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  • 1.
    Dahlborg Lyckhage, Elisabeth
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Skyvell-Nilsson, Maria
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Prerequisites for person-centered care: As described by community care nurses2015In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, no 1, p. 5-13Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe nurses’ experiences of person-centered care within an integrated care chain.

    Method: The study included four data sets: Two focus group interviews with a total of 22 nurses; an open questionnaire answered by 17 nurses; and individual follow-up interviews with 4 volunteers from among the 17 nurses. In total, 39 informants were included in this study. Qualitative content analysis was carried out to identify the latent content of the focus group and interview data, and the manifest content of the questionnaire data.

    Results: The results showed that learning about, from and with each other were prerequisites for achieving person-centered care. The ability to provide person-centered care was influenced by factors that could be related to both the organization and to the individual nurse. Important factors were organizational transparency and structure, leadership and collaboration between healthcare centers, partnership, sole caregiver attitudes and skills.

    Conclusion: In order to develop person-centered care, it is crucial that an integrated care chain feature a joint documentation system; efficient use of the resources allocated to the needs of the various healthcare centers; and a change of focus from the professional to the person seeking care.

  • 2.
    Dahlqvist, Julia
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Stalefors, Josefin
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Child health care nurses' strategies in meeting with parents who are hesitant to child vaccinations2014In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, no 4, p. 47-59Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe how nurses in child health centres deal with parents who are hesitant to child vaccinations. Method: A study with a qualitative approach that was based on 12 semi-structured interviews. The informants were nurses working in child health centres in the Västra Götaland region. The interviews were analysed using qualitative content analysis. Results: The results identified six strategies for dealing with vaccine-hesitant parents: 1) using the family’s resources and knowledge to create a trusting relationship; 2) meetings with the same nurse; 3) open dialogue and active listening; 4) regular meetings between nurse and paediatrician; 5) nurse training on new vaccines and vaccination programme; and 6) nurse training on parents’ use of publicly available information. Conclusion: Nurses should get to know the vaccine-hesitant parents, by listening to them and understanding their point of view. Thereby, nurses establish a good relationship, inspire trust and actively involve the parents in the decision-making concerning the vaccination of their child. Nurses should not make vaccine-hesitant parents feel guilty about not wanting to vaccinate their child.

  • 3.
    Pennbrant, Sandra
    et al.
    University West, Department of Health Sciences, Section for nursing - undergraduate level.
    Hansen, Kristin
    NU Hospital Group, Västra Götaland Regional Council, Trollhätan, Sweden.
    District nurses meeting with and providing care to people with mental illness in health centers: An interview study2017In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 5, no 4, p. 96-104Article in journal (Refereed)
    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.

  • 4.
    Pennbrant, Sandra
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    Tomaszewska, Marzena
    Lorentzson Penttilä, Gabriella
    Nurses’ experience of caring for palliative-stage patients in a hospital setting in Sweden2015In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, no 2, p. 97-108Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to describe nurses’ experiences of caring for palliative-stage patients in a hospital setting.

    Methods: A qualitative study based on six interviews with strategically selected nurses in an oncology department in western Sweden. The interviews were analyzed using a phenomenological-hermeneutic approach.

    Results: The results identified three themes: 1) Developing professional self-confidence; 2) Developing communication skills; and 3) Having time for reflection. Each theme has at least two subthemes.

    Conclusions: Caring for palliative-stage patients requires a combination of knowledge, experience and professional and personal self-confidence. Nurses need regular coaching by staff and professionals with more experience dealing with and processing suffering, death and related existential issues. Nurses need to separate work from private life and have satisfying and relaxing leisure activities.

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