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  • 1.
    Bégat, Ingrid B E
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Severinsson, Elisabeth I
    Mental Health Nursing, Department of Nursing Education, Hedmark College, Oslo.
    Nurses' reflections on episodes occurring during their provision of care: an interview study2001In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 38, no 1, p. 71-7Article in journal (Refereed)
    Abstract [en]

    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'.

  • 2.
    Flensner, Gullvi
    et al.
    University West, Department of Nursing.
    Ek, Anna-Christina
    Linköping University, Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences.
    Söderhamn, Olle
    University West, Department of Nursing.
    Lived experience of MS-related fatigue: a phenomenological interview study2003In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 40, no 7, p. 707-17Article in journal (Refereed)
    Abstract [en]

    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.

  • 3.
    Lindgren, Britt-Marie
    et al.
    Umeå University, Department of Nursing, SE-90187, Umeå, Sweden.
    Lundman, Berit
    Umeå University, Department of Nursing, SE-90187, Umeå, Sweden.
    Hällgren Graneheim, Ulla
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Abstraction and interpretation during the qualitative content analysis process2020In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 108, article id 103632Article in journal (Refereed)
    Abstract [en]

    Qualitative content analysis and other 'standardised' methods are sometimes considered to be technical tools used for basic, superficial, and simple sorting of text, and their results lack depth, scientific rigour, and evidence. To strengthen the trustworthiness of qualitative content analyses, we focus on abstraction and interpretation during the analytic process. To our knowledge, descriptions of these concepts are sparse; this paper therefore aims to elaborate on and exemplify the distinction and relation between abstraction and interpretation during the different phases of the process of qualitative content analysis. We address the relations between abstraction and interpretation when selecting, condensing, and coding meaning units and creating categories and themes on various levels. The examples used are based on our experiences of teaching and supervising students at various levels. We also highlight the phases of de-contextualisation and re-contextualisation in describing the analytic process. We argue that qualitative content analysis can be both descriptive and interpretative. When the data allow interpretations of the latent content, qualitative content analysis reveals both depth and meaning in participants' utterances.

  • 4.
    Papastavrou, Evridiki
    et al.
    Cyprus University of Technology, Department of Nursing, School of Health Studies, Limassol, Cyprus.
    Acaroglu, Rengin
    Istanbul University, Florence Nightingale School Faculty of Nursing, Istanbul, Turkey.
    Sendir, Merdiye
    Istanbul University, Florence Nightingale School Faculty of Nursing, Istanbul, Turkey.
    Berg, Agneta
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level. University West, Department of Health Sciences, Section for nursing - graduate level. Kristianstad University.
    Efstathiou, Georgios
    Nursing Services – Education Sector, Ministry of Health, Cyprus.
    Idvall, Ewa
    Skåne University Hospital, Department of Intensive Care and Perioperative Medicin.
    Kalafati, Maria
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Katajisto, Jouko
    University of Turku, Department of Mathematics and Statistics, Turku, Finland.
    Leino-Kilpi, Helena
    University of Turku, Department of Nursing Science, Turku, Finland.
    Lemonidou, Chryssoula
    National and Kapodistrian University of Athens, Faculty of Nursing, Athens, Greece.
    Luz, Maria Deolinda Antunes da
    Unidade de Investigacão e Desenvolvimento em Enfermagem (UI&DE), Escola Superior de Enfermagem de Lisboa (Nursing Research and Development Unit UI&DE), Portugal.
    Suhonen, Riitta
    University of Turku, Department of Nursing Science, Turku, Finland.
    The relationship between individualized care and the practice environment: An international study2015In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 52, no 1, p. 121-133Article in journal (Refereed)
    Abstract [en]

    Background Previous research studies have found that the better the quality of practice environments in hospitals, the better the outcomes for nurses and patients. Practice environment may influence nurses’ ability to individualize care but the detailed relationship between individualized care and the professional practice environment has not been investigated widely. Some evidence exists about the association of practice environments with the level of individualization of nursing care, but this evidence is based on single national studies. Objectives The aim of this study was to determine whether nurses’ views of their professional practice environment associate with their views of the level of care individualization in seven countries. Design This study had an international, multisite, prospective, cross-sectional, exploratory survey design. Settings The study involved acute orthopedic and trauma surgical inpatient wards (n = 91) in acute care hospitals (n = 34) in seven countries, Cyprus, Finland, Greece, the State of Kansas, USA, Portugal, Sweden, and Turkey. Participants Nurses (n = 1163), registered or licensed practical, working in direct patient care, in orthopedic and trauma inpatient units in acute care hospitals in seven countries participated in the study. Methods Self-administered questionnaires, including two instruments, the Revised Professional Practice Environment and the Individualized Care Scale-Nurse (Individualized Care Scale-Nurse A and B) were used for data collection. Data were analyzed statistically using descriptive statistics, simultaneous multiple regression analysis, and generalized linear model. Results Two regression models were applied to assess the predictive validity of the Revised Professional Practice Environment on the Individualized Care Scale-Nurse-A and B. The results showed that elements of the professional practice environment were associated with care individualization. Internal work motivation, cultural sensitivity, control over practice, teamwork, and staff relationship with physicians were predictors of support (Individualized Care Scale-A) for and the delivery (Individualized Care Scale-B) of individualized care. Conclusions The results of this study provide evidence that environment aspect could explain variations in care individualization. These findings support the assertion that individualized care needs to be understood in a broader context than the immediate nurse–patient relationship and that careful development of the care environment may be an effective way to improve care quality and outcomes.

  • 5.
    Rudolfsson, Gudrun
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, postgraduate level.
    von Post, Iréne
    Eriksson, Katie
    The expression of caring within the perioperative dialogue: a hermeneutic study2007In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, p. 905-915Article in journal (Refereed)
  • 6.
    Åhs, Jill W.
    et al.
    Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institutet, Huddinge (SWE); Department of Health Sciences, Swedish Red Cross University, Huddinge, (SWE).
    Eriksson, Henrik
    University West, Department of Health Sciences, Section for nursing - graduate level.
    Mazaheri, Monir
    Department of Neurobiology, Care Sciences, and Society, Division of Nursing, Karolinska Institutet, Huddinge (SWE); Department of Nursing Sciences, Sophiahemmet University, Stockholm (SWE).
    Distant suffering: A concept analysis.2024In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 151, p. 1-9, article id 104672Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Patients who are suffering may be commonly encountered in health care. The growing use of telehealth implies that encounters with patients who are suffering may increasingly take place at a distance. "Distant suffering" is a concept coined within sociology to describe the suffering of far-away others. It is conceptualized as a paradox, as distance changes the relation between the witness of suffering and the suffering encountered. Impacts may include a potential detriment to the sufferer and ethical implications for the witness.

    OBJECTIVE: To explore the concept of distant suffering and any relevance, implications, or important avenues for potential research within the healthcare sciences.

    DESIGN: Rodgers' evolutionary concept analysis.

    DATA SOURCES: Databases of Web of Science, Medline, CINAHL and PsycInfo were searched for the terms "distant suffering" or "mediated suffering".

    REVIEW METHOD: Attributes, surrogate or related terms, antecedents, consequences, and uses of the concept were extracted and synthesized.

    RESULTS: Thirty articles published within the past ten years were selected for review from the search results. "Distant suffering" was characterized as comprising 1) mediated far-away suffering, 2) a "recognizer" or witness, and 3) a potential role of a moderator. Antecedents include shared understandings and socially-influenced responses. Consequences include responses like empathy, compassion, pity, also indifference, cynicism and compassion fatigue.

    CONCLUSIONS: Further research to explore distant suffering from healthcare sciences' perspective could uncover valuable insights for those suffering, for healthcare workers, and any who are exposed to it. An improved understanding of how distant suffering is conveyed and moderated could enable targeted reduction of exposure or improve response to distant suffering. Such knowledge could help diminish negative consequences for those suffering, for healthcare workers who are caring at a distance for those suffering, or for others who encounter distant suffering in their occupations or in daily life via media, social media, or digital communications.

    TWEETABLE ABSTRACT: New analysis finds that exposure to distant suffering may have important implications for health and health care.

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