| 1. |
- Berg, Agneta, 1950-, et al.
(author)
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Nurses' reflections about dementia care, the patients, the care and themselves in their daily caregiving
- 1998
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In: International Journal of Nursing Studies. - : Elsevier. - 0020-7489 .- 1873-491X. ; 35:5, s. 271-282
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Journal article (peer-reviewed)abstract
- In this study the aim was, through interviews, to disclose 13 nurses personal knowledge about the patients, themselves, and care provision, using a phenomenological-hermeneutic analysing method. Caring for people with severe dementia meant an intertwined life world emanating from making and doing together and the delicate interpretative work that the care provision required. The intertwined life world consisted of the interaction between the nurses and the patients separate lives, their common life and the environment, culminating in mutual dependency. Making together signifies the relationship being based on the nurses knowledge and skills as nurses i.e. the task they had to perform. Doing together signifies the relationship being based on the oneness of the nurses and the patients with severe dementia as ordinary human beings. The delicate interpretation process required, to adapt care to the individual patient, was based on knowledge about the patients personality, life history and disease progression in combination with the nurses interpretation of the current situation. The nurses searched for meaning and that, in turn, meant that the patients inner world was determined by the nurses and thus the patient was seen as being in their hands. It seems important to further understand the human aspects of both the nurse and the patient and to examine this dynamic, ongoing, vulnerable interpretation process, critically, in order to achieve high quality nursing care for the patients with severe dementia, and an experience of well-being in nurses everyday working lives.
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| 2. |
- Blomqvist, Kerstin, 1953-, et al.
(author)
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Recognising pain in older adults living in sheltered accommodation : the views of nurses and older adults
- 2001
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In: International Journal of Nursing Studies. - : Elsevier. - 0020-7489 .- 1873-491X. ; 38:3, s. 305-318
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Journal article (peer-reviewed)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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| 3. |
- Blomqvist, Kerstin, et al.
(author)
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Recognising pain in older adults living in sheltered accommodation: the views of nurses and older adults
- 2001
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In: International Journal of Nursing Studies. - 1873-491X .- 0020-7489. ; 38:3, s. 305-318
-
Journal article (peer-reviewed)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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| 4. |
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| 5. |
- Severinsson, Elisabeth I., et al.
(author)
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Systematic clinical supervision, working milieu and influence over duties: the psychiatric nurse´s viewpoint - a pilot study. International
- 1996
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In: International Journal of Nursing Studies. - : Elsevier BV. - 1873-491X .- 0020-7489. ; 33:4, s. 394-406
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Journal article (peer-reviewed)abstract
- This pilot study describes nurses' experiences of the effects of clinical supervision on psychiatric health care, their views on their working milieu and duties, and the relationship between the nurses' experiences and perceptions. The sample consisted of 26 trained nurses (nine registered nurses and 17 licensed mental nurses) who took part in a clinical supervision intervention programme pursued in two wards at a psychiatric clinic. The effects of clinical supervision were evaluated using a questionnaire. The analysis showed that there were no relationships between the effects of clinical supervision and variables relating to working milieu and duties. It was concluded that implementation of clinical supervision based on a theoretical structure influences both nurses' sensibility towards their patients, and their personal growth.
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| 6. |
- Öhrling, Kerstin, et al.
(author)
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Student nurses' lived experience of preceptorship. Part 1--in relation to learning
- 2000
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In: International Journal of Nursing Studies. - 1873-491X .- 0020-7489. ; 37:1, s. 13-23
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Journal article (peer-reviewed)abstract
- In this first part of a research project a phenomenological approach was applied to understanding student nurses' experience of preceptorship. The lived experience of seventeen student nurses learning within a preceptor-preceptee relationship on hospital wards formed the basis of the study. Tape-recorded interviews were conducted, transcribed and analysed. The phenomenological hermeneutic analysis revealed three themes of meaning central to the lived experience of learning. These were (a) directing learning; (b) learning in practical action and (c) feeling in learning. The themes included six sub-themes with internal variations. The results indicate that learning, as a phenomenon, could be understood as being in different modes of learning, including directing learning, learning in practical actions and feeling in learning. Each theme was also found to be inherent in the others in an ongoing changeable process. The findings were compared with Aristotle's five modes of learning and revealed that the student nurses' learning embraced scientific knowledge, technical skills, practical wisdom and limited intuition. The study may provide nurse educators with some insight into student nurses' learning by being in real-life situations and performing nursing actions within a preceptor-preceptee relationship.
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| 7. |
- Öhrling, Kerstin, et al.
(author)
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Student nurses' lived experience of preceptorship. Part 2--the preceptor-preceptee relationship
- 2000
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In: International Journal of Nursing Studies. - 1873-491X .- 0020-7489. ; 37:1, s. 25-36
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Journal article (peer-reviewed)abstract
- Student nurses' experience of preceptorship was the focus of this second part of a phenomenological study. The aim was to illuminate student nurses' lived experience of the preceptor-preceptee relationship on hospital wards. A phenomenological-hermeneutic analysis was made of tape-recorded interviews with seventeen student nurses. The interpretation process culminated in four themes, namely: (a) creating space for learning; (b) providing concrete illustrations; (c) exercising control and (d) seeking reflection. Each theme included sub-themes with internal variations. The theme 'creating space for learning' was understood as basic in relation to the other themes and as the foundation of student learning and preceptoring. The ongoing process of preceptoring meant that the preceptors acted as role models, were with the students and also exercised control. Control was directed both to patient safety and to student learning. The students' 'seeking reflection' included attempts to find peace and quiet either by themselves or with the preceptor. The reflection together with the preceptor facilitated the students' transformation of knowledge, from the specific situation to a general knowledge and increased the value of learning.
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| 8. |
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| 9. |
- Bégat, Ingrid B E, 1942-, et al.
(author)
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Nurses' reflections on episodes occurring during their provision of care : an interview study
- 2001
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 38:1, s. 71-7
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Journal article (peer-reviewed)abstract
- The aim of this study was to investigate nurses' reflections and interpretations regarding their provision of care, through interviews (N 46), using a hermeneutic method of analysis. Nurses work in a milieu that has undergone constant changes such as, in organisation, decreased number of staff, and with patients demanding more advanced care. The care provided, based on the nurses' narrated episodes were interpreted as two main aspects: interpersonal oriented aspects and task oriented aspects. The subaspects were identified as 'nurse-patient relationship', 'ability to understand the patients' suffering' and 'taking responsibility'.
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| 10. |
- Flensner, Gullvi, 1945-, et al.
(author)
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Lived experience of MS-related fatigue : a phenomenological interview study
- 2003
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In: International Journal of Nursing Studies. - London : Pergamon. - 0020-7489 .- 1873-491X. ; 40:7, s. 707-17
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Journal article (peer-reviewed)abstract
- Fatigue is a major problem among individuals diagnosed with multiple sclerosis (MS), but its meaning in daily living is unclear. The aim was to describe MS-related fatigue as lived by a group of individuals diagnosed with MS. Interviews with nine individuals were analysed from a phenomenological perspective. MAIN FINDINGS: MS-related fatigue is living with a time-consuming and all absorbing phenomenon, involving the body and the whole human being. Fatigue is commonly non-constructively perceived and expressed in terms of energy loss, emotional afflictions, dependency and restrictions of life in general, however, it is also constructively perceived and involves a desire to accept life and strive for a better situation. CONCLUSION: MS-related fatigue is a comprehensive phenomenon and its relationship with self-care requires further investigation.
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| 11. |
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| 12. |
- Götherström, Christine, et al.
(author)
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Development of a tool for measuring the concept of good care among patients and staff in relation to Swedish legislation
- 1995
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 32:3, s. 277-87
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Journal article (peer-reviewed)abstract
- An instrument for measuring the concept of good care, in relation to the Swedish Health and Medical Services Act, has been developed and tested in short-term care. The instrument comprises 14 statements on good care. The construct validity was estimated by factor analysis based on the results from 240 patients. Five factors explained 62% of the variance of the 14 variables and covered the following areas: information, security, accessibility, continuity, and influence and respect. Patients (n = 240) and registered nurses (n = 57) showed differences in estimations of the concept of good care on all factors. There were only minor differences, however, within the patient group and the nursing group, respectively, on comparing the two samples. The instrument needs further testing in different care conditions.
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| 13. |
- Hansson, Birgitta, et al.
(author)
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Coping with chronic illness : a qualitative study of coping with postpolio syndrome.
- 1999
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 36:3, s. 255-262
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Journal article (peer-reviewed)abstract
- The study describes how 24 people with postpolio syndrome (PPS) cope with their problems. Two qualitative interviews were conducted, 6 weeks apart. The interviews were analysed inductively. It was found that the participants experienced many types of illness-related problems in their everyday lives. Furthermore, they describe the progressive deterioration in terms of a general weakness, fatigue and pain--these adding to the emotional stress. A variety of coping strategies are employed and the result of the analysis shows it to be impossible to carry out a clearly differentiated grouping into problem-focused and emotion-focused. By and large the participants have learnt to live with the changes and feel that they have 'a good life in spite of everything'.
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| 14. |
- Hellsing, Anna-Lisa, et al.
(author)
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Ergonomic education for nursing students
- 1993
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In: International Journal of Nursing Studies. - : Elsevier. - 0020-7489 .- 1873-491X. ; 30:6, s. 499-510
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Journal article (peer-reviewed)abstract
- An educational package of common ergonomic training as well as behavioural training was implemented in nursing education. The teaching methods also had the aim of increasing students' awareness of the importance of total work environment for the prevention of back injuries. The experimental group was, on the whole, more pleased with their education than the control group. The experimental group judged their ability to analyse the work environment higher than the control group did. Observations in some practical work-tasks showed that students from the experimental group worked in physically more favourable positions with less strain on the body.
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| 15. |
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| 16. |
- Jaarsma, Tiny, et al.
(author)
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'Maintaining the balance'--nursing care of patients with chronic heart failure
- 1997
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 34:3, s. 213-221
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Journal article (peer-reviewed)abstract
- Nurses in different settings are involved in caring for patients with heart failure. In the clinic, hospital, nursing home or patients' home, the nurse has a role in detecting, identifying and treating heart failure. In order to provide optimal care, literature on possible and effective interventions should be available to nurses. This study gives an overview of nursing care for patients with heart failure as described in practice, literature and standard nursing care plans. Based on interviews of 45 nurses, a review of all pertinent literature published between 1983 and 1993 and a review of standard nursing care plans used in the Netherlands to care for patients with heart failure, four composite themes emerged; namely, basic nursing care, assessment and observation, symptom-relieving interventions, and patient education. Caring for patients with heart failure is very complex and is often aimed at keeping a very delicate balance between, e.g. rest and activity, fluid intake and elimination, and therapeutic cost and benefit. Treatment strategies for optimizing care for these patients are described.
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| 17. |
- Nolan, P, et al.
(author)
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A comparative study of the experiences of violence of English and Swedish mental health nurses
- 2001
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 38, s. 419-
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Journal article (peer-reviewed)abstract
- Recent studies suggest that violence in health care environments, especially mental health care, appears to be increasing. Although there is a lack of cross-cultural studies to prove it, this increase in violence would seem to be an international phenomenon. The present study sought to compare the extent and nature of violence encountered by mental health nurses in Sweden and England. Systematic studies of violence have previously been carried out independently in both countries but this was the first attempt to compare levels of violence. Clearly defined study protocols were put in place, an operational definition of 'violence' adhered to, and random samples recruited. A specially designed questionnaire was sent to every subject (Swedish nurses n=720; English nurses n=296) enquiring about the extent of nurses' exposure to violence, the nature and severity of the violence experienced, and the effect of violence on self-esteem and job satisfaction. Significant differences were found with English nurses experiencing more violence than their Swedish counterparts. Yet support for English nurses appeared to be less good than for Swedish nurses. Reasons for the differences are discussed along with possible measures to minimise the frequency of violence against nurses and the negative effects on their work.
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| 18. |
- Norberg, Astrid, et al.
(author)
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Reactions to music, touch and object presentation in the final stage of dementia : an exploratory study
- 2003
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 40:5, s. 473-479
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Journal article (peer-reviewed)abstract
- Two patients in the final stage of dementia of Alzheimer type were stimulated with music, touch and object presentation during 12 consecutive days (16 trials per patient). Evaluations were made by direct observations, analysis of video-taped recordings and registrations of pulse and rate of respiration. Both patients reacted differently to music than to touch and object presentation.
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| 19. |
- Nyström, Maria, et al.
(author)
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Non-Caring Encounters at an Emergency Care Unit : A Lifeworld Hermeneutic Analysis of an Efficience Driven Organization
- 2003
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In: International Journal of Nursing Studies. - : Pergamon. - 0020-7489 .- 1873-491X. ; 40:7, s. 761-769
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Journal article (peer-reviewed)abstract
- The aim of this study was to analyse and describe non-caring encounters at an emergency care unit (ECU). The research approach was life-world hermeneutics, and the research question was: what are the conditions leading to non-caring encounters at an ECU? Nine nurses and nine patients were interviewed. The interpretative analysis reveals an adaptation to organisational demands for efficiency, on the part of both nurses and patients. This form of adaptation seems to constitute a precondition for a well-functioning ECU. Furthermore, a comparison with a study of the intersubjective aspects of caring for aggressive patients reveals unexpected similarities: the carers are absent in both contexts. In nursing education and ECU-practice caring competence must thus include capacity to be present when patients express their needs worries and questions about care.
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| 20. |
- Olsson, Henny M, et al.
(author)
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Nursing education and importance of professional status in the nurse role. Expectations and knowledge of the nurse role
- 1988
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 25:4, s. 287-293
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Journal article (peer-reviewed)abstract
- Development of the nursing profession is an essential goal of nursing education. One way to reach the goal is by clarifying professional status, a status which for the most part is transferred through tacit knowledge. The goals of any nursing education do not include the entire body of tacit knowledge. The development requires recognition of professional status. Over time, significant changes in distribution of nurses' conceptions about professional status are described. The authors contend that conceptions of the importance of professional status are assimilated during work experience. The necessity and importance of role modelling, role repetition and interactions with a professional group are supported by findings from the literature and the authors' current research.
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| 21. |
- Sandberg, Jonas, et al.
(author)
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'Entering a New World' : empathic awareness as the key to positive family/staff relationships in care homes
- 2002
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 39:5, s. 507-515
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Journal article (peer-reviewed)abstract
- Despite an almost universal policy of community care, placing a relative in a care home will be an increasingly common event as population ageing continues. Studies suggest that most families wish to remain involved in care following placement but that they often experience difficulties in establishing relationships with staff. This paper reports on the fifth phase of a Swedish study exploring the experience of placement from a temporal perspective and including the views of all the key actors (relatives, staff in the community, staff in care homes). The focus here is placed on the perceptions of care home staff and their perceived role in relation to spouses who have recently placed a partner. The study adopted a grounded theory approach and data were collected from in-depth interviews with 16 staff members of varying grades and positions. Analysis of the data suggested 3 levels of awareness amongst staff: empathic awareness, guarded awareness and limited awareness. The characteristics of empathic awareness are outlined and its implications briefly considered.
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| 22. |
- Sandberg, Jonas, et al.
(author)
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Moving into a care home : the role of adult children in the placement process
- 2002
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 39:3, s. 353-362
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Journal article (peer-reviewed)abstract
- Admission of an older person to a care home is widely recognised as a very stressful period for the family and one which, despite community care policy, is likely to be an increasingly common experience. Although there is a growing research base in this area, there have been few studies on the role of adult children in supporting their parents during this difficult transition. This paper reports on the third stage of a grounded theory study conducted in Sweden which explored the part played by adult children in the placement process. Data were collected from 13 adult children using in-depth semi-structured interviews and the results are compared with themes previously derived from interviews with 26 spouse carers. The analysis reveals important overlaps and differences and suggests the need for further research exploring the dynamics of the placement process.
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| 23. |
- Skärsäter, Ingela, et al.
(author)
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A salutogenetic perspective on how men cope with major depression in daily life, with the help of professional and lay support
- 2003
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In: International Journal of Nursing Studies. - London : Pergamon Press. - 0020-7489 .- 1873-491X. ; 40:2, s. 153-162:24, s. 419-439
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Journal article (peer-reviewed)abstract
- Worldwide, major depression is one of the main causes of premature death and lowered functional capacity, and its importance will increase in the coming years. At the same time, there is a gap in service provision, and the needs of depressed patients are often not met. Therefore, the aim of this study was to describe how men (N = 12) with major depression (DSM-IV) cope with daily life with the help of professional and lay support. The men were selected by strategic sampling and analysed with an approach inspired by phenomenography. Four descriptive categories emerged: being unburdened, restoring one's health, feeling involved, and finding a meaning. A man receives help and support from health care in,restoring his health but his own path to getting well is to resume his place in the public domain. To help him do so, lay support is vital, and an important task for the nurse is, therefore, to support him in maintaining his existing social network or in building a new one. (C) 2002 Elsevier Science Ltd. All rights reserved.
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| 24. |
- von Essen, Louise, et al.
(author)
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The importance of nurse caring behaviors as perceived by Swedish hospital patients and nursing staff
- 1991
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In: International Journal of Nursing Studies. - : Elsevier BV. - 0020-7489 .- 1873-491X. ; 28:3, s. 267-281
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Journal article (peer-reviewed)abstract
- The present study identified patient (n = 81) and nursing staff (n = 105) perceptions of the most and least important nurse caring behaviors. Using a Swedish version of the CARE-Q instrument, patients ranked as most important competent clinical know-how, while the nursing staff ranked expressive/affective behaviors as most important to make patients feel cared for. The results show significant differences (p less than 0.05) between the two groups in the rating of 29 of the instrument's 50 specific behaviors and in five out of six subscales combining individual items. Thus, patient perceptions of important nurse caring behaviors differ from staff perceptions. These results are similar to those from other studies of hospitalized patients' perceptions of caring. The staff's results are in accordance with studies of professional nurses' perceptions of caring. The findings support conclusions by other authors.
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| 25. |
- von Essen, Louise, et al.
(author)
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The importance of nurse caring behaviors as perceived by Swedish hospital patients and nursing staff
- 2003
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In: International Journal of Nursing Studies. - 0020-7489 .- 1873-491X. ; 40:5, s. 487-497
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Journal article (peer-reviewed)abstract
- The present study identified patient (n=81) and nursing staff (n=105) perceptions of the most and least important nurse caring behaviors. Using a Swedish version of the CARE-Q instrument, patients ranked as most important competent clinical know-how, while the nursing staff ranked expressive/affective behaviors as most important to make patients feel cared for. The results show significant differences (p<0.05) between the two groups in the rating of 29 of the instrument's 50 specific behaviors and in five out of six subscales combining individual items. Thus, patient perceptions of important nurse caring behaviors differ from staff perceptions. These results are similar to those from other studies of hospitalized patients’ perceptions of caring. The staff's results are in accordance with studies of professional nurses’ perceptions of caring. The findings support conclusions by other authors.
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