel (refereegranskat)abstract
- Aims and objectives. To describe stroke patients' perceptions of their participation in the discharge planning process and identify correlates of perceived participation. Background. Patients have the right to participate in discharge planning, but earlier research has shown that they are often dissatisfied with the information they receive and their involvement in goal-setting during discharge planning. Design. Cross-sectional study. Methods. The sample consisted of 188 persons (mean age 74 years, SD 11·2) with acute stroke who were admitted to a stroke unit at a hospital in southern Sweden during 2003–2005. Data was collected by face-to-face interviews 2–3 weeks after discharge using the 'Patients' Questionnaire on Participation in Discharge Planning'. This instrument measures perceived participation in discharge planning in three subscales: P-Information, P-Medical Treatment, P-Goals and Needs. Results. The percentage of patients who perceived that they had participated in discharge planning was as follows: 72–90% according to P-Information, 29–38% according to P-Medical Treatment and 15–47% according to P-Goals and Needs. Age, education and performance of activities of daily living were significantly related to perceived participation as measured by different subscales. Conclusions. Most of the patients perceived that they received information, but fewer perceived participation in the planning of medical treatment and needs of care/service/rehabilitation and goal-setting. Professionals need to pay more attention to patients in different subgroups to facilitate their participation in discharge planning. Relevance to clinical practice. To facilitate and increase patients' participation in discharge planning, methods should be implemented for goal-setting and identifying patients' needs. Methods that foster patient participation may improve goal-orientated care, services and rehabilitation after discharge.
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| 23. |
- Beeckman, Dimitri, et al.
(författare)
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EPUAP classification system for pressure ulcers : european reliability study
- 2007
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Ingår i: Journal of Advanced Nursing. - 0309-2402 .- 1365-2648. - 0309-2402 ; 60:6, s. 682-691
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Tidskriftsartikel (refereegranskat)abstract
- Aim. This paper is a report of a study of the inter-observer reliability of the European Pressure Ulcer Advisory Panel pressure ulcer classification system and of the differential diagnosis between moisture lesions and pressure ulcers. Background. Pressure ulcer classification is a valuable tool to provide a common description of ulcer severity for the purposes of clinical practice, audit and research. Despite everyday use of the European Pressure Ulcer Advisory Panel system, its reliability has been evaluated in only a limited number of studies. Methods. A survey was carried out between September 2005 and February 2006 with a convenience sample of 1452 nurses from five European countries. Respondents classified 20 validated photographs as normal skin, blanchable erythema, pressure ulcers (four grades), moisture lesion or combined lesion. The nurses were familiar with the use of the European Pressure Ulcer Advisory Panel classification scale. Results. Pressure ulcers were often classified erroneously (kappa = 0.33) and only a minority of nurses reached a substantial level of agreement. Grade 3 lesions were regularly classified as grade 2. Non-blanchable erythema was frequently assessed incorrectly as blanchable erythema. Furthermore, the differential diagnosis between moisture lesions and pressure ulcers appeared to be complicated. Conclusion. Inter-observer reliability of the European Pressure Ulcer Advisory Panel classification system was low. Evaluation thus needs to focus on both the clarity and complexity of the system. Definitions and unambiguous descriptions of pressure ulcer grades and the distinction between moisture lesions will probably enhance clarity. To simplify the current classification system, a reduction in the number of grades is suggested.
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| 24. |
- Bengtsson, Mariette, et al.
(författare)
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Women with irritable bowel syndrome and their perception of a good quality of life
- 2007
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Ingår i: Gastroenterology Nursing. - 1042-895X .- 1538-9766. ; 30:2, s. 74-82
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Tidskriftsartikel (refereegranskat)abstract
- Irritable bowel syndrome has a negative impact on a person's quality of life, but only a few existing studies have been based on patients' own perceptions. This study therefore aimed to collect information on the view of female patients with irritable bowel syndrome regarding what constitutes a good quality of life for them and to create a healthcare model for these patients. For the study, 30 women with irritable bowel syndrome (median age, 38.5 years; range, 20-65 years) responded in writing to a single, all-inclusive question: What is your perception of a good quality of life? When the questionnaires were returned, there was time for a short dialogue, and notes of the conversations were made. Data were analyzed qualitatively according to Burnard's method of thematic content analysis. The answers also were counted and thereby quantified. The women's perception of a good quality of life could be divided into five categories: (a) physical and mental health, (b) social well-being, (c) welfare, (d) strength and energy, and (e) self-fulfillment. According to the results, a healthcare model for patients with irritable bowel syndrome should include four main areas: (a) treatment of the patient's symptoms, (b) confirmation of the patient, (c) confirmation of the diagnosis, and (d) instruction for the patient. The healthcare model should be focused on the primary care level and should include a longitudinal plan of healthcare that also describes the secondary care level.
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| 25. |
- Benzein, Eva, et al.
(författare)
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Families' importance in nursing care : nurses' attitudes - an instrument development
- 2008
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Ingår i: Journal of Family Nursing. - Thousand Oaks : Sage Publications. - 1074-8407 .- 1552-549X. ; 14:1, s. 97-117
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Tidskriftsartikel (refereegranskat)abstract
- This article describes the development and testing of a research instrument, Families' Importance in Nursing Care-Nurses' Attitudes (FINC-NA), designed to measure nurses' attitudes about the importance of involving families in nursing care. The instrument was inductively developed from a literature review and tested with a sample of Swedish nurses. An item-total correlation and a first principal component analysis were used to validate the final instrument, including a second principal component analysis to analyze dimensionality, and Cronbach's alpha was used to estimate internal consistency. The instrument consists of 26 items and reveals four factors: families as a resource in nursing care, family as a conversational partner, family as a burden, and family as its own resource. Cronbach's alpha was 0.88 for the total instrument and 0.69 to 0.80 for the subscales. The instrument requires further testing with other nurse populations.
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| 26. |
- Benzein, Eva, et al.
(författare)
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The level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care
- 2005
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Ingår i: Palliative Medicine. - 0269-2163 .- 1477-030X. ; 19:3, s. 234-240
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Tidskriftsartikel (refereegranskat)abstract
- Hope, hopelessness and fatigue are important experiences for patients and family members in palliative care. The aim of the study was to describe the level of and relation between hope, hopelessness and fatigue in patients and family members in palliative care. Eighty-five participants completed the Herth Hope Index, Beck's Hopelessness Scale and rated their level of fatigue from none to severe. The level of hope proved to be significantly lower among the family members than among the patients. For the family members, correlations were found between hope and age (–0.358*), fatigue and hope (–0.439*), hopelessness and age (0.484**), age and fatigue (0.403**) and between hope and hopelessness (–0.723**). For the patients, correlations were found between age and hopelessness (0.555**) and between hopelessness and hope (–0.580**). Efforts to increase the experience of hope and decrease hopelessness and fatigue must include not only the patient but also the family members. (*=P<0.5, **=P<0.01).
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| 27. |
- Benzein, Eva, et al.
(författare)
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The Swedish version of Herth Hope Index : an instrument in palliative care
- 2003
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Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 17:4, s. 409-415
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to assess the reliability and validity of the Swedish version (HHI-S) of the Herth Hope Index (HHI), developed by K. Herth. The HHI-S is a 12-item Likert scale, arranged with scores from 1 to 4, where 1 is 'strongly disagree' and 4 is 'strongly agree'. The HHI-S together with the Miller Hope Scale (TMHS) and Beck's Hopelessness Scale (HS-S) were distributed to 85 adults, 40 patients with cancer in palliative care and 45 family members to patients with cancer in palliative care, recruited from four different in- and out-patient oncology clinics. The result showed an internal consistency alpha coefficient of 0.88 for the HHI-S. Concurrent criterion-related validity was assessed by correlating the HHI-S with the TMHS (r = 0.82) and the discriminant validity was assessed by correlating the HHI-S with the HS-S (r = −0.69). A varimax-rotated principal component factor analysis was performed and identified two factors; reconciliation with life situation and religiosity. Although the instrument shows sound reliability and validity, it should be used with care in clinical palliative care settings, because of linguistic, conceptual and cultural difficulties when transferring the instrument into Swedish. The result demands the work of developing an instrument measuring hope, based in the Swedish culture.
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| 28. |
- Berg, Agneta, 1950-, et al.
(författare)
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A survey of orthopaedic patients' assessment of care using the Individualised Care Scale
- 2007
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Ingår i: Journal of Orthopaedic Nursing. - 1361-3111 .- 1873-4839. ; 11:3-4, s. 185-193
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the study was to describe orthopaedic patients’ assessments of howindividuality in patient carewas supported during specific nursing interventions and how that individuality was perceived during hospitalisation. Orthopaedic inpatients (370) fromtwo central county and two county hospitals in Sweden were surveyed using the Individualised Care Scale (ICS) during 2004/2005, (response rate 74% n = 274). The data were analysed using both descriptive and inferential statistics. Eighty-six percent of the respondents stated that it was very important to be treated as an individual or unique person and 59% experienced this type of care. The lowest rated assessments concerned the personal life situation and the highest were concerned with the clinical situation and the decisional control over care. This analysis of patient assessments of individualised nursing care can be used to implement changes to individualise care processes in orthopaedic wards. This will be useful in the evaluation of health care quality improvement, planning and personnel management.
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| 29. |
- Berg, Agneta, 1950-, et al.
(författare)
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Are supervisors using theoretical perspectives in their work? : a descriptive survey among Swedish-approved clinical supervisors
- 2007
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Ingår i: Journal of Nursing Management. - 0966-0429 .- 1365-2834. ; 15:8, s. 853-861
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Tidskriftsartikel (refereegranskat)abstract
- Aim The aim of the study was to explore the theoretical perspectives in use by approved clinical nursing supervisors in Sweden.Background. For the time being, we know little of the theoretical perspectives in use on a daily basis by the clinical nursing supervisors in Sweden.Methods. A questionnaire (n = 49) and follow-up telephone interviews (n = 14) were used. Data analysis was made by descriptive statistics and qualitative content analysis.Results. The result from the questionnaire showed that the supervisors often used and combined different theoretical perspectives with origins in nursing, education and psychology. Surprisingly, one-fourth of the respondents did not state any nursing theoretical perspective in use during clinical nursing supervision. The result from the interviews revealed that the theory of Katie Eriksson (1987) was the most commonly used nursing perspective.Conclusion. As the overall aim for clinical nursing supervision is to improve nursing for the patient/family, the supervisor's competence in nursing is essential. Given this fact, and that only three-quarters of the approved clinical nursing supervisors stated a use of theoretical nursing perspective when supervising, there is obviously a need for further investigations in this area. In addition, there is also a need for approved Swedish clinical nursing supervisors, to further become aware of the theoretical perspective in use that supports their clinical nursing supervision. Clinical nursing supervision is a multifaceted activity that needs to be supported by different nursing theoretical perspectives including physical, emotional, intellectual, spiritual as well as socio-cultural aspects.
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| 30. |
- Berg, Agneta, et al.
(författare)
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Dementia care nurses experiences of systematic clinical group supervision and supervised individually planned nursing care
- 2000
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Ingår i: Journal of Nursing Management. - 0966-0429 .- 1365-2834. ; 8:6, s. 357-368
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Tidskriftsartikel (refereegranskat)abstract
- AimTo reveal 13 nurses' experiences of systematic clinical group supervision and supervised individually planned nursing care, while working with people suffering from severe dementia.BackgroundClinical supervision is a major issue in nursing, however empirical knowledge of the subject is limited. Nurse's narrations about their experiences may extend the knowledge available and serve as a basis for creating models of support systems for nurses in their care provision.MethodsOpen-ended interviews were performed and the text was analysed through content analysis. A questionnaire was used to evaluate the views of the effects of clinical supervision.FindingsTwo main themes were found. Confirmed uniqueness included two sub-themes: confirming the nurses as a person and as a professional and confirming the patient as a unique human being. Consolidated sense of community included three sub-themes: closer relationship between the nurses, changed organization of nursing care and improved individualizing in routines of nursing care. The questionnaire result showed improvements in co-operation and in providing professional nursing care and personal development.ConclusionInterventions to improve working conditions for the nurses and care quality for the patients may well focus the core process, i.e. feedback and support for the nurse–patient interaction and person-orientated nursing care, taking into account the constellation and conditions of the group.
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| 31. |
- Berg, Agneta, 1950-, et al.
(författare)
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Psychiatric nurses' lived experiences of working with in-patient care on a general team psychiatric ward
- 2000
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Ingår i: Journal of Psychiatric and Mental Health Nursing. - 1351-0126 .- 1365-2850. ; 7:4, s. 323-333
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Tidskriftsartikel (refereegranskat)abstract
- To reveal the meaning of being a nurse working with inpatient care on a team psychiatric ward in Sweden, 22 psychiatric nurses were interviewed and the transcribed texts were analysed by means of latent content analysis. Three themes emerged from the analysis: developing a working relationship with the patient in everyday caregiving; encountering and handling the unforseeable in daily living; and struggling with professional independence and dependency. Developing a working relationship with the patient in everyday caregiving meant that the nurse–patient relationship was the foundation of the caregiving and included being with, as well as doing for, and with, the patient. Four different approaches in daily caregiving were revealed: networking, teaching, containing and protecting. The nurses' approaches in the nurse–patient relationship alternated between being an 'expert' and a 'collaborator'. Encountering and handling unforeseeable situations meant that the nurses were exposed to and had to be prepared for unpredictable situations where they were on their own, handling sometimes strong emotional reactions and relying on their own ability to act. Struggling with professional independence and dependency meant that the nurses seemed to lack professional confidence, although they had many responsibilities, but also less authority to decide about overall care planning. Contextual aspects such as organizational hindrance, unsatisfactory work-environment and co-operation difficulties were illuminated. The result indicates the need for a stable and predictable organizational structure if nurses are to manage the demanding nurse–patient relationships that everyday caregiving requires. A question highlighted by this study is whether multidisciplinary team organization has been effectively developed in Sweden, as uncertainty about the roles and responsibilities of nurses was apparent.
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| 32. |
- Berg, Agneta, 1950-, et al.
(författare)
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The meaning and significance of clinical group supervision and supervised individually planned nursing care as narrated by nurses' on a general team psychiatric ward
- 2000
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Ingår i: Australian and New Zealand Journal of Mental Health Nursing. - : Wiley-Blackwell. - 1324-3780 .- 1440-0979. ; 9:3, s. 110-127
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Tidskriftsartikel (refereegranskat)abstract
- By interviewing 22 psychiatric nurses, the present study aimed to reveal the meaning and significance of systematic clinical group supervision and supervised individually planned nursing care, using latent content analysis. The interpreted meaning was 'confronting the complexity of ongoing life in daily nursing care' and the interpreted significance was 'strengthening the foundation for nursing care'. Reflection on action and confirmation seemed to be core components in the process of clinical supervision. Focusing on the relational and task aspects in nursing care within a group approach may have contributed to the positive experiences of development that occurred.
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| 33. |
- Björklund, Margereth, 1950-, et al.
(författare)
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Health promoting contacts as encountered by individuals with head and neck cancer
- 2009
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Ingår i: Journal of Nursing and Healthcare of Chronic Illness. - 1752-9816 .- 1752-9824. ; 1:3, s. 261-268
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Tidskriftsartikel (refereegranskat)abstract
- Aim. To describe the characteristics of health promoting contacts with health professionals as encountered by individuals with head and neck cancer. Background. Head and neck cancer has a profound and chronic impact on the individual's everyday life, e.g. physical problems that hinder speaking, breathing, eating and drinking. Furthermore, fear and uncertainty can lead to long-term psychological and psychosocial problems. The National Institute of Public Health in Sweden advocates that all care contacts should improve the quality of the individual's health. Design. A qualitative descriptive and explorative design was used. Eight participants were interviewed in the year 2005 and a qualitative thematic content analysis of the data was performed. Findings. Health promoting contacts were defined as contacts where health care professionals contribute positively to the well-being of individual patients. Characteristics include being available, engaged, respectful and validating. Three themes were identified: being believed in one's illness story; having a working relationship with health professionals and receiving individualised, tailored care. Conclusions. Health promoting contacts were experienced mainly during the treatment phase, when patients had daily contact with specific, qualified health professionals. Although the interview questions focused on health promoting contacts, nearly half of the contacts were experienced as not health promoting. Feelings of abandonment were particularly manifested before and after treatment. The starting point for achieving health promoting contact lies in understanding the patient's lifeworld in relation to health, illness and suffering and focusing on the individual's personal strengths and health resources. Relevance to clinical practice. The findings highlighted the importance of ensuring that patient interests and concerns are core considerations in health care. The participants viewed continuing individualised, tailored care and access to ear, nose and throat healthcare professionals as highly important.
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| 34. |
- Björklund, Margereth, 1950-, et al.
(författare)
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Health promotion and empowerment from the perspective of individuals living with head and neck cancer
- 2008
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Ingår i: European Journal of Oncology Nursing. - 1462-3889 .- 1532-2122. ; 12:1, s. 26-34
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to shed light on health promotion from the perspective of individuals living with head and neck cancer. Eight informants were interviewed and latent content analysis was used. Individuals living with head and neck cancer experienced many problems that had a negative impact on their health. One overarching main theme was demonstrated; the ability to regain control and empower oneself. Three themes emerged: (1) Being enabled by dialogue with one's inner self, including three sub-themes: transformed and improved self-esteem, recognising and embracing existentiality, and increased self-determination. (2) Being enabled by means of contact with a social network, including two sub-themes: emotional support and practical support. (3) Being enabled by means of contact with and a passion for the environment, including two sub-themes: nature, hobbies and activities. Empowerment, the goal of health promotion, was understood as an ongoing process, and the ability to promote health varied and was dependent on internal and external enabling of acting and doing. The interpretation of this ongoing process demonstrates interplay assisted by a dialogue with one's inner self, contact with a social network and a passion for the environment. Altogether, these findings may inspire nurses and other health care professionals to support the individual's empowerment process and pose non-pathology-oriented questions such as "what improves your health?" or "what makes you feel good?"
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| 35. |
- Blom, Lisbeth, et al.
(författare)
-
Vårdprogram minskar postoperativt illamående : en klinisk naturalistisk interventionsstudie
- 2009
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Kraven på hälso- och sjukvårdspersonalens kompetens och insatser ökar. De bör ha ett vetenskapligt förhållningssätt och arbeta utifrån evidensbaserad omvårdnad för att ge en god och säker vård. Vårdpersonalen på en kirurgavdelning upplevde att ett stort antal patienter var illamående postoperativt. Syftet: var att utvärdera effekterna av införandet av ett vårdprogram för postoperativt illamående för patienter som genomgått planerad operation inom mage/tarm. Metod: Studien har haft en kvantitativ, deskriptiv, jämförande pre- och postinterventions design. Metoden som har använts var enkät med strukturerade frågor. Enkäten har använts vid två tillfällen, före (kontrollgrupp) och efter (interventionsgrupp) införandet av vårdprogram för postoperativt illamående. Resultat: Signifikanta skillnader förelåg så tillsvida att interventionsgruppen hade lägre förekomst av postoperativt illamående, kväljningar och kräkningar postoperativt jämfört med kontrollgruppen. Slutsats: Vårdprogram för patienter med mag- och/eller tarmoperation är effektivt för att minska postoperativt illamående. Den här använda metodiken för framtagande, implementering och utvärdering av vårdprogram kan med fördel användas för andra vårdområden. Sannolikt kan vårdprogrammet med fördel användas till andra patienter där postoperativt illamående är en riskfaktor.
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| 36. |
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| 37. |
- Blomqvist, Kerstin, 1953-, et al.
(författare)
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Living with persistent pain : experiences of older people receiving home care
- 2002
-
Ingår i: Journal of Advanced Nursing. - OXFORD : BLACKWELL PUBLISHING LTD. - 0309-2402 .- 1365-2648. ; 40:3, s. 297-306
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Although the topic of pain among older people has received increasing interest, little is still known about how pain is experienced or handled by those who no longer manage independently but depend on professionals for help with daily living. Developing pain management for older people requires such knowledge. AIM: To explore sense of self, sense of pain, daily living with pain, sense of others and ways of handling pain in older people with persistent pain. METHODS: Interviews with 90 older people receiving home care from nursing auxiliaries in their own homes or in sheltered accommodation were collected from January to June 2000. A typology of older people in persistent pain was developed. Activities for handling pain were examined using content analysis. FINDINGS: Respondents' experiences of themselves and their pain varied. Two groups of older people, considered as 'competent and proud' and 'confident and serene', expressed satisfaction in spite of pain, while the groups 'misunderstood and disappointed' and 'resigned and sad' expressed dissatisfaction. The most common strategies used were medication, rest, mobility, distracting activities and talking about pain. Respondents chose strategies by balancing the advantages of the activities against the disadvantages these brought for their daily living. CONCLUSION: This study indicates that characteristics of the older people, such as their way of experiencing themselves, how pain affects their daily life and how they perceive effects and side-effects of pain management are areas that need to be identified when staff assess pain and plan pain management. Caring for older people in pain could be improved by listening to and believing their complaints, evaluating effects and side-effects from medications and nonpharmacological pain management and by emphasising the importance of common everyday activities such as mobility and distraction to relieve pain.
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| 38. |
- Blomqvist, Kerstin, 1953-, et al.
(författare)
-
Managing pain in older persons who receive home-help for their daily living : perceptions by older persons and care providers
- 2002
-
Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 16:3, s. 319-328
-
Tidskriftsartikel (refereegranskat)abstract
- Pain is a common problem for older persons who need professional help for their daily living. In this study 94 older persons (75+) in persistent pain were compared with 52 care providers concerning the pain management methods they had used/administered during the previous week and how helpful they perceived these methods to be. Interviews were based on 16 items from the original version of the pain management inventory (PMI). Both groups perceived prescribed medication, rest and distraction as the most frequently utilized methods. Specific methods such as transcutaneous electrical nerve stimulation (TENS) or bracing/splinting or bandaging the affected body part were seldom employed, although most users perceived these methods as helpful. Care providers perceived most methods for managing pain as more effective than older persons did. The results imply that care providers need skills in a variety of pharmacological and nonpharmacological methods to manage pain and a need to evaluate effectiveness of the methods in a systematic way.
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| 39. |
- Blomqvist, Kerstin, 1953-
(författare)
-
Närsjukvård : vad innebär det i Region Skåne?
- 2007
-
Ingår i: FoU-tidningen. ; :6, s. 7-8
-
Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- I forskningsplattformens uppdrag ingick att följa och dokumentera närsjukvårdsutvecklingen i regionen. Som ett första steg i detta arbete intervjuades 97 medborgare, medarbetare och beslutsfattare om vad de lade in i begreppet närsjukvård. Avsikten var att ta reda på hur olika grupper såg på vad närsjukvård var eller borde vara. Ett vanligt svar bland framför allt medborgare och medarbetare var att de hade hört talas om närsjukvård men att termen var tvetydig, oklar och kunde förstås på olika sätt. I avsaknad av en klar definition försökte de förstå genom att associera till orden nära och sjukvård.
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| 40. |
- Blomqvist, Kerstin, 1953-
(författare)
-
Older people in persistent pain : nursing and paramedical staff perceptions and pain management
- 2003
-
Ingår i: Journal of Advanced Nursing. - : Blackwell. - 0309-2402 .- 1365-2648. ; 41:6, s. 575-584
-
Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Persistent pain is a common problem for older people. Knowledge about how nursing and paramedical staff perceive these people and what they do to relieve the pain seems scarce. AIM: To explore nursing and paramedical staff perceptions of older people in persistent pain and their day-to-day management of pain. METHODS: Interviews in Swedish with 52 nursing auxiliaries, Registered Nurses, physiotherapists and occupational therapists were collected from February to May 2000. The analysis was based on their stories (n = 150) about older people in persistent pain who received help in their own homes or in special accommodation. A typology of staff perceptions of pain in older people was developed. Activities to manage pain were examined using content analysis. RESULTS: Respondents perceived the pain as real, exaggerated, trivial, care-related, endured, concealed, self-caused or inarticulate. Older people perceived as exaggerating the pain, those with care-related and self-caused pain evoked frustration in the staff, while those perceived as enduring their pain evoked satisfaction. Various strategies to manage pain were used: no activity, medication, mediating contacts, distracting activities, physical therapies, mobility, work in a gentle way, rest or relieving pressure on body part, and communication concerning pain. The activities differed between the types, as well as between staff with different professional backgrounds. CONCLUSION: Care and treatment provided by staff should be based on older people's needs rather than on staff attitudes and preferences. The typology revealed that staff perceived older people in pain as a heterogeneous group and that their perceptions affected the pain-relieving activities that were offered. It seems urgent to address how to handle pain in older people who never complain and those who complain a great deal, as well as how to handle pain in people with impaired communicative ability. Reflective discussions on feelings related to different individuals are needed.
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| 41. |
- Blomqvist, Kerstin, 1953-
(författare)
-
Prioriteringar i vårdflöden för äldre : en förstudie
- 2007
-
Rapport (övrigt vetenskapligt/konstnärligt)abstract
- Denna rapport är resultatet av ett avgränsat projekt som syftade till att undersöka prioriteringar i vård av äldre där flera vårdgivare är involverade. De huvudsakliga frågeställningarna handlade om vilka vardagliga prioriteringar som görs samt vilka motiv eller överväganden som dessa baseras på. Vilka hälso- och sjukvårdsinsatser som skall ges till äldre personer grundas i organisationens eller samhällets motiv och värderingar men också i personalens egna uppfattningar. Innan relevansen av valda insatser kan bedömas krävs insikt i hur prioriteringar görs och på vilka värderingar de baseras - prioriteringsprocessen behöver med andra ord göras transparent. Denna förstudie är ett försök att i någon mån genomlysa prioriteringsprocessen och därmed fungera som ett avstamp inför fortsatta studier för att förstå hur vård till äldre personer kan ges - utifrån deras egna upplevelser och önskemål. Ett strategiskt urval av elva personer, anställda inom kommunal och landstingsdriven vård och omsorg intervjuades med hjälp av hypotetiska fallbeskrivningar. Studien visade att de prioriteringar som beskrevs sällan handlade om val mellan patientgrupper. I stället beskrevs val mellan olika vård- och omsorgsformer och val mellan olika rehabiliteringsinsatser. De val som oftast beskrevs var om patienten skulle erbjudas vård vid sjukhuset eller vård och omsorg i hemmet och om patienten skulle erbjudas rehabiliteringsinsatser i form av träning eller rehabiliteringsinsats främst i form av hjälpmedel. Analysen visade att beslutet baserades på överväganden relaterade till patienten, personalen och/eller organisationen. I normalfallet grundades beslutet på en kombination av dessa överväganden. Förstudien ger en komplex bild av de överväganden personal grundar sina prioriteringar på. Ett fynd är att beslut om vård/omsorgs- och rehabiliteringsinsatser inte enbart baserades på faktorer hos den individuella patienten utan även på faktorer relaterade till personalen och den organisation där beslutet fattats. Rapporten uppmanar till en allmän prioriteringsdiskussion bland personal som arbetar med äldre personer genom att problematisera människovärdesprincipens tillämpning när exempelvis äldres sociala nätverk vägs in som en prioriteringsgrund för om träning skall erbjudas eller ej. Rapporten uppmanar också till diskussion kring val av måttstock för utvärdering av effekt av olika behandlingar. Med ett kostnadseffektivitetsperspektiv kan prioriteringar av sjukvård och rehabilitering till äldre bli olika beroende på om minimerat funktionsbortfall eller återgång till friskt tillstånd är effektmått. Rapporten uppmanar också till en diskussion om rädslan hos personal att värderas som någon som ”skickar in i onödan” kan påverka prioriteringar av sjukvård till äldre. Slutligen är det viktigt att påpeka att studien inte kan ge något svar på frågan om hur patienten/brukaren uppfattar och värderar kvaliteten i vård eller rehabilitering på olika vårdnivåer. För att få svar på en sådan fråga krävs fördjupade studier som innefattar äldre patienter och deras närstående.
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| 42. |
- Blomqvist, Kerstin, 1953-, et al.
(författare)
-
Recognising pain in older adults living in sheltered accommodation : the views of nurses and older adults
- 2001
-
Ingår i: International Journal of Nursing Studies. - : Elsevier. - 0020-7489 .- 1873-491X. ; 38:3, s. 305-318
-
Tidskriftsartikel (refereegranskat)abstract
- Sixty-six randomly selected older adults and their contact nurses participated in interviews based on standardised assessments of pain and open-ended questions focusing how pain was expressed and recognised. The sample included older adults with normal as well as cognitively impaired function. Seventy-nine percent of older adults with normal cognition were often in pain. Contact nurses assessed pain in 57% of cognitively impaired older adults. The content in the statements showed that pain recognition was a communicative interactive process based on verbal and non-verbal expressions. The process comprised attempts to understand the cause and intention of the expression and to verify the presence of pain. Changes in mood, facial expressions and physiological responses were described less often by older adults than by their nurses. Contact nurses of cognitively impaired older adults judged immobility as the source of pain, that it was possible to see when the person was in pain and that pain was expressed by paralinguistic and body language more often than contact nurses of cognitively healthy older adults. Characteristics of nurses and older adults could facilitate or hinder pain recognition. The findings indicate a need for reflective discussions in the staff group focusing on how to perform systematic assessments of verbal and non-verbal expressions and of hindrances and facilitators for recognising pain in older adults.
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| 43. |
- Blomqvist, Kerstin, 1953-
(författare)
-
Smärta hos personer med demens
- 2007
-
Ingår i: Jakobsson, Ulf (red), Långvarig smärta. - Lund : Studentlitteratur. - 9789144019741 ; , s. 107-118
-
Bokkapitel (övrigt vetenskapligt/konstnärligt)
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| 44. |
- Borg, Christel, et al.
(författare)
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Life satisfaction among older people (65+) with reduced self-care capacity : the relationship to social, health and financial aspects.
- 2006
-
Ingår i: Journal of Clinical Nursing. - : Wiley-Blackwell. - 0962-1067 .- 1365-2702. ; 15:5, s. 607-18
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS AND OBJECTIVES: This study aimed at investigating life satisfaction and its relation to living conditions, overall health, self-care capacity, feeling lonely, physical activities and financial resources among people (65+) with reduced self-care capacity. BACKGROUND: Knowledge about factors related to low life satisfaction among older people with reduced self-care capacity is sparse, although this is important in health care and nursing so that the care is adapted to their needs and perspective. Previous research has mainly focused on isolated aspects such as pain in relation to life satisfaction among older people in general and less among so those with reduced self-care capacity in general. DESIGN AND METHOD: A subsample of 522 persons was selected from a randomly selected cross-sectional survey using a modified form of the Older Americans' Resources Schedule and Life Satisfaction Index Z. RESULTS: The mean age in the total sample was 77.9; women (79.5) were significantly older than men (77.0). Low life satisfaction was found among women, as well as those living in special accommodations. Life Satisfaction Index Z was 15.3 (SD 5.6) in the total sample. Gender and living conditions did not explain life satisfaction whilst poor overall self-reported health and poor financial resources in relation to needs had the strongest explanatory value. Also of significant importance were loneliness, the degree of reduced self-care capacity and feeling worried. CONCLUSION: Life satisfaction in older people with reduced self-care capacity is determined by several factors, with social, physical, mental and financial aspects probably interacting with each other; especially feeling lonely, degree of self-care capacity, poor overall health, feeling worried and poor financial resources in relation to needs. These factors need to be considered in the care of these people to preserve or improve their life satisfaction. RELEVANCE TO CLINICAL PRACTICE: Nursing interventions in terms of preventive home visits, rehabilitation, health education directed towards physical, psychological, social and economic aspects of importance may help to preserve or improve life satisfaction for those with reduced self-care capacity.
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| 45. |
- Clausson, Eva, 1952-, et al.
(författare)
-
Family intervention sessions : one useful way to improve schoolchildren's mental health
- 2008
-
Ingår i: Journal of Family Nursing. - 1074-8407 .- 1552-549X. ; 14:3, s. 289-313
-
Tidskriftsartikel (refereegranskat)abstract
- This study examines the effectiveness of therapeutic conversations with families (through family sessions) in alleviating health complaints among adolescent girls in a school setting. Four girls with recurrent, subjective health complaints and their families were included in the study. Three sessions were held with each family, using genograms, ecomaps, interventive questions, and other family nursing interventions; practicing school nurses were also present. A therapeutic letter was sent to each family at the end of the sessions. The Strengths and Difficulties Questionnaire was used as a pre- and posttest measure. Evaluative interviews were carried out with the families and with school nurses. The families reported feeling relief and described positive affective, behavioral, and cognitive changes as a consequence of the interventions. The school nurses experienced the family sessions as time-saving and easy-to-use tools in their work. Involving the family when schoolchildren's recurrent mental health problems are addressed may reduce future suffering.
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| 46. |
- Clausson, Eva K., 1952-, et al.
(författare)
-
Ethical challenges for school nurses in documenting schoolchildren's health
- 2008
-
Ingår i: Nursing Ethics. - 0969-7330 .- 1477-0989. ; 15:1, s. 40-51
-
Tidskriftsartikel (refereegranskat)abstract
- This study explored Swedish school nurses' experiences of school health record documentation. Fifty per cent of a representative sample of Swedish school nurses (n = 129) reported difficulties with documenting mental and social health problems in family relationships, schoolchildren's behaviour, and school situations. Ethical considerations concerning fears of misinterpretation and practical barriers to documentation were expressed as reasons for their worries. Mental and social ill health is an increasing and often dominating problem among schoolchildren, thus proper documentation is a basic issue, both for individuals and for the population as a whole. School nurses obviously need professional guidance regarding documentation and ethical challenges. Systematic effort should be directed towards recognition and support of these nurses' unique opportunities to consider, follow and promote all aspects of schoolchildren's health.
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| 47. |
- Clausson, Eva K., 1952-, et al.
(författare)
-
Schoolchildren's health as judged by Swedish school nurses : a national survey
- 2008
-
Ingår i: Scandinavian Journal of Public Health. - 1403-4948 .- 1651-1905. ; 36:7, s. 690-697
-
Tidskriftsartikel (refereegranskat)abstract
- AIMS: To use school nurses' knowledge and experience for a better understanding of schoolchildren's health problems and their association to socioeconomic background and gender. METHODS: Mail questionnaires were sent to a nationally representative, random sample of Swedish school nurses (n=129). The questionnaire included structured and open-ended questions asking for school nurses' judgement of schoolchildren's health status; changes over the previous two years; estimation of schoolchildren's most common reasons for consulting the school nurse; and estimation of factors influencing schoolchildren's health. RESULTS: Swedish school nurses judged schoolchildren's mental health to have deteriorated during the previous two years with increasing health complaints, especially among girls and in disadvantaged housing areas. Disturbed family relations were considered as one important explanatory factor. Girls were more inclined to consult school nurses with subjective health complaints. Boys more often consulted the nurses with physical injuries. CONCLUSIONS: School nurses work closely with the children and meet them continuously during the school age period. They have a genuine knowledge of schoolchildren's health, which should be used even more, both in research and practice. The results may be applicable in other countries with similarly organized school health systems.
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| 48. |
- Clausson, Eva, et al.
(författare)
-
School nurses' view of schoochildren's health and their attitudes to document it in the school health record : a pilot study
- 2003
-
Ingår i: Scandinavian Journal of Caring Sciences. - 0283-9318 .- 1471-6712. ; 17:4, s. 392-398
-
Tidskriftsartikel (refereegranskat)abstract
- This study highlights school nurses' view of schoolchildren's health and their attitude to document it in the school health records. A strategic sample of 12 school nurses was interviewed. The interviews were semistructured and analysed with qualitative content analysis. The findings showed that the school nurses' viewed schoolchildren as physical healthy although they called attention to growing problems related to a changed lifestyle. Psychosocial ill-health was however increasing and the most common reason for visiting the school nurse was psychosomatic expressions. According to the nurses' descriptions, health was related to the individual, the school and the family situation. The family situation was mentioned as one of the most important factors of schoolchildren's health. The nurses described no problem to document schoolchildren's physical health. Ethical consideration, tradition, lack of time and the structure of the record were however factors that were said to hinder the documentation of the psychosocial health. In order to promote, protect and recover schoolchildren's health, more research is needed about how beliefs, experience, ethical consideration and resources influence the school nurse's daily work with schoolchildren's health.
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| 49. |
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| 50. |
- Droppe, Adam, 1969-
(författare)
-
Kategoriseringssjuka
- 2008
-
Annan publikation (populärvet., debatt m.m.)
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