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Karlsson, M., Pennbrant, S. & Kasén, A. (2023). Understanding nursing personnel's health while working in end-of-life care-A hermeneutical study.. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Understanding nursing personnel's health while working in end-of-life care-A hermeneutical study.
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

AIM: This study aimed to explore nursing personnel's health while working in end-of-life care.

INTRODUCTION: End-of-life care is challenging both for nursing personnel and for the healthcare organisation, as retaining nursing staff is difficult. Although end-of-life care involves the risk of burnout, it also encompasses protective factors that can lead to personal and professional development and satisfaction, and that can enable personnel to encounter their own inner selves. In order to focus on the health of nursing personnel we chose the theory of caritative caring as our theoretical perspective.

METHOD: A qualitative inductive research design with a hermeneutical approach was chosen to explore nursing personnel's health while working in end-of-life care. Two assistant nurses and six registered nurses with experience in end-of-life care at a palliative care unit participated. The study was approved by a Regional Ethical Review Board.

RESULTS: The results are presented on three levels: rational, structural and existential. In the rational level, fellowship and togetherness with colleagues, as well as being able to distinguish between private life and work were important for nursing personnel's strategies for maintaining their health. At the structural level, social togetherness, sharing emotions and being involved in each other's emotions were important for nursing personnel's health. The existential level showed that the nursing personnel's own existential situation was affected when their inner self was emotionally affected by the patients' suffering. The awareness of suffering, life and death made the nursing personnel feel inner security, both as nursing professionals and as human beings.

CONCLUSION: A common perspective based on a theory of caritative care may be helpful for retaining nursing personnel. While the study highlights nursing personnel's health while working in an end-of-life care context, the results may also be applicable to nursing professionals' health in other contexts.

Keywords
caring, end-of-life, hermeneutical, nursing personnel, working life
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-20729 (URN)10.1111/scs.13193 (DOI)001025859100001 ()37424232 (PubMedID)2-s2.0-85164569577 (Scopus ID)
Note

CC-BY 4.0

Available from: 2023-12-20 Created: 2023-12-20 Last updated: 2023-12-20
Karlsson, M., Hillström, L., Johnsson, A. & Pennbrant, S. (2022). Experiences of work-integrated learning in nursing education. Journal of Further and Higher Education, 0(0), 1-14
Open this publication in new window or tab >>Experiences of work-integrated learning in nursing education
2022 (English)In: Journal of Further and Higher Education, ISSN 0309-877X, E-ISSN 0013-1326, Vol. 0, no 0, p. 1-14Article in journal (Refereed) Published
Abstract [en]

Nursing education and the nursing profession have an artisanal character, which has dominated the profession for a long time. Work-integrated learning in nursing education means that theoretical studies are integrated with a clinical placement. The aim of the study was to describe how nursing students experience work-integrated learning in nursing education. The study has a qualitative descriptive design. Qualitaitive content analysis was used and the analysis focused on both the manifest and latent content of the material. The analysis resulted in the theme Sustainable learning during education and for the future profession as a nurse, revealing students' experiences of work-integrated learning during their education. The categories Different methods, Collaboration and Bringing the parts together as a whole constitute the integrated learning process during the education and depend on each other for increased understanding. When the students practice their theoretical knowledge in the clinical placement, work-integrated learning can facilitate them to bring the parts together as a whole, thus giving them an opportunity to enhance their learning process and develop professional skills.

Place, publisher, year, edition, pages
Routledge, 2022
Keywords
education, nursing student, profession, skills, work-integrated learning
National Category
Nursing Pedagogical Work Information Studies
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-18668 (URN)10.1080/0309877X.2022.2079971 (DOI)000811118700001 ()2-s2.0-85131804930 (Scopus ID)
Available from: 2022-06-27 Created: 2022-06-27 Last updated: 2024-04-09
Pennbrant, S., Karlsson, M., Karlsson, C. & Obeid, A. (2021). Digitala signeringslistor: utvärdering av implementering inomkommunal vård och omsorg. In: Ann Svensson, Camilla Gjellebæk (Ed.), Organisering, implementering och användning av välfärdsteknologi: Resultat från eTeam-projektet (pp. 48-50). Trollhättan: Högskolan Väst
Open this publication in new window or tab >>Digitala signeringslistor: utvärdering av implementering inomkommunal vård och omsorg
2021 (Swedish)In: Organisering, implementering och användning av välfärdsteknologi: Resultat från eTeam-projektet / [ed] Ann Svensson, Camilla Gjellebæk, Trollhättan: Högskolan Väst , 2021, p. 48-50Chapter in book (Other academic)
Place, publisher, year, edition, pages
Trollhättan: Högskolan Väst, 2021
Keywords
Samverkan, digitalisering, välfärdsteknologi
National Category
Information Systems, Social aspects Learning
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-18044 (URN)978-91-88847-99-7 (ISBN)978-91-89325-00-5 (ISBN)
Funder
Interreg Sweden-Norway
Available from: 2022-01-15 Created: 2022-01-15 Last updated: 2022-02-08Bibliographically approved
Karlsson, M. & Kasén, A. (2021). Nurses as Human Beings in End-of-Life Care: A Tentative Theory Model. International journal for human caring, 25(2), 131-141
Open this publication in new window or tab >>Nurses as Human Beings in End-of-Life Care: A Tentative Theory Model
2021 (English)In: International journal for human caring, ISSN 1091-5710, Vol. 25, no 2, p. 131-141Article in journal (Refereed) Published
Abstract [en]

This article presents a tentative theoretical model of nurses' becoming as human beings in end-of-life care. As human beings, nurses are vulnerable. Caring for patients at the end of life can strengthen their own understanding of life and death. In the caring communion, nurses gain contact with life and themselves as human beings. Nurses' becoming as human beings in end-of-life care can be understood as a strength and a willingness to act in love and in compassion as they strive to understand and be reconciled with their own life situations, happiness, and grief.

Keywords
becoming, caring community, end of life, hermeneutics, nurses, theoretical model
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-18141 (URN)10.20467/humancaring-d-20-00028 (DOI)2-s2.0-85109008583 (Scopus ID)
Available from: 2022-02-08 Created: 2022-02-08 Last updated: 2022-04-12Bibliographically approved
Karlsson, M. & Pennbrant, S. (2020). Ideas of caring in nursing practice. Nursing Philosophy, 21(4), Article ID e12325.
Open this publication in new window or tab >>Ideas of caring in nursing practice
2020 (English)In: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769X, Vol. 21, no 4, article id e12325Article in journal (Refereed) Published
Abstract [en]

In nursing practice, awareness of ethical inner values and a common understanding of nursing and caring are needed. It is therefore important to highlight ideas of caring in nursing practice. The aim of this paper was to illuminate nursing, caring and ethical inner values in caring and caring in nursing practice. By being attentive, open, respectful and treating the patient as a person, nurses can enhance both their own and the patient's sense of personal meaning in the caring relationship. Nurses can use self-reflection to create an awareness of nursing, caring and ethical inner values in caring.

Keywords
ethics, ethics of care, philosophy of nursing, qualitative, theory-practice
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-15775 (URN)10.1111/nup.12325 (DOI)000565559200001 ()32876398 (PubMedID)2-s2.0-85090138206 (Scopus ID)
Available from: 2020-09-14 Created: 2020-09-14 Last updated: 2021-02-09Bibliographically approved
Hedqvist, A.-T., Pennbrant, S. & Karlsson, M. (2020). Older persons and relatives' experience of coordinated care planning via a video meeting. Nursing Open, 7(6), 2047-2055
Open this publication in new window or tab >>Older persons and relatives' experience of coordinated care planning via a video meeting
2020 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 7, no 6, p. 2047-2055Article in journal (Refereed) Published
Abstract [en]

Abstract Aim The study aimed to describe coordinated care planning via a video meeting from the perspective of older persons and their relatives. Design A qualitative inductive research design was used to describe older persons and relatives’ experience of care planning via video meeting. Methods Eight unstructured interviews were conducted. Purposive sampling resulted in a sample of four older persons and four relatives. The material was analysed by qualitative content analysis. Results The theme being excluded illustrates how the older persons and their relatives experienced care planning via a video meeting as lack of a personal relationship, meaninglessness and lack of participation. The older persons and their relatives had a feeling of being excluded and in an unfamiliar situation. Lack of information about the meeting’s structure and content impaired their ability to prepare for it beforehand, which led to uncertainty.

Keywords
coordinated care planning, distance technology, older person, participation, person-centred care
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-15729 (URN)10.1002/nop2.600 (DOI)000560346200001 ()2-s2.0-85089476102 (Scopus ID)
Available from: 2020-08-24 Created: 2020-08-24 Last updated: 2021-02-11Bibliographically approved
Pennbrant, S., Hjorton, C., Nilsson, C. & Karlsson, M. (2020). "The challenge of joining all the pieces together": Nurses' experience of palliative care for older people with advanced dementia living in residential aged care units. Journal of Clinical Nursing, 29(19-20), 3835-3846
Open this publication in new window or tab >>"The challenge of joining all the pieces together": Nurses' experience of palliative care for older people with advanced dementia living in residential aged care units
2020 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 29, no 19-20, p. 3835-3846Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe nurses' experiences of palliative care for older people with advanced dementia living in residential aged care units.

BACKGROUND: Dementia is a global health problem and the number of older people with dementia who need palliative care is increasing. Previous research has revealed that care for older people with dementia in the final stage of life is usually complex. However, little is known about how nurses experience palliative care for older people with advanced dementia living in residential aged care units.

METHOD: Nine individual, semi-structured face-to-face interviews with nurses working in residential aged care units for older people with advanced dementia in palliative care in western Sweden were analysed using qualitative inductive content analysis. The COREQ checklist was followed.

RESULTS: The nurses considered that palliative care for older people with advanced dementia is a complex and challenging form of care. In particular, they identified three challenges that must be met: developing specialised knowledge and skills, developing teamwork as a working method, and creating a caring relationship.

CONCLUSIONS: The results of our analysis indicate that if nurses are aware of and understand that the challenges are essential for 'joining all the pieces together', the palliative care for older people with advanced dementia may become a positive experience for nurses and may increase their sense of satisfaction and security in their professional role.

RELEVANCE TO CLINICAL PRACTICE: For the palliative care to be successful the nurses need to 'join all the pieces together', i.e. succeed in developing specialised knowledge and skills, developing teamwork as a working method, and creating a caring relationship to establish a person-centred care with the older person with advanced dementia and with his or her relatives.

Keywords
Palliative care, older people, dementia, residential aged care units
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-15708 (URN)10.1111/jocn.15415 (DOI)000552734600001 ()32671912 (PubMedID)2-s2.0-85088593063 (Scopus ID)
Available from: 2020-08-24 Created: 2020-08-24 Last updated: 2021-02-15Bibliographically approved
Pennbrant, S., Karlsson, C. & Karlsson, M. (2020). Unlicensed Personnel’s Experience of Digital Signing for Medication Administration in Municipal Healthcare. Open Journal of Nursing, 10(12), 1163-1177
Open this publication in new window or tab >>Unlicensed Personnel’s Experience of Digital Signing for Medication Administration in Municipal Healthcare
2020 (English)In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 10, no 12, p. 1163-1177Article in journal (Refereed) Published
Abstract [en]

Aim: To describe unlicensed personnel’s experience of digital signing lists via a smartphone application for the distribution of medication in municipal healthcare in Western Sweden. Design: A qualitative and quantitative design was used. Methods: The study included 48 unlicensed personnel, 28 of whom answered an open-ended questionnaire, while an additional 20 volunteered for individual interviews. The material was analysed by qualitative content analysis. Results: The results indicate that digital signing lists via a smartphone application are feasible, and efficient and facilitate the work. However, some aspects negatively affected the sense of security, meetings with patients and quality of care, such as an insufficient internet signal in some rural areas, difficulty remembering the password, as well as the change of focus from patient to smartphone. To improve quality of care and the meeting with the patient, it is crucial that the technology works and that unlicensed personnel develop technical skills.

Place, publisher, year, edition, pages
Wuhan, Hubei Province, China: Scientific Research Publishing (SCIRP), 2020
Keywords
Digital Signing, eHealth, Municipal Healthcare, Patient Safety, Quality of Care, Unlicensed Personnel, Welfare Technology
National Category
Nursing
Identifiers
urn:nbn:se:hv:diva-16126 (URN)10.4236/ojn.2020.1012083 (DOI)
Available from: 2020-12-16 Created: 2020-12-16 Last updated: 2020-12-16Bibliographically approved
Pennbrant, S. & Karlsson, M. (2020). Välbefinnande och värdighet för äldre människor: Utifrån Erikssons caritativa teori. Trollhättan: Högskolan Väst
Open this publication in new window or tab >>Välbefinnande och värdighet för äldre människor: Utifrån Erikssons caritativa teori
2020 (Swedish)Report (Other academic)
Alternative title[en]
Well-being and dignity for older people : Based on Eriksson's caritative theory
Abstract [sv]

Människor lever allt längre, vilket leder till stora utmaningar i att garantera äldre människors hälsa och välbefinnande. Andelen äldre väntas öka globalt, och sjuksköterskor kommer att behövas för att kunna ge god vård och omsorg. Det finns en risk att äldre som lidande och sårbara människor kan komma att bli osynliga på grund av den alltmer effektiva och tekniska vården. En vårdande kultur och relation som främjar delaktighet, välbefinnande och värdighet för äldre människor och det är viktigt med forskning inom området för att öka kvaliteten i vårdandet. För att kunna bidra till äldre människors välbefinnande och värdighet i vård och omsorg, föreslår vi en tillämpning av Erikssons caritativa teori. Syftet med denna rapport är att med stöd av Erikssons caritativa teori skapa en modell som främjar äldre människors värdighet och välbefinnande för en god omsorg.

Abstract [en]

The trend is that people are living longer, leading to major challenges in ensuring their health and well-being. The proportion of older people is expected to increase, globally, and nurses will be required to care for them. There is a risk that older people as suffering and vulnerable human beings will be invisible due to the increasingly effective and technical care. A caring culture and relationship should be prioritized and developed to promote participation, well-being and dignity for older people, and it is important with research in the field for increased quality in healthcare. In order to contribute to the well-being and dignity for older people in healthcare, we propose the application of Eriksson's caritative theory. The aim of this report is to create, with the support of Katie Eriksson's caritative theory, a model that promotes the dignity and well-being for older people for good caring.

Place, publisher, year, edition, pages
Trollhättan: Högskolan Väst, 2020. p. 25
Series
Reports University West, ISSN 2002-6188, E-ISSN 2002-6196 ; 2020:1
Keywords
Caring, dignity, healthcare quality, Eriksson’s caritative theory, nursing, older people, well-being, Katie Erikssons caritativa teori, omsorg, omvårdnad, välbefinnande, vårdkvalitet, värdighet, äldre människor
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-15145 (URN)978-91-88847-57-7 (ISBN)
Available from: 2020-04-28 Created: 2020-04-28 Last updated: 2020-09-15
Pennbrant, S. & Karlsson, M. (2019). Caring for Older People: Improving Healthcare Quality to Ensure Well-Being and Dignity. In: Aida Isabel Tavares (Ed.), Universal Health Coverage: . London: Intechopen Limited
Open this publication in new window or tab >>Caring for Older People: Improving Healthcare Quality to Ensure Well-Being and Dignity
2019 (English)In: Universal Health Coverage / [ed] Aida Isabel Tavares, London: Intechopen Limited , 2019Chapter in book (Other academic)
Abstract [en]

The aim of caring is to promote health. The global trend is that people are living longer, but in many cases, there is no support system for the care of older people, leading to major challenges in ensuring their health and well-being. The proportion of older people is expected to increase globally, and skilled healthcare professionals will be required to care for them. There is a risk that older people as suffering and vulnerable human beings will be forgotten due to the increasingly effective and technical care worldwide. A caring culture and relationship should be prioritised and developed to promote participation, well-being and dignity for older people in order to fulfil their care needs and ensure quality healthcare. It is important that research focusing on universal health coverage identifies the benefits of increased investment in service quality. To contribute to the improvement of this output, we propose the application of Eriksson's caritative theory. The aim of this theoretical chapter is to provide examples of how the dignity and well-being of older people can be promoted, at no additional cost to the person, by means of Eriksson's caritative theory, which can strengthen healthcare for universal health coverage.

Place, publisher, year, edition, pages
London: Intechopen Limited, 2019
Keywords
caring, dignity, healthcare, quality, older person, universal health coverage, well-being
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-14734 (URN)10.5772/intechopen.85598 (DOI)978-1-78984-975-2 (ISBN)978-1-78984-974-5 (ISBN)
Available from: 2019-12-06 Created: 2019-12-06 Last updated: 2019-12-27Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-1981-455X

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