Ändra sökning
Avgränsa sökresultatet
1 - 25 av 25
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Träffar per sida
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sortering
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
  • Standard (Relevans)
  • Författare A-Ö
  • Författare Ö-A
  • Titel A-Ö
  • Titel Ö-A
  • Publikationstyp A-Ö
  • Publikationstyp Ö-A
  • Äldst först
  • Nyast först
  • Skapad (Äldst först)
  • Skapad (Nyast först)
  • Senast uppdaterad (Äldst först)
  • Senast uppdaterad (Nyast först)
  • Disputationsdatum (tidigaste först)
  • Disputationsdatum (senaste först)
Markera
Maxantalet träffar du kan exportera från sökgränssnittet är 250. Vid större uttag använd dig av utsökningar.
  • 1.
    Andersson, Jenny
    et al.
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences Sahlgrenska Academy University of Gothenburg Gothenburg (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Skaraborgs Hospital Skövde (SWE).
    Hansson, Per‐Olof
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Nielsen, Susanne J.
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Department of Cardiothoracic Surgery Sahlgrenska University Hospital Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine Sahlgrenska Academy University of Gothenburg Gothenburg Sweden;Region Västra Götaland Department of Medicine Geriatrics and Emergency Medicine/Östra Sahlgrenska University Hospital Gothenburg (SWE).
    Decision‐Making in Seeking Emergency Care for Stroke Symptoms2022Ingår i: Stroke: Vascular and Interventional Neurology, E-ISSN 2694-5746, Vol. 2, nr 6Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Previous studies have shown that rapid treatment for stroke, especially ischemic stroke, reduces mortality and disability. The focus has mainly been on reducing time from arrival at hospital to start of treatment. However, the main reason for delay is often time from symptom onset to arrival at hospital. This study therefore aimed to explore decision‐making processes after the onset of stroke symptoms in patients experiencing a first‐time stroke.

    Methods

    We included 36 patients aged 18 and older, all of whom were hospitalized with a first‐time stroke between October 2018 and April 2020. All patients were interviewed once within 4 weeks of symptom onset and before hospital discharge. Eligible patients were identified retrospectively through a targeted review of medical records. The data were collected and analyzed according to the grounded theory methodology.

    Results

    In total, 43 potential patients were identified and asked to participate. Overall, 36 patients were included in the study: 17 women (median age 77.0 years, interquartile range 17.5) and 19 men (median age 65.7 years, interquartile range 17.2). All interviewees felt fear, and this affected their decision to seek emergency care. The decision‐making processes were described by the core category of “Acting on fear.” The reason for feeling frightened determined the actions taken. The reasons were sorted into 3 main categories: (1) “seeking care”–recognized stroke symptoms and acted immediately; (2) “pending and reluctance”–suspected stroke but awaited to seek care; and (3) “seeking an explanation”–confused by symptoms.

    Conclusion

    We found that decision‐making when experiencing stroke symptoms was complex. All patients felt fear, which determined their actions. Some patients knew about stroke symptoms and acted immediately. Others suspected stroke but still chose to wait, whereas others were confused and tried to find answers. These results could contribute to form future awareness campaigns.

    Ladda ner fulltext (pdf)
    fulltext
  • 2.
    Andersson, Jenny
    et al.
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE): Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Stroke unit, Department of Medicine, Skaraborg Hospital Skövde (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE); Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Hanson, Per-Olof
    Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Nielsen, Susanne
    Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg (SWE), Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE), Region Västra Götaland, Sahlgrenska University Hospital, Department of Medicine Geriatrics and Emergency Medicine/Östra, Gothenburg (SWE).
    Patient´s description of onset stroke symptoms: Oral Presentations. ESOC 2023 Abstract Book2023Ingår i: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 8, nr 2, s. 427-427, artikel-id 725Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background and aims: Stroke symptoms vary and could be hard to recognize. In addition, stroke severity has decreased according to the National Institutes of Health Stroke Scale (NISSH), with less pronounced symptoms expression. Knowledge on the patient’s description of stroke symptoms is therefore needed. The aim was to describe patient’s symptoms at stroke onset.

    Methods: A qualitative content analysis was used. Data were collected through individual interviews with 27 patients (16 men and 11 women, median age 70.4 years). All patients were hospitalized with a first-time stroke. The interviews were conducted within 4 weeks of symptoms onset and before hospital discharge.

    Results: All patients had symptoms that affected their daily life. Some patients described having multiple symptoms at the same time, others had symptoms that began insidiously and worsened over time. Symptoms such as overwhelming fatigue or nausea were described as Premonition of becoming ill, feeling unwell or that something was wrong. Motoric bodily changes were multifaceted as slurred speech or dizziness, balance difficulties and losing control of the body or motor dysfunction. But also, that the surroundings were distorted, and solid objects moved around. Symptoms of Dazed and affected senses included confusion and visual impairment or headache.

    Conclusions: Stroke is a complex disease with several different symptoms’ expressions and could be difficult to recognize, especially when symptoms are less typical or perceived as not serious. Increased awareness of stroke symptoms among caregivers and among members of the community is important and needed.

  • 3.
    Andersson, Jenny
    et al.
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Gothenburg (SWE) Region Västra Götaland, Department of Medicine Geriatrics and Emergency Medicine/Östra, Sahlgrenska University Hospital, Gothenburg (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Stroke unit, Department of Medicine, Skaraborg Hospital, Skövde (SWE); Skaraborg institute for Research and Development, Skövde (SWE).
    Jakobsson, Sofie
    Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Hansson, Per-Olof
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Gothenburg (SWE) Region Västra Götaland, Department of Medicine Geriatrics and Emergency Medicine/Östra, Sahlgrenska University Hospital, Gothenburg (SWE).
    Nielsen, Susanne J
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Diagnosvägen 11, Gothenburg (SWE); Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, Gothenburg (SWE).
    Björck, Lena
    Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg and Sahlgrenska University Hospital/Östra Hospital, Gothenburg (SWE) Region Västra Götaland, Department of Medicine Geriatrics and Emergency Medicine/Östra, Sahlgrenska University Hospital, Gothenburg (SWE); Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg (SWE).
    Symptoms at stroke onset as described by patients: a qualitative study2024Ingår i: BMC Neurology, E-ISSN 1471-2377, Vol. 24, nr 1, artikel-id 150Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Stroke is a common and severe disease that requires prompt care. Symptom expressions as one-sidedweakness and speech difficulties are common and included in public stroke campaigns. For some patients stroke canpresent with subtle and less common symptoms, difficult to interpret. The symptom severity assessed by the NationalInstitutes of Health Stroke Scale has decreased, and symptoms at onset may have changed. Therefore, we aimed toinvestigate how patients describe their symptoms at the onset of a first-time stroke.

    Methods:The study used a qualitative descriptive design and conventional content analysis. Data were collectedthrough recorded interviews with 27 patients aged 18 years and older hospitalised with a first-time stroke betweenOctober 2018 and April 2020. Data were analysed on a manifest level.

    Results: Symptoms at stroke onset were presented in two themes: Altered Reality and Discomfort and Changed BodyFunctions and described in five categories. Various types of symptoms were found. All symptoms were perceivedas sudden, persistent, and never experienced before and this appear as a “red thread” in the result. Regardless ofsymptom expressions, no specific symptom was described as more severe than another.

    Conclusions: Stroke symptoms were described with a variety of expressions. Many described complex symptomsnot typical of stroke, which can make it difficult to recognise the symptoms as a stroke and delay medical care. Publicstroke campaigns should emphasize the importance of seeking medical care at the slightest suspicion of stroke andcould be designed to help achieve this.

    Ladda ner fulltext (pdf)
    fulltext
  • 4.
    Berndtsson, Ina
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Karlsson, Margareta
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Stroke Unit, Skaraborg Hospital Skövde, Sweden.
    Nursing students' attitudes toward care of dying patients: A pre- and post-palliative course study2019Ingår i: Heliyon, E-ISSN 2405-8440, Vol. 5, nr 10, artikel-id e02578Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Many nursing students are not prepared to encounter death and care for patients who are at the end of life as newly educated nurses. The Frommelt Attitude Toward Care of Dying Scale (FATCOD) has been used to assess nursing students' attitudes during their education and changes have been noted.

    Objective: To examine nursing students' attitudes towards care of dying patients before and after a course in palliative care.

    Design: A descriptive study with a pre and post design.

    Settings & participants: Nursing students (n = 73) enrolled in a mandatory palliative course in the nursing programme at a Swedish university.

    Methods: Data were collected before and after a palliative care course using FATCOD and qualitative open-ended questions. Data from FATCOD were analysed using descriptive and analytical statistics. The open-ended questions were analysed with qualitative content analysis.

    Results: The students' mean scores showed a statistically significant change toward a more positive attitude toward care of dying. Students with the lowest pre-course scores showed the highest mean change. The qualitative analysis showed that the students had gained additional knowledge, deepened understanding, and increased feelings of security through the course.

    Conclusions: A course in palliative care could help to change nursing students' attitudes towards care of patients who are dying and their relatives, in a positive direction. A course in palliative care is suggested to be mandatory in nursing education, and in addition to theoretical lectures include learning activities such as reflection in small groups, simulation training and taking care of the dead body.

    Ladda ner fulltext (pdf)
    fulltext
  • 5.
    Bjälkefur, Kerstin
    et al.
    Department of health and social care, Lidköping, Sweden.
    Nasic, Salmir
    Research and Development Centre, Skaraborg Hospital, Skövde, Sweden.
    Bertholds, Eric
    Tibro Health care centre, Närhälsan Tibro, Sweden.
    Jood, Katarina
    Sahlgrenska Academy at University of Gothenburg, Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Gothenburg, Sweden; Department of Neurology, the Sahlgrenska University Hospital, Gothenburg, Sweden.
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Medicine, Skaraborg Hospital Skövde, Skövde, Sweden.
    Self-rated health over the first five years after stroke2020Ingår i: BMC Neurology, E-ISSN 1471-2377, Vol. 20, nr 1, artikel-id 389Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Self-rated health (SRH) focuses on the patient’s own perception, and represents an important patient-reported outcome. The aim was to investigate SRH one to 5 years after stroke, follow the development over time and search for factors associated with SRH. Methods: Consecutive stroke patients admitted to Stroke Units at the Skaraborg Hospital, Sweden were included 2007–2009 (n = 2190). Patient-reported outcomes were collected annually over 5 years using a postal questionnaire. SRH was assessed by the question about general health from SF-36. Factors associated with SRH were investigated by multiple logistic regression analysis. Results: Response-rate was > 90% at all time points. Overall, 40.2, 41.9, 40.7, 45.0 and 46.3% of the patients reported good SRH, 1 to 5 years after stroke. Performance in activities of daily living (ADL) was strongly associated with good SRH; 49.8 and 14.7% after 1 year in independent and dependent survivors respectively, p < 0.001. In independent survivors 1 year after stroke, good SRH was positively associated with female sex (OR = 2.0; p = < 0,001), physical activity (OR = 2.14; p = < 0,001), car driving (OR = 2.25; p = < 0,001), and negatively associated with age (OR = 0.99; p = < 0,001), pain (OR = 0.49; p = < 0,001), depression (OR = 0.30; p = < 0,001), and self-perceived unmet care needs (OR = 0.39; p = < 0,001). In dependent survivors, depression (OR = 0.23; p = < 0,001) and age (OR = 0.96; p = < 0,05), were negatively associated with good SRH 1 year after stroke. Similar patterns were observed throughout the follow-up. Conclusion: The proportion stroke survivors reporting their health as good is slightly increasing over time. After stroke, SRH is associated with pain, depression, ability to perform activities and self-perceived unmet care needs, indicating that efforts to support stroke survivors in the chronic phase after stroke should concentrate on targeting these factors. © 2020, The Author(s).

    Ladda ner fulltext (pdf)
    fulltext
  • 6.
    Eriksson, K.
    et al.
    Gothenburg University, Gothenburg (SWE); Sahlgrenska University Hospital, Gothenburg (SWE).
    Persson, H. C.
    Gothenburg University, Gothenburg (SWE); Sahlgrenska University Hospital, Gothenburg (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Zelano, J.
    Gothenburg University, Gothenburg (SWE); Sahlgrenska University Hospital, Gothenburg (SWE).
    Stroke2023Ingår i: Teamarbete i neurologisk vård / [ed] Ozanne, Anneli, Zelano, Johan, Lund: Studentlitteratur AB, 2023, s. 73-114Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 7.
    Forsgren Gebring, Susanne
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Christensson, Tanja
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Rudolfsson, Gudrun
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Nord University, Faculty of Nursing and Health Sciences, Bodø, Norwa (NOR).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Medicine, Stoke unit, Skaraborg Hospital Skövde, Skövde, Sweden.
    To Attend or Not: The Reasoning Behind Nursing Students' Attendance at Lectures : A Qualitative Study2021Ingår i: Scandinavian Journal of Educational Research, ISSN 0031-3831, E-ISSN 1470-1170, Vol. 65, nr 3, s. 500-509Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is a rising tendency for students in higher education not to attend lectures. Therefore, the aim of the study was to describe the reasoning behind nursing students’ decisions on whether or not to attend lectures. This qualitative study was performed in a nursing education programme at a Swedish University. One hundred and thirty-one students participated. Data were collected through a questionnaire comprising open-ended questions. Qualitative content analysis was performed. The results are presented in eight categories: four concerning reasons for attending lectures and four concerning reasons for not attending lectures. Decisions, both to attend and to not attend lectures, were based on conscious choices guided by the students’ self-governing of their own personal needs for learning. © 2020, © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

  • 8.
    Godskesen, Tove
    et al.
    Marie Cederschiöld högskola, Stockholm (SWE); Uppsala universitet (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Etik i samverkan2023Ingår i: Samverkan i vården: från system till praktik / [ed] Annika Eklund & Christian Gadolin, Stockholm: Liber, 2023, s. 93-112Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 9.
    Gustafsson, Anna
    et al.
    Home Health Care, Härryda municipality, Härryda (SWE).
    Skogsberg, Johanna
    MedPro Clinic Stavre Primary Health Care Centre, Trollhättan (SWE).
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Skaraborg institute of Research and Development, Skövde (SWE);Department of Medicine, Skaraborg Hospital Skövde, Skövde (SWE) .
    Oral health plays second fiddle in palliative care: an interview study with registered nurses in home healthcare2021Ingår i: BMC Palliative Care, E-ISSN 1472-684X, Vol. 20, nr 1, artikel-id 173Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Oral health is crucial to the experience of well-being, and symptoms from the mouth are common at the end of life. Palliative care aims to identify and treat symptoms early to avoid unnecessary suffering and is thus an important part of nursing in home healthcare. The aim of this study was to illustrate the professional reflections of registered nurses about oral health amongst patients in palliative care, who are being cared for in a home healthcare setting.

    Results: The results showed oral health in end-of-life care, to be an area marked by responsibility and ethical considerations. This was seen in all four partly overlapping themes that emerged through the analysis: Oral health is easily overlooked in palliative care, Oral health is everybody’s but in reality nobody’s responsibility, Patient integrity can be an obstacle for oral health, and Focus on oral health is urgently needed. The mouth is often not included as part of the daily basic care routine, by the registered nurses and the home healthcare staff, until the patient is near end of life. Moreover, neither does the patient tell about symptoms from the mouth. The interpreted whole indicates that the registered nurses had a bad conscience about not doing what they are actually responsible for and ought to do.

    Conclusion: The oral health of patients at the end of life risks being forgotten or falling between the cracks, due to the nurses’ scattered tasks and unclear delimitations between their, and other professionals’ responsibilities. The responsibilities of registered nurses are also ethically demanding, since their intent to respect the patient’s integrity could mean that in some cases the patients does not allow them to help with oral health. To reduce the risk that oral health is overlooked, clearer demarcation and guidelines on the division of responsibilities are required. Routines that clearly implement early and recurring oral health assessments in home healthcare as well as continuing education updates on oral health and oral care are also needed.

    Ladda ner fulltext (pdf)
    BMC Palliative Care
  • 10.
    Palmryd, Lena
    et al.
    Perioperative Medicine and Intensive Care Function, Karolinska University Hospital, 171 76, Solna,Stockholm, Sweden; Ersta Sköndal Bräcke University College, Palliative Research Centre, Department of Health Care Sciences, Box 11189, 100 61, Stockholm, Sweden.
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Medicine, Skaraborg Hospital Skövde, 541 85, Skövde, Sweden.
    Godskesen, Tove E
    Ersta Sköndal Bräcke University College, Palliative Research Centre, Department of Health Care Sciences, Box 11189, 100 61, Stockholm, Sweden; Uppsala University, Centre for Research Ethics & Bioethics, Department of Public Health and Caring Sciences,BMC, Box 564, SE-751 22, Uppsala, Sweden.
    Integrity at end of life in the intensive care unit: a qualitative study of nurses' views.2021Ingår i: Annals of Intensive Care, E-ISSN 2110-5820, Vol. 11, nr 1, s. 1-10, artikel-id 23Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Integrity is a core value for delivering ethical health care. However, there is a lack of precision in defining what integrity is and how nurses understand it. In the setting of nurses caring for critically ill and dying patients in intensive care units (ICUs), integrity has not received much attention. Therefore, the aim of this study was to explore how nurses perceive and maintain the integrity of patients during end-of-life care in the ICU setting.

    METHODS: This study had a qualitative descriptive design. Data were collected using individual semi-structured interviews with 16 intensive care nurses working at ICUs in four Swedish hospitals. The data were analysed by applying qualitative content analysis.

    RESULTS: Five overall categories were explored: seeing the unique individual; sensitive to patient vulnerability; observant of patients' physical and mental sphere; perceptive of patients' religion and culture; and being respectful during patient encounters. Many nurses found it difficult to define integrity and to explain what respecting integrity entails in the daily care of dying patients. They often used notions associated with respect and patient-centred attitudes, such as listening and being sensitive or by trying to describe good care. Integrity was nonetheless seen as a central value for their clinical work and a precondition for ethical nursing practice. Some nurses were concerned about patient integrity, which is at risk of being "wiped out" due to the patient's illness/injury, unfamiliarity with the ICU environment and utter dependence on others for care. Protecting patients from harm and reducing patient vulnerability were also seen as important and a way to maintain the integrity of patients.

    CONCLUSIONS: The study results show that even though integrity is a fundamental ethical concept and a core value in nursing, ethical codes and guidelines are not always helpful in clinical situations in the end-of-life care of ICU patients. Hence, opportunities must regularly be made available for ICU nurses to reflect on and discuss ethical issues in terms of their decision-making and behaviour.

  • 11.
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Bråd död: ett viktigt begrepp i palliativ vård2016Ingår i: Omsorg: Nordisk tidsskrift for Palliativ Medisin, ISSN 0800-7489, nr 4, s. 71-76Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Bråd död – ett viktigt begrepp i palliativ vård begreppsanalys, bråd död, palliativ vård, stroke concept analysis, palliative care, stroke, unexpected sudden death Döden kommer inte alltid lugnt och stilla utan drabbar ibland plötsligt och oväntat, som en bråd död. Det oväntade och hastiga förloppet får konsekvenser för såväl patienten och de närstående som för vårdarna och vårdandet. Genom begreppsanalys har betydelsen av begreppen 'bråd' och 'död' utretts. Genom analysen ges uttrycket »bråd död« ett innehåll med hjälp av ordens betydelser. Därigenom ses konsekvenser av en bråd död samt utmaningar för vårdandet i den svåra situationen.

  • 12.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Andersson, Per
    Wester, Per
    "StrokeSverige" lär i webbaserad kompetensutbildning2018Ingår i: VILÄR Abstraktbok / [ed] Kristina Johansson, Trollhättan: Högskolan Väst , 2018, s. 4-5Konferensbidrag (Övrigt vetenskapligt)
    Abstract [sv]

    Bakgrund

    Verksamhetsintegrerat lärande omfattar lärande som sker integrerat mellan akademi och arbetsliv. Ofta är integrationen sådan att arbetslivet integreras i akademin. Det omvända är inte lika vanligt. Strokeenhetsvård är sedan 1980-talet ett internationellt evidensbaserat vårdkoncept som minskar mortalitet, institutionsboende och beroende i ADL efter stroke. För att en verksamhet ska få kalla sig strokeenhet ingår att vården ska bedrivas av ett multidisciplinärt team med expertkunnande inom stroke och rehabilitering. Strokekompetensutbildning med både teoretiska och praktiska moment som ger detta expertkunnande ges sedan av STROKE Riksförbundet och drivs lokalt. Antalet som genomgår utbildningen minskar på grund av vårdens pressadef örhållanden vilket gett svårigheter att organisera och driva utbildningen lokalt. Från centralt håll har oro uttryckts då strokekompetensen genom detta minskar vilket potentiellt leder till sämre vård. Syftet med presentationen är att visa hur lokalt drivna utbildningar i arbetslivet kan webbaseras i samarbete med akademin för att möjliggöra personalgruppers möjlighet till kompetenshöjning.

    Metod

    Utbildningen har digitaliserats för att ge förutsättningar för jämlik vård. Alla teoretiska moment har gjorts som filmade föreläsningar av personer med spetskompetens inom sitt område och en tredelad examination har tagits fram som säkerställer att utbildningen ger jämn och hög kvalitet.

    Resultat

    Utbildningen som använder det flippade klassrummet som teoretisk modell är nu en poänggivande högskoleutbildning som ges av Umeå universitet där teambased learning och constructive alignment varit ledord för uppbyggnaden. Utbildningen omfattar filmade föreläsningar, quiz och webbaserad examination som genomförs via lärplattformen, samt material för träffar där praktiska moment ingår som ordnas lokalt av respektive verksamhet, liksom material för såväl individuell examination som gruppexamination. Utöver detta finns länkar till referensmaterial samt fördjupningsmaterial.

    Diskussion

    Med noggrann planering, förankring och tydliga pedagogiska utgångspunkter kan utbildning utvecklas i samarbete mellan offentlig sektor och universitet/högskolor. Utbildningen är exempel på ett initiativ från arbetslivet där akademin är tydligt integrerad för att möjliggöra lärande för personer i arbetslivet. Genom digitaliseringen ges möjlighet för verksamheter att erbjuda personal utbildning inommer flexibla ramar och på tider som passar dem jämfört med traditionella kurser inom högre utbildning. Konceptet kan potentiellt användas för många verksamheter och visar på möjligheterna med digitalisering av högre utbildning för att nå ut till arbetslivet

  • 13.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Berg, Linda
    Institute of Health and Care Sciences, University of Gothenburg, Göteborg, Sweden.
    Communication as a Key in Creating Dignified Encounters in Unexpected Sudden Death by Stroke2018Ingår i: Palliative Medicine: A Multiprofessional Journal, ISSN 0269-2163, E-ISSN 1477-030X, Vol. 32, nr 1_suppl, s. 154-154, artikel-id P253Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Communication is present in all encounters in care and of importance to create a caring relation. A good relation between patients, next of kin and health care staff is crucial, not least in times of rapid changes in health and when questions about life and death are at stake such as in palliative care.

    Aims: The aim of this study was to illuminate communication and its meaning in unexpected sudden death with stroke as example, as experienced by next of kin and stroke team members.

    Methods: The design of the study is a secondary analysis of qualitative data as proposed by Heaton, from a project on unexpected sudden death by stroke. Material from four interview studies from the project with all in all twelve next of kin of patients who had died due to the acute stroke during hospital stay and twenty-seven stroke team members from stroke units were utilized. Data were analysed with qualitative content analysis according to Krippendorf and Baxter.

    Results: The analysis reveals communication as the foundation for care and caring. The overarching theme foundation for dignified encounters in care is built up by six themes illuminating the meaning of communication in unexpected sudden death by stroke; creating relationship, information enabling understanding, giving ground for unanimity, personalizing the patient, preconditioning for decisions and giving and experiencing support.

    Conclusions: Communication and its meaning in unexpected sudden death as experienced by next of kin and stroke team members enables dignified encounters in care. Through the next of kin knowledge about the severely ill patient, possibility to preserve and uphold absolute dignity and dignity of identity is given, expressed through respect for the patient's will and desire and derived through talks between carers andnext of kin. Communication is one key to create dignified encounters inpalliative care when unexpected sudden death occurs. It gives ground for unanimity about care and possibility to maintain and uphold dignity incare when acknowledging the next of kin familiarity with the patient.This gives ground for a person centeredness in palliative care despite the patients sever illness.

  • 14.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Medicine, Stroke Unit, Skaraborg Hospital Skövde, Skövde.
    Berg, Linda
    University of Gothenburg, Institute of Health and Care Sciences, The Sahlgrenska Academy, Gothenburg, Sweden.
    Communication, the key in creating dignified encounters in unexpected sudden death: With stroke as example2019Ingår i: Indian Journal of Palliative Care, ISSN 0973-1075, E-ISSN 1998-3735, Vol. 25, nr 1, s. 9-17Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to illuminate the communication and its meaning in unexpected sudden death with stroke as example, as experienced by stroke team members and next of kin. Subject and Methods: The study has a qualitative design. Secondary analysis of data from four previous interview studies with stroke team members; physicians, registered nurses, and enrolled nurses from the stroke units (SU) and next of kin of patients who had died due to acute stroke during hospital stay were utilized. <b>Results:</b> Communication is revealed as the foundation for care and caring with the overarching theme foundation for dignified encounters in care built-up by six themes illuminating the meaning of communication in unexpected sudden death by stroke. <b>Conclusion:</b> Communication shown as the foundation for dignified encounters in care as experienced by stroke team members and next of kin enables the patient to come forth as a unique person and uphold absolute dignity in care. Acknowledging the next of kin&#39;s familiarity with the severely ill patient will contribute to personalizing the patient and in this way be the ground for a person centeredness in care despite the patients&#39; inability to defend their own interests. Through knowledge about the patient as a person, the foundation for dignified care is given, expressed through respect for the patient&#39;s will and desires and derived through conversations between carers and next of kin.

  • 15.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Stroke unit, Skaraborg Hospital, Skövde, Sweden.
    Berg, Linda
    University of Gothenburg, Institute of Health and Care Sciences, Göteborg, Sweden.
    Creating dignified encounters in unexpected sudden death by stroke: communication as the key2018Ingår i: European Stroke Journal, ISSN 2396-9873, E-ISSN 2396-9881, Vol. 3, nr 1_suppl., s. -292, artikel-id AS13-002Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Background and Aims: Communication is present in all encounters in stroke care and of importance to create a caring relation. A good relation between patients, next of kin and health care staff is crucial, not least in unexpected sudden death by stroke. The aim of the study was to illuminate communication and its meaning in unexpected sudden death by stroke, as experienced by next of kin and stroke team members. Method: The design is a secondary analysis of qualitative data from a project on unexpected sudden death by stroke. Material from four interview studies from the project with all in all twelve next of kin of patients who had died due to the acute stroke during hospital stay and twentyseven stroke team members from stroke units were utilized. Data were analysed with qualitative content analysis. Results: The analysis reveals communication as the foundation for care and caring in acute stroke care. The overarching theme foundation for dignified encounters in care is built up by six themes illuminating the meaning of communication in unexpected sudden death by stroke. Conclusion: Communication and its meaning in unexpected sudden death by stroke as experienced by next of kin and stroke team members is one key to create dignified encounters in care when unexpected sudden death by stroke occurs. It gives ground for unanimity about care and possibility to maintain and uphold dignity in care when acknowledging the next of kin familiarity with the patient, giving ground for a person centeredness despite the patients sever illness.

  • 16.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Skaraborg Hospital Skövde, Sweden.
    Berg, Linda
    University of Gothenburg.
    Strategies for handling ethical problems in end of life care: obstacles and possibilities2015Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 22, nr 7, s. 778-789Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In end of life care, ethical problems often come to the fore. Little research is performed on ways or strategies for handling those problems and even less on obstacles to and possibilities of using such strategies. A previous study illuminated stroke team members’ experiences of ethical problems and how the teams managed the situation when caring for patients faced with sudden and unexpected death from stroke. These findings have been further explored in this study. Objective: The aim of the study was to illuminate obstacles and possibilities perceived by stroke team members in using strategies for handling ethical problems when caring for patients afflicted by sudden and unexpected death caused by stroke. Research design: A qualitative method with combined deductive and inductive content analysis was utilized. Participants and research context: Data were collected through individual interviews with 15 stroke team members working in stroke units of two associated county hospitals in western Sweden. Ethical considerations: The study was approved by the Regional Ethics Review Board, Gothenburg, Sweden. Permission was also obtained from the director of each stroke unit. Findings: All the studied strategies for handling of ethical problems were found to have both obstacles and possibilities. Uncertainty is shown as a major obstacle and unanimity as a possibility in the use of the strategies. The findings also illuminate the value of the concept “the patient’s best interests” as a starting point for the carers’ ethical reasoning. Conclusion: The concept “the patient’s best interests” used as a starting point for ethical reasoning among the carers is not explicitly defined yet, which might make this value difficult to use both as a universal concept and as an argument for decisions. Carers therefore need to strengthen their argumentation and reflect on and use ethically grounded arguments and defined ethical values like dignity in their clinical work and decisions. © 2014, © The Author(s) 2014.

  • 17.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Bråndal, Anna
    Strokecenter Umeå, Norrlands universitetssjukhus; Umeå universitet (SWE).
    von Euler, Mia
    Universitetssjukhuset Örebro; Örebro universitet. (SWE).
    Pessah-Rasmussen, Hélène
    VE Rehabiliteringsmedicin, VO neurologi, minnessjukdomar och geriatrik, Skånes universitetssjukhus, (SWE).
    Strokerehabilitering ur ett vårdkedjeperspektiv2023Ingår i: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 120, artikel-id 23060Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    Rehabilitation is a key aspect of the treatment of stroke patients, both acute and in later phases. The patients' needs varies between individuals and over time. Several skills and methods and different professionals working together in teams, as well as coordination along the entire chain of care, are required in order to meet those different needs. Early supported discharge, ESD, is recommended for patients with mild to moderate stroke. Stroke is a chronic disease requiring lifelong structured follow-up focusing not only on medical treatment but also on lifestyle, mental and physical well-being and activity and participation.

  • 18.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Danielsson, Ella
    University of Gothenburg, Sweden, Mid Sweden University, Sweden.
    Berg, Linda
    University of Gothenburg, Sweden.
    Combining Qualitative and Quantitative Content Analysis: A Way to Utilize Different Types of Data in Research of Ethical Problems in Acute Stroke Care2017Övrigt (Refereegranskat)
    Abstract [en]

    Most people who experience an acute stroke survive, but a substantial number die as a result of it. Stroke is, according to the World Health Organization, the second leading cause of death globally. Research in the area of stroke has previously been less focused on situations when patients die due to an acute stroke in favor of research on medical treatments, rehabilitation, and living with the aftermath of stroke. Research focusing on ethical problems in the care of dying patients can be found both in general and in specific care contexts such as palliative, intensive, and non-hospital care, but knowledge concerning ethical problems in the area of stroke, or arising as a result of acute stroke, was lacking. Both these subjects, death due to acute stroke and ethical problems, were combined for the first author's (Å. R.) thesis. Individual interviews with stroke team members were performed guided by their answers in a three-part form filled out before the interviews. This case study provides an account of how qualitative and quantitative content analysis was used in combination to deepen the results from the study utilizing data obtained from both the three-part forms and the interviews performed. The case highlights some challenges faced when combining the two different types of data. It also gives examples of how the analysis was performed when combining qualitative and quantitative content analysis to support and further explore data.

  • 19.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Medicine, Skaraborg Hospital Skövde, Skövde, Sweden.
    Nasic, Salmir
    Research and Development Centre, Skaraborg Hospital Skövde, Skövde, Sweden.
    Bjälkefur, Kerstin
    Department of Health and Social Care, Municipality of Lidköping, Sweden.
    Bertholds, Eric
    Department of Medicine, Skaraborg Hospital Skövde, Skövde, Sweden.
    Jood, Katarina
    The Sahlgrenska Academy at University of Gothenburg, Institute of Neuroscience and Physiology, Department of Clinical Neuroscience, Gothenburg, Sweden.
    Changes in functional outcome over five years after stroke2019Ingår i: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 9, nr 6, artikel-id e01300Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: Data on the long‐term time course of poststroke functional outcome is limited. We investigated changes in functional outcome over 5 years after stroke in a hospital based cohort.

    Materials and Methods: Consecutive patients who were independent in activities of daily living (ADL) and admitted to a Stroke Unit at Skaraborg Hospital, Sweden for a first acute stroke from 2007 to 2009 (n = 1,421) were followed‐up after 3 months and thereafter annually over 5 years using a postal questionnaire. Clinical variables at acute stroke and 3 months post stroke were obtained from the Swedish Stroke Register. ADL dependency was defined as dependence in dressing, toileting or indoor mobility.

    Results: The proportions of survivors who reported ADL dependency remained stable throughout follow‐up (19%–22%). However, among survivors who were ADL independent at 3 months, about 3% deteriorated to dependency each year. Deterioration was predicted by age (HR 1.11; 95% CI 1.08–1.13), diabetes (HR 1.65; 95% CI 1.12–2.44), NIHSS score (HR 1.07; 95% CI 1.04–1.10), and self‐perceived unmet care needs one year post stroke (HR 2.01; 95% CI 1.44–2.81). Transitions from ADL dependency to independence occurred mainly during the first year post stroke. Improvement was negatively predicted by living alone before stroke (HR 0.41 95% CI 0.19–0.91), NIHSS score (HR 0.90; 95% CI 0.86–0.95) and ischemic stroke (vs. hemorrhagic stroke), HR 0.39; 95% CI 0.17–0.89.

    Conclusion: Transitions between ADL independence and dependency occur up to 5 years after stroke. Some of the factors predicting these transitions are potentially modifiable

  • 20.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Nordin, Per
    The Skaraborg Institute for Research and Development, Skövde, Sweden..
    Forsgren Gebring, Susanne
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Sundell, Yvonne
    Västra Götalandsregionen.
    Sjuksköterskestudenters närvaro vid läraktiviteter i relation till hur de klarar kursexaminationer2016Ingår i: ViLär 8-9 december 2016, Vänersborg / [ed] Kristina Johansson, 2016Konferensbidrag (Övrigt vetenskapligt)
  • 21.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Stroke Unit, Skaraborg Hospital, 541 85 Skövde, Sweden.
    Nordin, Per
    The Skaraborg Institute for Research and Development, Skövde, Sweden.
    Forsgren, Susanne
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Sundell, Yvonne
    Högskolan Väst, Institutionen för hälsovetenskap.
    Rudolfsson, Gudrun
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Nord University, Faculty of Professional Studies, Bodø, Norway.
    Nursing students’ attendance at learning activities in relation to attainment and passing courses: a prospective quantitative study2017Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 50, nr March, s. 36-41Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background

    Students' motivation and ways of engaging in their schoolwork are important for their performance, including passing exams. Attendance at learning activities has also been argued to be of major importance, although no causal relationship with passing exams has been established in nursing education.

    Objectives

    The aim of this study was to describe the impact of attendance at nonmandatory learning activities on attainment, in terms of passing or failing of exams, in nursing education courses including both mandatory and non-mandatory activities.

    Design

    A prospective quantitative design.

    Setting

    The nursing education programme at a Swedish university.

    Participants

    Nursing students (n = 361) from two courses and four classes within the nursing programme.

    Methods

    Attendance was registered at every non-mandatory teaching activity by asking the students to note their attendance on a list. Data such as sex, age, and whether the students had passed the exam were also collected for each course and each semester separately.

    Results

    Increased participation was associated with an increasing proportion of students passing the exam. The chance of passing the exam increased by 13% for every additional learning occasion attended. Logistic regression showed an OR of 5.4 for an attendance of 100%.

    Conclusions

    An increase in attendance gave a higher proportion of exam passes. Encouraging students to attend non-mandatory learning activities could be of value, and potentially contribute to an increased graduation rate for nursing students.

  • 22.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Skaraborg Hospital Skövde, Sweden.
    Silfverberg, Gunilla
    Ersta Sköndal University College, Stockholm, Sweden.
    Ternestedt, Britt-Marie
    Ersta Sköndal University College, Stockholm, Sweden.
    Reasoning about truth-telling in end-of-life care of patients with acute stroke2017Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, nr 1, s. 100-110Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Ethical problems are a universal phenomenon but rarely researched concerning patients dying from acute stroke. These patients often have a reduced consciousness from stroke onset and thereby lack ability to convey their needs and could be described as 'incompetent' decision makers regarding their own care. OBJECTIVE: The aim of the study was to deepen the understanding of stroke team members' reasoning about truth-telling in end-of-life care due to acute stroke. RESEARCH DESIGN: Qualitative study based on individual interviews utilizing combined deductive and inductive content analysis. PARTICIPANTS AND RESEARCH CONTEXT: A total of 15 stroke team members working in stroke units of two associated county hospitals in western Sweden participated. ETHICAL CONSIDERATIONS: The study was approved by the Regional Ethics Review Board, Gothenburg, Sweden. FINDINGS: The main findings were the team members' dynamic movement between the categories 'Truth above all' and 'Hide truth to protect'. Honesty was highly valued and considered as a reason for always telling the truth, with the argument of truth as common morality. However, the carers also argued for hiding the truth for different reasons such as not adding extra burden in the sorrow, awaiting a timely moment and not being a messenger of bad news. Withholding truth could both be seen as a way of protecting themselves from difficult conversations and to protect others. DISCUSSION: The results indicate that there are various barriers for truthfulness. Interpreted from a virtue of ethics perspective, withholding of truth might also be seen as an expression of sound judgement to put the patient's best interest first. CONCLUSION: The carers may need support in the form of supervision to be given space to reflect on their experience and thereby promote ethically justified care. Here, the multi-professional team can be of great value and contribute through inter-professional sharing of knowledge.

  • 23.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Skaraborg Hospital Skövde, Sweden.
    Ternestedt, Britt-Marie
    Ersta Sköndal Bräcke University College, Sweden.
    Nordenfelt, Lennart
    Ersta Sköndal Bräcke University College, Sweden.
    Silfverberg, Gunilla
    Ersta Sköndal Bräcke University College, Sweden.
    Godskesen, Tove E
    Ersta Sköndal Bräcke University College, Sweden; Uppsala University, Sweden.
    Dignity at stake: Caring for persons with impaired autonomy2020Ingår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 27, nr 1, s. 104-115Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Dignity, usually considered an essential ethical value in healthcare, is a relatively complex, multifaceted concept. However, healthcare professionals often have only a vague idea of what it means to respect dignity when providing care, especially for persons with impaired autonomy. This article focuses on two concepts of dignity, human dignity and dignity of identity, and aims to analyse how these concepts can be applied in the care for persons with impaired autonomy and in furthering the practice of respect and protection from harm. Three vignettes were designed to illustrate typical caring situations involving patients with mild to severely impaired autonomy, including patients with cognitive impairments. In situations like these, there is a risk of the patient's dignity being disrespected and violated. The vignettes were then analysed with respect to the two concepts of dignity to find out whether this approach can illuminate what is at stake in these situations and to provide an understanding of which measures could safeguard the dignity of these patients. The analysis showed that there are profound ethical challenges in the daily care of persons with impaired autonomy. We suggest that these two concepts of human dignity could help guide healthcare professionals to develop practical skills in person-centred, ethically grounded care, where the patient's wishes and needs are the starting point.

  • 24.
    Rejnö, Åsa
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Wester, Per
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin..
    Andersson, Per
    Umeå universitet, Umeå universitetsbibliotek (UB), Universitetspedagogik och lärandestöd (UPL).
    WebbSKU – Nätbaserad nationell stroketeamutbildning2020Konferensbidrag (Refereegranskat)
    Abstract [en]

    Stroke är en folksjukdom som drabbar 25000 svenskar årligen. Vårdkedjan innefattar omhändertagande före ankomst till sjukhus, under sjukhusvistelse samt efter utskrivning och sköts av interdisciplinära team. En utmaning är det stora behovet av kunskap hos all personal, speciellt i senare skede. Hösten 2018 sjösattes därför en ny nationell utbildning utvecklad för alla strokevårdsteam i Sverige. Den tidigare utbildningen som genomfördes lokalt på många enheter var mycket resurskrävande, hade en trend av minskat deltagande och spretigt innehåll samt skilde sig avseende examinationen (Rejnö, 2016) Målbilden för utbildningen, benämnd WebbSKU (WebbStrokeKompetensUtbildning, 2020) som ges som uppdragsutbildning (3,0 hp) inom Umeå universitet, var att öka antalet deltagare, säkra kvaliteten samt göra utbildningen nationellt enhetlig. Utbildningen skulle även vara lättillgänglig och flexibel samt stärka teamkänslan. En nationell grupp bildades som enades om kursinnehåll och en mindre grupp som arbetade med genomförandet. Tydliga pedagogiska utgångspunkter var centralt. Med utgångspunkt i konstruktiv länkning har det flippade klassrummet använts genomgående. Utbildningen ska pågå under minst ett år och ske parallellt med arbete i den egna strokeverksamheten. De teoretiska delarna sker via nätet som förberedelse för kursens fyra obligatoriska teamträffar där teambaserat lärande är den pedagogiska utgångspunkten. Deltagarna ska komma förberedda och bearbeta olika problem gemensamt i teamet (Michaelsen &amp; Sweet, 2008). För produktion av kursmaterial inbjöds expertis från hela strokekedjan. Totalt producerades 66 filmer omfattande totalt ca 700 minuter film med tillhörande flervalsfrågor som instuderings- och examinationsfrågor. För teamträffarna skapades case, diskussionsfrågor samt praktiska övningar. Examinationen består av tre delar. En del sker i form av ett individuellt test i kursens webbplattform. De två andra delarna sker under sista fysiska sammankomsten; individuell skriftlig examination samt teamexamination. Aktivt deltagande vid de fysiska teamträffarna krävs. Kursen har nu drygt 1000 deltagare från sjukhusens strokeenheter, primärvård och kommun spridda över landet och 300 har slutfört utbildningen. Utbildningens pedagogiska upplägg har utvärderats med gott resultat. Framgångsfaktorer har varit att innehåll, genomförande och pedagogiska utgångspunkter varit tydliga. Kanske mest centralt har varit att det funnits nyckelpersoner som drivit processen framåt och lyckats förankra arbetet i alla led. Svårigheterna var att enas om gemensamt innehåll passande för samtliga yrkeskategorier samt att skapa en struktur för hur materialet ska produceras på enhetligt sätt. Lärdomarna är att med bra förankring och planering samt tydliga pedagogiska utgångspunkter är det fullt möjligt att ta fram en helt ny flexibel nationell utbildning som bygger på en tydlig idé om arbetsintegrerat lärande både i framtagande och genomförande.

  • 25.
    Seitl, Camilla
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avdelningen för psykologi, pedagogik och sociologi.
    Rejnö, Åsa
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Marketing of educational programs: a study of Swedish universities through presented images2022Ingår i: Journal of Marketing for Higher Education, ISSN 0884-1241, E-ISSN 1540-7144, s. 1-19Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Marketing of higher education through images sends a messageabout the targeted audience. Our aim was to investigate normsand representation in marketing images on the websites of higher education institutions. Critical visual methodology was used to study images from Swedish higher education programs in engineering, economics, and nursing. The results show are production of already existing notions on societal norms and educational structure,  i.e. that typical male-  and  female-dominated programs are still cemented in their thinking about the students targeted. Present study show that there is a potentially untapped opportunity to influence future inequality in both the labor market and in higher education  throughmarketing. Imaging in marketing of higher education should therefore be well thought through and permeated by the pursuit of diversity in visual representations, so that stereotypical and norm-preserving images are avoided. Images that are more inclusive and show a greater variety of motif are needed.

    Ladda ner fulltext (pdf)
    fulltext
1 - 25 av 25
RefereraExporteraLänk till träfflistan
Permanent länk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf