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Pennbrant, S. & Svensson, L. (2018). Nursing and learning: healthcare pedagogics and work-integrated learning. Higher Education, Skills and Work-based Learning
Open this publication in new window or tab >>Nursing and learning: healthcare pedagogics and work-integrated learning
2018 (English)In: Higher Education, Skills and Work-based Learning, ISSN 2042-3896, E-ISSN 2042-390XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Purpose The purpose of this paper is twofold: to describe work-integrated learning (WIL) related to healthcare pedagogics, and to describe the distinctive aspects of research on WIL with specialization in healthcare pedagogics. Design/methodology/approach The general purpose of this theoretical paper is to define and formulate a research agenda within WIL with specialization in healthcare pedagogics. Findings WIL with specialization in healthcare pedagogics is a multidisciplinary field of knowledge encompassing education, health sciences and social sciences, and focuses on research and knowledge-creation involving nursing schools in higher education, healthcare organizations and the surrounding community. Originality/value The starting point of the research environment is the ambition to gain knowledge about the conditions, processes and outcomes in healthcare education and healthcare organizations, both individually and collectively, intra- and inter-professionally, in the perspective of life-long learning. WIL with specialization in healthcare pedagogics is a research area that can carry out important research in healthcare education and healthcare organization and, thus, contribute to high-quality care meeting current and future needs.

Keywords
Healthcare organization, Healthcare pedagogics, Higher education, Multidisciplinary, Research, Work-integrated learning
National Category
Nursing
Research subject
SOCIAL SCIENCE, Informatics; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; Work Integrated Learning
Identifiers
urn:nbn:se:hv:diva-12250 (URN)10.1108/HESWBL-08-2017-0048 (DOI)2-s2.0-85044711881 (Scopus ID)
Available from: 2018-04-10 Created: 2018-04-10 Last updated: 2018-10-24Bibliographically approved
Johnsson, A., Boman, Å., Wagman, P. & Pennbrant, S. (2018). Voices used by nurses when communicating with patients and relatives in a department of medicine for older people: An ethnographic study. Journal of Clinical Nursing, 27(7-8), E1640-E1650
Open this publication in new window or tab >>Voices used by nurses when communicating with patients and relatives in a department of medicine for older people: An ethnographic study
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. E1640-E1650Article in journal (Refereed) Published
Abstract [en]

AIM: To describe how nurses communicate with older patients and their relatives in a department of medicine for older people in western Sweden.

BACKGROUND: Communication is an essential tool for nurses when working with older patients and their relatives but often patients and relatives experience shortcomings in the communication exchanges. They may not receive information or are not treated in a professional way. Good communication can facilitate the development of a positive meeting and improve the patient's health outcome.

DESIGN: An ethnographic design informed by the sociocultural perspective was applied.

METHOD: Forty participatory observations were conducted and analyzed during the period October 2015 to September 2016. The observations covered 135 hours of nurse-patient-relative interaction. Field notes were taken and 40 informal field conversations with nurses and 40 with patients and relatives were carried out. Semi-structured follow-up interviews were conducted with five nurses.

RESULTS: In the result, it was found that nurses communicate with four different voices: a medical voice described as being incomplete, task-oriented and with a disease perspective; a nursing voice described as being confirmatory, process-oriented and with a holistic perspective; a pedagogical voice described as being contextualized, comprehension-oriented and with a learning perspective; and a power voice described as being distancing and excluding. The voices can be seen as context-dependent communication approaches. When nurses switch between the voices this indicates a shift in the orientation or situation.

CONCLUSION: The results indicate that if nurses successfully combine the voices, while limiting the use of the power voice, the communication exchanges can become a more positive experience for all parties involved and a good nurse-patient-relative communication exchange can be achieved.

RELEVANCE TO CLINICAL PRACTICE: Working for improved communication between nurses, patients and relatives is crucial for establishing a positive nurse-patient-relative relationship, which is a basis for improving patient care and healthcare outcomes. This article is protected by copyright. All rights reserved.

Keywords
communication, ethnography, nurses’ voices, older patient, relative, sociocultural perspective
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12202 (URN)10.1111/jocn.14316 (DOI)000430825100036 ()29493834 (PubMedID)2-s2.0-85045891204 (Scopus ID)
Available from: 2018-03-07 Created: 2018-03-07 Last updated: 2018-09-14Bibliographically approved
Johnsson, A., Wagman, P., Boman, Å. & Pennbrant, S. (2018). What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people: An ethnographic study. Journal of Clinical Nursing, 27(7-8), E1651-E1659
Open this publication in new window or tab >>What are they talking about? Content of the communication exchanges between nurses, patients and relatives in a department of medicine for older people: An ethnographic study
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 7-8, p. E1651-E1659Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To explore and describe the content of the communication exchanges between nurses, patients and their relatives in a department of medicine for older people in western Sweden.

BACKGROUND: Information, messages and knowledge are constantly being communicated between nurses, older patients and relatives in the healthcare sector. The quality of communication between them has a major influence on patient outcomes. A prerequisite for good care to be given and received is that there is mutual understanding between the parties involved.

DESIGN: An ethnographic study was informed by a sociocultural perspective.

METHOD: Data were collected through 40 participatory observations of meetings between nurses and older patients and/or relatives which covered 135 hours of nurse-patient-relative interaction, field notes, 40 field conversations with 24 nurses and 40 field conversations with patients (n=40) and relatives (n=26). Five semi-structured interviews were conducted with nurses. An ethnographic analysis was performed.

RESULTS: The analysis identified three categories of content of the communication exchanges: medical content focusing on the patient's medical condition, personal content focusing on the patient's life story, and explanatory content focusing on the patient's health and nursing needs. The content is influenced by the situation and context.

CONCLUSIONS: Nurses would benefit from more awareness and understanding of the importance of the communication content and of the value of asking the didactic questions (how, when, what and why) in order to improve the patients' and relatives' understanding of the information exchanges and to increase patient safety.

RELEVANCE TO CLINICAL PRACTICE: Nurses can use the communication content to create conditions enabling them to obtain a holistic view of the patient's life history and to develop an appropriate person-centered care plan. This article is protected by copyright. All rights reserved.

Keywords
communication content, ethnography, nurses, older patient, person-centered care, relative, sociocultural perspective
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-12201 (URN)10.1111/jocn.14315 (DOI)000430825100037 ()29493840 (PubMedID)2-s2.0-85045879016 (Scopus ID)
Available from: 2018-03-07 Created: 2018-03-07 Last updated: 2018-09-14Bibliographically approved
Pennbrant, S. & Hansen, K. (2017). District nurses meeting with and providing care to people with mental illness in health centers: An interview study. Clinical Nursing Studies, 5(4), 96-104
Open this publication in new window or tab >>District nurses meeting with and providing care to people with mental illness in health centers: An interview study
2017 (English)In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 5, no 4, p. 96-104Article in journal (Refereed) Published
Abstract [en]

Objective: Primary healthcare is facing increasing numbers of people with mental illness. Although district nurses are expected to promote health and prevent illness, most health centers in Western Sweden have no psychiatric nurses. The aim of this study was to explore how district nurses experience meeting with and providing care to patients with mental illness in health centers. Methods: Eight individual, semi-structured interviews with district nurses working in health centers were analyzed using qualitative content analysis. Results: The district nurses felt that it is challenging to meet with patients with mental illness and that they need to learn to master such situations better. In particular, interaction challenge when assessing the patient’s mental care needs, the dialogue challenge when attempting to achieve the patient’s trust, and the competence challenge when trying to determine correct and safe care for the patient. Conclusions: District nurses would benefit from having specific guidelines on how to provide person-centered care to patients with mental illness. Such guidelines would help district nurses in their planning and facilitating meetings with patients with mental illness and in their efforts to find solutions adapted to the specific patient, thus increasing both the district nurses’ feelings of adequacy and the patient’s feelings of safety and trust.

Place, publisher, year, edition, pages
Hawthorne, CA: , 2017
Keywords
District nurse, Health centers, Nursing, People with mental illness, Person-centered care, Qualitative content
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-11751 (URN)10.5430/cns.v5n4p96 (DOI)
Projects
-
Note

Online Published: October 12, 2017

Available from: 2017-10-13 Created: 2017-10-13 Last updated: 2018-09-21Bibliographically approved
Dahlborg Lyckhage, E., Pennbrant, S. & Boman, Å. (2017). Health care systems in transition: Equality, access and health literacy in three Scandinavian welfare states.: “The Emperor’s new clothes”: discourse analysis on how the patient is constructed in the new Swedish Patient Act. In: : . Paper presented at COMMUNICATION, MEDICINE & ETHICS (COMET) June 26-28, 2017, Indianapolis, Indiana, USA Campus of Indiana University-Purdue University, Indianapolis (IUPUI).
Open this publication in new window or tab >>Health care systems in transition: Equality, access and health literacy in three Scandinavian welfare states.: “The Emperor’s new clothes”: discourse analysis on how the patient is constructed in the new Swedish Patient Act
2017 (English)Conference paper, Oral presentation only (Refereed)
Abstract [en]

The Swedish welfare debate increasingly focuses on market liberal notions and its healthcare perspective aims for more patient-centered care. This article examines the new Swedish Patient Act describing and analyzing how the patient is constructed in government documents. This study takes a Foucauldian discourse analysis approach following Willig’s analysis guide. The act contains an entitlement discourse for patients and a requirement discourse for healthcare personnel. These two discourses are governed by a values-based healthcare discourse. Neo-liberal ideology, in the form of New Public Management discourse, focusing on the value of efficiency and competition, is given a hegemonic position as laws and regulations are used to strengthen it. The new Swedish Patient Act seems to further strengthen this development. The Act underlines the increased entitlement for patients, but it is not legally binding as it offers patients only indirect entitlement to influence and control their care. To safeguard the patient’s entitlement under the Patient Act, healthcare personnel should be made aware of the contents of the Act, so that they can contribute to the creation of systems and working methods that facilitate respect of the Act’s provisions in daily healthcare work.

Keywords
discourse analysis, healthcare, patient-centered care, swedish patient act
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-11230 (URN)
Conference
COMMUNICATION, MEDICINE & ETHICS (COMET) June 26-28, 2017, Indianapolis, Indiana, USA Campus of Indiana University-Purdue University, Indianapolis (IUPUI)
Available from: 2017-07-14 Created: 2017-07-14 Last updated: 2017-12-11Bibliographically approved
Pennbrant, S., Gustafsson Törn, J. & Munthe, H. (2017). Information about sexual activity after hip replacement: A literature review. Nordic journal of nursing research, 1-9
Open this publication in new window or tab >>Information about sexual activity after hip replacement: A literature review
2017 (English)In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, p. 1-9Article in journal (Refereed) Epub ahead of print
Abstract [en]

Sexual activity is an important aspect of quality of life and contributes to healing and recovery. Adequate information may minimize post-operative risks and improve wellbeing. The aim of this literature review was to identify and review articles regarding the information on sexual activity after hip replacement provided to or obtained by patients and partners prior to their hip replacement surgery. The literature search was performed in the following databases: CINAHL, PubMed/Medline, MEDLINE (via Ebscoost) and Scopus. The results underline the importance of providing hip replacement patients and partners with relevant information, to reduce their concerns and improve their satisfaction and quality of life. Such information could promote person-centered care for patient and partner, and increase long-term cost-effectiveness for the healthcare organization. Information to patients and partners on post-hip-replacement sexual limitations has not been closely studied. Further research is needed to help healthcare providers promote patients’ and partners’ sexual health and quality of life and improve wellbeing.

Keywords
hip replacement, information, partner, person-centered care, sexual activity
National Category
Health Sciences
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-11229 (URN)10.1177/2057158517718397 (DOI)
Note

Författarversionen i fulltext

Available from: 2017-07-14 Created: 2017-07-14 Last updated: 2017-08-11Bibliographically approved
Nunstedt, H., Rudolfsson, G., Alsén, P. & Pennbrant, S. (2017). Patients' Variations of Reflection About and Understanding of Long-term Illness: Impact of Illness Perception on Trust in Oneself or Others. Open Nursing Journal, 11, 43-53
Open this publication in new window or tab >>Patients' Variations of Reflection About and Understanding of Long-term Illness: Impact of Illness Perception on Trust in Oneself or Others
2017 (English)In: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 11, p. 43-53Article in journal (Refereed) Published
Abstract [en]

Background: Patients' understanding of their illness is of great importance for recovery. Lacking understanding of the illness is linked with the patients' level of reflection about and interest in understanding their illness. Objective: To describe patients’ variations of reflection about and understanding of their illness and how this understanding affects their trust in themselves or others. Method: The study is based on the “Illness perception” model. Latent content analysis was used for the data analysis. Individual, semi-structured, open-ended and face-to-face interviews were conducted with patients (n=11) suffering from a long-term illness diagnosed at least six months prior to the interview. Data collection took place in the three primary healthcare centres treating the participants. Results: The results show variations in the degree of reflection about illness. Patients search for deeper understanding of the illness for causal explanations, compare different perspectives for preventing complication of their illness, trust healthcare providers, and develop own strategies to manage life. Conclusion: Whereas some patients search for deeper understanding of their illness, other patients are less reflective and feel they can manage the illness without further understanding. Patients' understanding of their illness is related to their degree of trust in themselves or others. Patients whose illness poses an existential threat are more likely to reflect more about their illness and what treatment methods are available.

Place, publisher, year, edition, pages
United Arab Emirates: , 2017
Keywords
Illness perception, Knowledge, Learning, Primary healthcare, Reflection, Understanding
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-10930 (URN)10.2174/1874434601711010043 (DOI)28567169 (PubMedID)2-s2.0-85020387239 (Scopus ID)
Projects
Ja
Available from: 2017-05-09 Created: 2017-05-09 Last updated: 2017-12-18Bibliographically approved
Nunstedt, H. & Pennbrant, S. (2017). Portfoliometoden: Ett pedagogiskt verktyg för att integrera teori och praktik i sjuksköterskeprogrammet. Trollhättan: Högskolan Väst
Open this publication in new window or tab >>Portfoliometoden: Ett pedagogiskt verktyg för att integrera teori och praktik i sjuksköterskeprogrammet
2017 (Swedish)Report (Other academic)
Alternative title[en]
The Portfolio Method : a pedagogical tool for integrate theory and practice in nursing program
Abstract [sv]

Portfolio är en systematisk, målmedvetet sammanställd och strukturerad samling studiearbeten som läraren och de studerande använder för att följa upputvecklingen av kunskaper, färdigheter och attityder inom något område. Arbetsintegrerat lärande kan ses som en process och en pedagogisk strategi för ett aktivt kunskapsutbyte, reflekterad handling och ett livslångt lärande. Syftet med rapporten är att beskriva och diskutera portfolio som en pedagogisk metod och AIL som en pedagogisk strategi under den verksamhetsförlagda utbildningen på sjuksköterskeprogrammet vid Högskolan Väst. En av de viktigaste idéerna bakom AIL-portfolion är att studenten får möjlighet att ta kontroll över sitt lärande och därigenom bli mer aktiv i lärandet, förstå lärandet och vilken kunskap som genereras. AIL-portfolion kan skapa förutsättningar för sjuksköterskestudenterna att utveckla ett yrkeskunnande som kan systematiseras med hjälp av portfolions struktur och innehåll. AIL-portfolions metodiska process utgörs av de sex faserna; förreflektion, reflektion i handling, reflektion på handling, självvärdering, metareflektionen och kunskap i handling. AILportfolion kan på detta sätt fungera som ett stöd för reflektion och bli en spegelbild av lärandet, såväl i nuet som i framtiden och bidra till att kunskapen omsätts i praktisk handling. AIL-portfolio kan därmed möjliggöra en utveckling av ett yrkeskunnande för studenter i sjuksköterskeprogrammet för ett livslångt lärande.

Abstract [en]

Portfolio is a systematic, purposeful, consolidated and structured collection of study works that the teacher and students use to follow up the development of knowledge, skills and attitudes in some area. Work integrated learning (WIL) can be seen as a process and an educational strategy for an active exchange of knowledge, reflected action and lifelong learning. The purpose of this report is to describe and discuss portfolio as a pedagogical method and WIL as a pedagogical strategy in the clinical education in the nursing program at University West. One of the main ideas behind the WIL-portfolio method isthat students have the opportunity to take control of their learning and thereby become more active in the learning and better understand the generated learning. The WIL-portfolio can create opportunities for nursing students to develop professional skills, systematized by using the portfolio structure and content. WIL-portfolio methodical process consists of the six phases; prereflection, reflection-in-action, reflection-on-action, self-evaluation, metareflection and knowledge-in-action. WIL-portfolio can serve as a basis for reflection and become a mirror image of learning, both in the present and in the future. The WIL-portfolio method can thus contribute to a deeper understanding of one's own knowledge of the process of lifelong learning.

Place, publisher, year, edition, pages
Trollhättan: Högskolan Väst, 2017. p. 26
Series
Reports University West, ISSN 2002-6188, E-ISSN 2002-6196 ; 2017:2
Keywords
Constructivism, learning, pedagogic, portfolio method, pragmatism, reflection, sociocultural perspective, work integrated learning, Arbetsintegrerat lärande, konstruktivism, lärande, pedagogik, portfoliometoden, pragmatism, reflektion, sociokulturellt perspektiv
National Category
Pedagogical Work Nursing
Research subject
Work Integrated Learning; NURSING AND PUBLIC HEALTH SCIENCE, Nursing science; SOCIAL SCIENCE, Educational science
Identifiers
urn:nbn:se:hv:diva-11942 (URN)
Available from: 2017-12-20 Created: 2017-12-20 Last updated: 2018-08-06
Pennbrant, S. (2017). Semi-Structured Interviews With a Sociocultural Perspective: The Meeting Between the Elderly Patien and the Physician in a Hospital Setting in Sweden. In: SAGE Research Methods Cases: . Sage Publications
Open this publication in new window or tab >>Semi-Structured Interviews With a Sociocultural Perspective: The Meeting Between the Elderly Patien and the Physician in a Hospital Setting in Sweden
2017 (English)In: SAGE Research Methods Cases, Sage Publications, 2017Chapter in book (Refereed)
Abstract [en]

In Swedish healthcare, great emphasis is laid on the patient’s rights. Patients should receive information on their conditions and treatment options so that they can make informed choices and become involved. My study described elderly patients’ experience of meeting with the physician in a hospital setting specialized in geriatrics and medicine. To understand how the patient experienced the meeting, I used the following research questions: What is of importance for the experience of the meeting? How is the meeting experienced by the elderly patient? To explain the patients’ experiences of meeting with physicians, a sociocultural perspective was used. The main conclusion of the study is that physicians’ position of powe rmakes it difficult for elderly patients to participate in meetings. It would be helpful if physicians had a patient-centered attitude and translated medical terminology into everyday language.Physicians need to be aware of their body language and learn to acknowledge the patients’ questions and consider their medical conditions and personalities when building relations. The healthcare sector needs to become a learning organization in which physicians are trained to prevent misunderstandings when meeting elderly patients. Future research could focus on efforts to integrate geriatrics into the full curricula of medical schools. This case study provides an account of one practical aspect, namely, semi-structured interviews, with focus on some specific methodological problems that arose during the research.

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
Communication Hospital Meeting Patient Physician Sociocultural
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-10638 (URN)10.4135/9781526411075 (DOI)9781526411075 (ISBN)
Available from: 2017-02-02 Created: 2017-02-02 Last updated: 2017-02-02Bibliographically approved
Nunstedt, H., Rudolfsson, G., Alsén, P. & Pennbrant, S. (2017). Strategies for healthcare professionals to facilitate patient illness understanding.. Journal of Clinical Nursing, 26(23-24), 4696-4706
Open this publication in new window or tab >>Strategies for healthcare professionals to facilitate patient illness understanding.
2017 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 26, no 23-24, p. 4696-4706Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe how healthcare professionals facilitate patient illness understanding.

BACKGROUND: Healthcare professionals and patients differ in their illness understanding. If the information provided by healthcare professionals is not adapted to the patient's daily life it may be unusable for the patient. Previous research has found that healthcare professionals should individualise the information to enable the patient to apply the knowledge to the personal situation and to develop illness understanding. However, little is known of how healthcare professionals can facilitate patient illness understanding.

METHOD: A qualitative descriptive study based on individual, semi-structured, open-ended and face-to-face interviews was conducted with healthcare professionals (n=11) concerning how they facilitate patients illness understanding. Three health centres were involved during the period of March to November 2014. The interviews were analysed with qualitative content analysis.

RESULTS: The result identified a continuous and collaborative process with three strategies used by healthcare professionals to facilitate the patient's illness understanding: 1) assess the patient's illness understanding, 2) interact with the patient to develop illness understanding, and 3) support the patient's personal development for illness understanding. The steps in the process depend on each other.

CONCLUSIONS: The results of our analysis indicate that healthcare professionals can use the continuous and collaborative process to enhance the patient's self-care ability and turn his or her knowledge into action for improving illness understanding.

RELEVANCE TO CLINICAL PRACTICE: The three continuous and collaborative process strategies involving pedagogical approaches can create conditions for healthcare professionals to obtain a holistic view of the patient's life and to be a key resource for person-centred care. This article is protected by copyright. All rights reserved.

Keywords
Facilitate, healthcare professionals, illness understanding, individual care plan, patient, pedagogical approach, person-centred care, strategies
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
urn:nbn:se:hv:diva-10900 (URN)10.1111/jocn.13820 (DOI)28334458 (PubMedID)2-s2.0-85021211796 (Scopus ID)
Note

Online 23 March 2017

Available from: 2017-04-26 Created: 2017-04-26 Last updated: 2017-12-05Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-2793-9937

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