| 1. |
- Arvidsson, Barbro, 1945-, et al.
(author)
-
Psychiatric nurses' conceptions of how a group supervision programme in nursing care influences their professional competence : a 4-year follow-up study
- 2001
-
In: Journal of Nursing Management. - Chichester, United Kingdom : Blackwell Publishing. - 0966-0429 .- 1365-2834. ; 9:3, s. 161-171
-
Journal article (peer-reviewed)abstract
- AIM: The aim of the study was to describe, after 4 years, psychiatric nurses' conceptions of how a 2-year group supervision programme within nursing care had influenced their professional competence.BACKGROUND: The intention of group supervision in nursing care is to understand nurses' experiences within real care settings and to structure these in a professional and personal context.METHODS: Ten psychiatric nurses participated in a 2-year group supervision programme. They were interviewed 4 years after the group supervision was ended. Data were analysed according to the phenomenographic method.FINDINGS: Six description categories emerged: a feeling of job satisfaction; gaining knowledge and competence; gaining a sense of security in nursing situations; a feeling of personal development; realizing the value of supervision; and a sense of professional solidarity.CONCLUSIONS: The findings of the 4-year follow-up showed that a group supervision programme in nursing care had lasting influences on the psychiatric nurses' professional competence in the form of a pronounced professional identity and an integrated nursing care perspective. Group supervision contributes to maintaining the strength and energy needed to carry on working, which makes continuing supervision necessary.IMPLICATIONS: An important research implication could be to investigate the type of knowledge that ought to be developed within group supervision in nursing care.© 2001 Blackwell Science Ltd.
|
|
| 2. |
|
|
| 3. |
- Baigi, Amir, et al.
(author)
-
The association between socio-economic status and chest pain, focusing on self-rated health in a primary health care area of Sweden
- 2001
-
In: European Journal of Public Health. - Oxford : Oxford University Press. - 1101-1262 .- 1464-360X. ; 11:4, s. 420-424
-
Journal article (peer-reviewed)abstract
- Study objective: The study objective was to determine, first, the association between men's and women's chest pain and their socio-economic status (occupation, smoking) and, secondly, the association between their socio-economic status and self-rated health, in a primary health care area. Design and setting: A population-based cross-sectional survey was made in a primary health care area of Sweden. Primarily based on occupation according to Swedish standards, 4,238 men and women were divided into two socio-economic groups; blue-collar and white-collar workers. Methods: Odds ratios with 95% Cl were calculated by multivariate logistic regression, controlling for the variable age as confounding factor. Student's t-test was used to compare self-rated health, and the chi (2)-test to determine any difference in smoking habits between the two groups. Main results: Both male and female blue-collar workers showed significantly more chest pain when excited than white-collar workers. In six of eight health indices, they also reported significantly worse self-rated health than the white-collar workers. Conclusions: These findings show that there are socio-economic inequalities in self-reported chest pain. Furthermore, socio-economic status has a major influence on self-rated health, acting across the working life of both sexes.
|
|
| 4. |
- Broström, Anders, 1963-, et al.
(author)
-
Patients with congestive heart failure and their conceptions of their sleep situation
- 2001
-
In: Journal of Advanced Nursing. - Oxford : Blackwell. - 0309-2402 .- 1365-2648. ; 34:4, s. 520-529
-
Journal article (peer-reviewed)abstract
- Aim: To describe, from a nursing perspective, how patients with CHF conceived their sleep situation. Background: Sleep disturbances are very common in patients with congestive heart failure (CHF). Polysomnographic studies have shown that the total duration of sleep is shorter and the sleep structure disturbed, with frequent arousals and sleep stage changes. Method: A qualitative descriptive design inspired by a phenomenographic approach was employed. Conceptions were collected through interviews with 20 strategically chosen CHF patients. Findings: The findings showed that the patients' sleep was affected by their daily activities, the disease itself and cardiac symptoms. The sleep disturbances gave effects such as fatigue, listlessness, loss of concentration and loss of temper. These effects led to a need for daytime sleep, seclusion, counselling and information. Patients handled their sleep disturbances through coping mechanisms related to developed patterns of daily life and through support from their psychosocial environment. Conclusions: Through an increased awareness of the causes of sleep disturbances in CHF patients, nurses can more effectively meet their caring needs and reduce the psychological stressors that patients develop. Information and education, both to patients and the next of kin, about the disease and the sleep situation, especially good sleeping habits, can help patients to better cope with sleep disturbances.
|
|
| 5. |
|
|
| 6. |
- Flemme, Inger, et al.
(author)
-
Life situation of patients with an implantable cardioverter defibrillator : a descriptive longitudinal study
- 2001
-
In: Journal of Clinical Nursing. - : Wiley. - 0962-1067 .- 1365-2702. ; 10:4, s. 563-572
-
Journal article (peer-reviewed)abstract
- • The aim of this study was to describe changes in the life situation of patients with an implantable cardioverter defibrillator over a period of 1 year. A sample of 56 consecutive patients took part in the study.• Life situation was measured through uncertainty in illness, satisfaction, and fear of the life situation. Descriptive statistics were used to present results, and analytical statistics were used to map out changes over time.• Overall uncertainty showed a decrease over time. A statistically significant difference was found within the domain uncertainty related to information (P < 0.001).• Satisfaction increased within the domains health-functioning, socio-economic, psychological–spiritual, and family.• The ability to act within the domain health-functioning showed a statistical significance (P < 0.05).• The domain life changes within fear in the life situation decreased and showed a statistical significance (P < 0.05).• The overall life situation showed increased satisfaction as well as lower uncertainty and fear in the life situation.• The research indicates that patients need more information about changes in the life situation after the implantable cardioverter defibrillator-implantation. The study encourages more humanistic, holistic research about patients’ life situations as well as more education in teaching skills for health care personnel.
|
|
| 7. |
- Granskär, Monica, et al.
(author)
-
Nursing students' experience of their first professional encounter with people having mental disorders
- 2001
-
In: Journal of Psychiatric and Mental Health Nursing. - Oxford : Wiley-Blackwell Publishing. - 1351-0126 .- 1365-2850. ; 8:3, s. 249-256
-
Journal article (peer-reviewed)abstract
- The aim of the study was to generate a theoretical model of what nursing students experience in their first professional encounter with people having mental disorders. Data was collected by interviewing 11 nursing students (aged 20-40 yrs). Grounded theory analysis was chosen for the study. Findings showed that the students' personal qualities and the patients' behavior affected the students' experience. When nursing students who had their own needs in focus met patients who rejected them, they felt helpless, and patients wishing to establish a relationship with them confirmed their positive or negative expectations. Nursing students who were focused on patients' needs met the patient as a unique person and felt confident despite being rejected by the patient, as well as proud when the patients wished to establish a relationship with them. Clinical university teachers can use the findings to gain knowledge about how each student feels as well as to guide them through their psychiatric training. The sample is small and further research is needed to generalize the findings of this study and to explore how nursing students, specialist psychiatric nurses and nurses in other disciplines experience the encounter with patients as well as how patients describe encounters with caregivers.
|
|
| 8. |
- Hildingh, Cathrine, et al.
(author)
-
Patient participation in peer support groups after a cardiac event
- 2001
-
In: British Journal of Nursing. - London : Mark Allen Publishing. - 0966-0461. ; 10:20, s. 1357-63
-
Journal article (peer-reviewed)abstract
- Peer support groups may be important in long-term rehabilitation after a cardiac event. Questions can be raised about the clients that peer support groups attract. The aim of this study was to compare people who chose to attend peer support groups after a cardiac event with people who declined to attend with regard to health conditions, personal traits, lifestyle and available social support. Patients who sustained a myocardial infarction or were treated with percutaneous transluminal coronary angioplasty or coronary artery bypass surgery (n = 197) responded to a questionnaire. The results showed that there were differences between attenders (n = 64) and non-attenders (n = 133). Attenders reported more health problems than non-attenders, but scored higher on several dimensions of social support. Non-attenders, however, seemed to have a somewhat more relaxed attitude to life than attenders. The homogeneity of the subjects made it difficult to discern which personal and situational factors were of importance for social support seeking in peer support groups. The research indicates that innovative approaches are needed to encourage participation in existing peer support groups.
|
|
| 9. |
|
|
| 10. |
- Jacobsson, Anna, et al.
(author)
-
Malnutrition in patients suffering from chronic heart failure; the nurse's care
- 2001
-
In: European Journal of Heart Failure. - Amsterdam : Elsevier. - 1388-9842 .- 1879-0844. ; 3:4, s. 449-456
-
Journal article (peer-reviewed)abstract
- Chronic heart failure is associated with a bad prognosis with considerably shortened survival and repeated hospitalisations. Patients suffering from heart failure also have symptoms that can affect their food intake, for example, tiredness when strained, breathing difficulties and gastrointestinal symptoms like nausea, loss of appetite and ascites. Pharmacological therapy can lead to a loss of appetite, which will make the intake of food inadequate to fill the required energy and nutritional needs. The nurse's interest in and knowledge of diet issues can improve these patients' nutritional status, The aim of this literature review was to describe the nurse's interventions regarding malnutrition in patients suffering from chronic heart failure. The literature search gave 13 articles, which were analysed, and sentences whose content was related to the aim were identified. Three areas of content appeared; drug treatment and consequences, gastrointestinal effects, and information and education. The results show that the nutritional status of these patients can be significantly improved by means of simple nursing interventions. Future research should focus on controlled experimental studies to evaluate differences in body weight, body mass index and quality of life between patients suffering from chronic heart failure, who are taking part in a fully enriched nutrition intervention, and patients suffering from chronic heart failure, who are eating their normal diet.
|
|
