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- Blomberg, Ann-Catrin, et al.
(author)
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Student nurses' experiences of preserved dignity in perioperative practice : Part 1
- 2015
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In: Nursing Ethics. - : SAGE Publications. - 0969-7330 .- 1477-0989. ; 22:6, s. 676-687
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Journal article (peer-reviewed)abstract
- BACKGROUND:In recent years, operating theatre nurse students' education focussed on ethical value issues and how the patient's dignity is respected in the perioperative practice. Health professionals are frequently confronted with ethical issues that can impact on patient's care during surgery.OBJECTIVE:The objective of this study was to present what operating theatre nurse students experienced and interpreted as preserved dignity in perioperative practice.RESEARCH DESIGN:The study has a descriptive design with a hermeneutic approach. Data were collected using Flanagan's critical incident technique.PARTICIPANTS AND RESEARCH CONTEXT:Operating theatre nurse students from Sweden and Norway participated and collected data in 2011, after education in ethics and dignity. Data consisting of 47 written stories and the text were analysed with hermeneutical text interpretation.ETHICAL CONSIDERATIONS:The study was conducted accordance with the Declaration of Helsinki and approved by a local University Ethics Research Committee. FINDINGS:The findings revealed that students experienced that operating theatre nurses perserved patient's dignity in perioperative practice by being present for each other and making themselves known to the patient. Operating theatre nurses caring for the patient by being compassionate and preserved the patient privacy. The new understanding that emerged was that the operating theatre nurse students understood that the operating theatre nurse wanted to care for the patient like a human being. DISCUSSION:In the discussion, we have illuminated how professional ethics may be threatened by more pragmatic and utilitarian arguments contained in regulations and transplant act. CONCLUSION:Preserved dignity is an ethical and caring act. Ethical questions and how to preserve dignity in perioperative practice should be discussed more both in educations of healthcare professionals and in clinical practice.
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- Edlund, Margareta, et al.
(author)
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Concept determination of human dignity
- 2013
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In: Nursing Ethics. - : Sage Publications. - 0969-7330 .- 1477-0989. ; 20:8, s. 851-860
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Journal article (peer-reviewed)abstract
- This study presents findings from an ontological and contextual determination of the concept of dignity. Thestudy had a caritative and caring science perspective and a hermeneutical design. The aim of this studywas to increase caring science knowledge of dignity and to gain a determination of dignity as a concept.Eriksson’s model for conceptual determination is made up of five part-studies. The ontological and contex-tual determination indicates that dignity can be understood as absolute dignity, the spiritual dimension char-acterized by responsibility, freedom, duty, and service, and relative dignity, characterized by the bodily,external aesthetic dimension and the psychical, inner ethical dimension. Dignity exists in human beings bothas absolute and relative dignity.
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- Eliasson, Margareta, et al.
(author)
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Uncaring Midwives
- 2008
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In: Nursing Ethics. - : Sage journals. - 0969-7330 .- 1477-0989. ; 15:4, s. 500-511
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Journal article (peer-reviewed)abstract
- The aim of this study was to understand how mothers experiencedmidwives' uncaring behaviour and actions during birth. Sixty-sevenfirst-time mothers took part in the study, in which data werecollected through interview. The interview text was analysedusing hermeneutic text analysis. Nearly half of the mothersinterviewed (n = 32) said that midwives did not care for them.The findings show that midwives' behaviour was humiliating whenthey ignored mothers and held them in contempt. The mothersfelt further humiliated when the midwives did not believe them,treated their bodies in a careless manner and tended to putblame on them. Through their behaviour and actions, some midwiveshave shown that they no longer have a caring attitude as anelement of their professional practice and that they have ignoredethics by offending mothers' sense of dignity.
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- Gillsjö, Catharina, et al.
(author)
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Home : The place the older adult can not imagine living without
- 2011
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In: BMC Geriatrics. - : BioMed Central. - 1471-2318. ; 11:10
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Journal article (peer-reviewed)abstract
- Background: Rapidly aging populations with an increased desire to remain at home and changes in health policy that promote the transfer of health care from formal places, as hospitals and institutions, to the more informal setting of one's home support the need for further research that is designed specifically to understand the experience of home among older adults. Yet, little is known among health care providers about the older adult's experience of home. The aim of this study was to understand the experience of home as experienced by older adults living in a rural community in Sweden.Methods: Hermeneutical interpretation, as developed by von Post and Eriksson and based on Gadamer's philosophical hermeneutics, was used to interpret interviews with six older adults. The interpretation included a self examination of the researcher's experiences and prejudices and proceeded through several readings which integrated the text with the reader, allowed new questions to emerge, fused the horizons, summarized main and sub-themes and allowed a new understanding to emerge.Results: Two main and six sub-themes emerged. Home was experienced as the place the older adult could not imagine living without but also as the place one might be forced to leave. The older adult's thoughts vacillated between the well known present and all its comforts and the unknown future with all its questions and fears, including the underlying threat of loosing one's home.Conclusions: Home has become so integral to life itself and such an intimate part of the older adult's being that when older adults lose their home, they also loose the place closest to their heart, the place where they are at home and can maintain their identity, integrity and way of living. Additional effort needs to be made to understand the older adult's experience of home within home health care in order to minimize intrusion and maximize care. There is a need to more fully explore the older adult's experience with health care providers in the home and its impact on the older adult's sense of "being at home" and their health and overall well-being.
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- Hertfelt Wahn, Elisabeth, et al.
(author)
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A description of Swedish midwives' reflections on their experience of caring for teenage girls during pregnancy and childbirth
- 2007
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In: Midwifery. - : Elsevier. - 0266-6138 .- 1532-3099. ; 23:3, s. 269-278
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Journal article (peer-reviewed)abstract
- Objectiveto describe Swedish midwives' reflections on their experiences of caring for teenage girls during pregnancy and childbirth.Designa hermeneutical approach was used, with focus-group discussions as the method of data collection.Settingthree focus-group discussions were conducted in a county comprising urban, suburban and rural districts in south-western Sweden.Participantsa voluntary sample of 24 midwives, aged 32–61 years, who were caring for women in different birth settings, participated in 2004.Findingstwo main themes, with three sub-themes each, were generated by the midwives: (1) the teenage mother, as ‘teenagers who are proud of becoming mothers’, ‘teenagers who are unprepared for becoming mothers’ and ‘teenagers with an immigrant background’, and (2) ‘the midwives’ wish to care for the teenage mother’, as ‘taking the teenage mother seriously’, ‘being an important person for the teenage mother’, and ‘being a help for the teenage mother’.Key conclusions and implications for practicethe findings provide some understanding of the unique characteristics of caring for teenage mothers. For the midwives, the most important aspects of caring for the teenage mother included taking the teenage mother seriously, allowing the midwife herself to become an important person for the teenage mother, and being a help to the mother. This help requires the midwife to balance the different needs of each teenage mother.
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- Kainz, Gisela, et al.
(author)
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The Child's Father, an Important Person for the Mother's Well-Being During the Childbirth : A Hermeneutic Study
- 2010
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In: Health Care for Women International. - : Taylor & Francis Group. - 0739-9332 .- 1096-4665. ; 31:7, s. 621-635
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Journal article (peer-reviewed)abstract
- We describe Swedish mothers' experiences of having the child's father present during childbirth. A hermeneutic approach was used to collect data in various districts in southwestern Sweden. Analysis of the data acquired from 67 first-time mothers revealed one main category - The child's father becomes an important person for the mother's well-being during the childbirth. Five subcategories were also identified. While the findings refer to the experiences of Swedish women, in today's multicultural societies the findings may be relevant to health care professionals and women from other cultures. The father's role during cildbirth is also described in detail.
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- Lindwall, Lillemor, et al.
(author)
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Continuity created by nurses in the perioperative dialogue : a literature review
- 2009
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In: Scandinavian Journal of Caring Sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 23:2, s. 395-401
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Journal article (peer-reviewed)abstract
- This literature review analyses eight research reports dealing with perioperative dialogues conducted between patients and nurses. The aim of this study was to summarise studies concerned with the perioperative dialogue as an organisation model for bringing safe operative practices and caring into perioperative nursing, by creating continuity for both patients and nurses in perioperative praxis and its research. How do patients and perioperative nurses experience the perioperative dialogue as a model? Perioperative nursing should be perceived as a caring profession emphasising that the focus is on perioperative caring. The perioperative dialogue has a humanistic and caring perspective and presents an ideal model on which to base perioperative nursing. There is general acceptance of the value of the perioperative dialogue for both patients and nurses as means of alleviating suffering and creating a safety nursing, with continuity in the process provided by nursing staff. This study suggests further research and that a means of measuring caring in the perioperative dialogue should be more developed.
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