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  • 1.
    Aasen, Elin M.
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Nilsen, Halvard K.
    Clinic of Cancer and Rehabilitation, Møre og Romsdal Hospital Trust, Aalesund (NOR).
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Helberget, Lindis K.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    Kjelsvik, Marianne
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Ålesund (NOR).
    From open to locked doors - From dependent to independent: Patient narratives of participation in their rehabilitation processes2021Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 30, nr 15-16, s. 2320-2330Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIMS AND OBJECTIVES: The present study aimed to explore patients' experiences of participating in their rehabilitation process in the context of specialised rehabilitation in Norway.

    BACKGROUND: The rights of patients to participate in their care and treatment is an ideology that underlines newer international and Norwegian public documents. However, there is a gap between policy statements and clinical practice, and a discrepancy between patients' and professionals' statements about patient participation in rehabilitation.

    DESIGN: A qualitative approach with a narrative design.

    METHODS: Eleven patients were individually interviewed to tell their stories about the rehabilitation processes. We utilised narrative analysis with a three-dimensional space narrative structure including temporality, sociality and spatiality. This study followed the COREQ checklist.

    RESULTS: The analysis identified two throughout plots: 'person-centred culture' and 'time', and three plots which constructed how the patients participate in change through the rehabilitation process: (a) dependent-'open doors'; (b) motivation from within; and (c) independence-'locked doors'.

    CONCLUSIONS: Patient participation in rehabilitation was dependent on person-centred cultures in the unit and on different aspects of time. The dialogue and the power balance between the patients and the health personnel changed as the rehabilitation progressed. Motivation for rehabilitation had to come from within patients. The paternalistic ideology did not seem to dominate the specialised rehabilitation unit in the present study.

    RELEVANCE TO CLINICAL PRACTICE: This study gives new insight into how patients participate in change in the rehabilitation process. This can be valuable for healthcare professionals and governments. Insight into how the lack of person-centred focus can harm the rehabilitation process, and a deeper understanding of the meaning of time in the rehabilitation process is essential. These results may provide a stimulus for discussions on how patients might participate in their rehabilitation process.

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    Wiley
  • 2.
    Aasen, Elin Margrethe
    et al.
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Dahl, Berit Misund
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Ottesen, Aase Marie
    Aalborg University (DNK).
    Strunck, Jeanne
    Aalborg University (DNK).
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Vestgarden, Lisbeth Alnes
    Department of Health Sciences in Aalesund, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology (NOR).
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Health Sciences, Rehabilitation Science, Mid Sweden University.
    Scandinavian Online Cancer Information as Expressions of Governmentality2023Ingår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 46, nr 3, s. 293-305Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    We compared online distributed information provided to patients with cancer in Scandinavian countries through the lens of governmentality. A secondary comparative qualitative analysis was conducted. Discourses in online patient information showed differences in governmentality techniques across the countries: Norway used a paternalist approach, Denmark an educative approach, and Sweden an individualistic approach and expected the patients to make the “right” decisions. Online information for patients with cancer in Denmark and Norway showed high professional and health care system involvement, whereas in Sweden, there was high patient involvement. There was almost no use of the person-centered approach among the online discourses

  • 3.
    Anberg Högeryd, Susanne M.
    et al.
    NU-sjukvården, Trollhättan.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet2014Ingår i: International Journal of Nursing and Midwifery, E-ISSN 2141-2456, Vol. 6, nr 2, s. 16-23Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Obstetric units have become larger, with patients being knowledgeable and demanding. Also, established team works at maternity wards require that midwives are secure in their role. A descriptive study with a phenomenological approach was used. A maternity unit in a hospital located in Western Sweden was chosen. Five expert midwives with vast experience of obstetric care who worked in a maternity unit were interviewed. Data were collected by audio-taped interviews. The data were analysed by means of Giorgi’s phenomenological method. The results showed that security was constituted by an inherent sense of security as well as confidence in self and in life. Education and practical group training in the workplace provided theoretical knowledge and practical experience. Support for others in the working team and open communication also constituted security. Also, clear leadership, guidelines and routines provided a framework and had a positive effect on expert midwives’ sense of security. When security was absent, midwife became worried, the joy and harmony diminished. In order to ensure midwife security and ultimately safe patient care, it was important to allow time for rest, to reflect on and evaluate their work. Expert midwives can create the prerequisites for their professional security. Several constituents combine to shape midwives’ sense of professional security; an inherent sense of security, own knowledge and experience, team collaboration, visible and clear leadership.

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  • 4.
    Berggren, Ingela
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ho, Agnes Yin Kwan
    Diabetes empowerment related to Pender's Health Promotion Model: A meta-synthesis2010Ingår i: Nursing & Health Sciences, ISSN 1441-0745, Vol. 12, nr 2, s. 259-267Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Diabetes self-management is a challenge for both clients and health-care professionals. Empowerment plays a vital role in helping clients to achieve successful self-management. This study adopted a meta-ethnographic approach. Nine qualitative studies were synthesized in order to contribute to a deeper understanding of what clients perceive as being important in an effective empowerment strategy for diabetes self-management. Four central metaphors that influenced empowerment were identified: trust in nurses' competence and awareness, striving for control, a desire to share experiences, and nurses' attitudes and ability to personalize. The lines-of-argument synthesis suggested the need for an evaluation system to appraise clients' diabetes knowledge, health beliefs, and negative emotions, as well as the outcome of interventions. Based on Pender's Health Promotion Model, this study emphasizes the fact that health-care professionals need to understand and address modifiable behavior-specific variables. The study suggests that an effective empowerment strategy would be to use activity-related affect, as well as interpersonal and situational influences, as a means of facilitating and enhancing clients' health-promoting behaviors.

  • 5.
    Bergh, Anne-Louise
    et al.
    University of Borås.
    Friberg, Febe
    University of Stavanger.
    Persson, Eva
    Lund University.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Perpetuating ‘New Public Management’ at the expense of nurses’ patient education: a discourse analysis2015Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 22, nr 3, s. 190-201Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study aimed to explore the conditions for nurses’ daily patient education work by focusing on managers’ way of speaking about the patient education provided by nurses in hospital care. An explorative, qualitative design with a social constructionist perspective was used. Data were collected from three focus group interviews and analysed by means of critical discourse analysis. Discursive practice can be explained by the ideology of hegemony. Due to a heavy workload and lack of time, managers could ‘see’ neither their role as a supporter of the patient education provided by nurses, nor their role in the development of nurses’ pedagogical competence. They used organisational, financial, medical and legal reasons for explaining their failure to support nurses’ provision of patient education. The organisational discourse was an umbrella term for ‘things’ such as cost-effectiveness, which were prioritised over patient education. There is a need to remove managerial barriers to the professional development of nurses’ patient education. Managers should be responsible for ensuring and overseeing that nurses have the prerequisites necessary for providing patient education as well as for enabling continuous reflective dialogue and opportunities for learning in practice.

  • 6.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Pennbrant, Sandra ()
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Work-integrated learning as a pedagogical tool to integrate theory andpractice in nursing education: An integrative literature revie2020Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 42, artikel-id 102685Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    It can be challenging for nursing students to navigate between theory and practice and to implement theoretical knowledge in real work situations and vice-versa.Work-integrated learning can support the students by enabling them to combine theoretical studies with practical work experience during their clinical placement.The aim of this integrative literature review was to identify models for the integration of theory and practice during clinical placements in nursing education by usingwork-integrated learning. Sixteen articles were found and analyzed using an integrative review method. Three themes were identified: 1) Supervisor support toenable students to develop a professional identity 2) Variety of modalities for teaching and 3) Collaboration between academic lecturers and clinical supervisorsaimed at integrating theoretical and practical knowledge. Work-integrated learning enables students to integrate theory and practice, develop skills for knowledge-inpractice and prepares them for working life. It also supports the sharing of experiences between various healthcare professionals. This review identified a need forfurther research on work-integrated learning as a method for enhancing nursing students’ workplace learning.

  • 7.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap NHV.
    Dahlborg-Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Swedish pediatric diabetes teams' perception of fathers' involvement: A Grounded Theory study2013Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 15, nr 2, s. 179-185Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this study was to analyze how Swedish pediatric diabetes teams perceived and discussed fathers' involvement in the care of their child with type 1 diabetes. It also aimed to discuss how the teams' attitudes towards the fathers' involvement developed during the data collection process. The Constructivist Grounded Theory design was used and data were collected during three repeated focus group discussions with three Swedish pediatric diabetes teams. The core category of the teams' perception of fathers' involvement emerged as: If dad attends, we are happy – if mom doesn't, we become concerned. Initially the teams balanced their perception of fathers' involvement on the mother's role as the primary caregiver. In connection with the teams' directed attention on fathers, in the focus group discussions, the teams' awareness of the importance of fathers increased. As a consequence, the team members began to encourage fathers' engagement in their child's care. We conclude that by increasing the teams' awareness of fathers as a health resource, an active health promotion perspective could be implemented in pediatric diabetes care.

  • 8.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordic School of Public Health, Gothenburg.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Parents' discursive resources: Analysis of discourses in Swedish, Danish and Norwegian health care guidelines for children with diabetes type 12012Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, nr 2, s. 363-371Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The incidence of diabetes type 1 in children, the most common metabolic disorder in childhood, increases worldwide, with highest incidence in Scandinavia. Having diabetes means demands in everyday life, and the outcome of the child's treatment highly depends on parents' engagement and involvement. The aim of this study was to explore and describe discourses in health care guidelines for children with diabetes type 1, in Sweden, Norway and Denmark during 2007-2010, with a focus on how parents were positioned. As method a Foucauldian approach to discourse analysis was applied, and a six-stage model was used to perform the analysis. The findings shows a Medical, a Pedagogic and a Public Health discourse embedded in the hegemonic Expert discourse. The Expert discourse positioned parents as dependent on expert knowledge, as recipients of education, as valuable and responsible for their child's health through practicing medical skills. This positioning may place parents on a continuum from being deprived of their own initiatives to being invited to take an active part and could result in feelings of guilt and uncertainty, but also of security and significance. From this study we conclude that guidelines rooted in the Expert discourse may reduce opportunities for parents' voices to be heard and may overlook their knowledge. By broadening the selection of authors of the guidelines to include patients and all professionals in the team, new discourses could emerge and the parents' voice might be more prominent. © 2011 The Authors. Scandinavian Journal of Caring Sciences © 2011 Nordic College of Caring Science.

  • 9.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    The reasonable patient: A Swedish discursive construction2021Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 28, nr 3, artikel-id e12401Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to analyse how the patient is constructed and socially positioned in Swedish patient information. Corpus-assisted critical discourse analysis methodology was utilised on a sample of 56 online patient information texts about cancer containing a total of 126,711 words. The findings show an overarching discourse of informed consent guided by specific features to produce a patient norm that we name “the reasonable patient”, who is receptive to arguments, emotionally restrained and makes decisions based on information. Through the discourse of informed consent, the norm of the reasonable patient emerges, apparently to even out the imbalance of power between patient and professional, but in reality, more likely to construct a patient who is easily controlled and managed. When the self-responsibility towards health is incorporated into the everyday domestic spaces via digital health technologies, the ideas and concepts of the patient role need to be reconsidered based on these new conditions. We conclude that it is important for nursing researchers to broaden the research on patients to include the relationship of power created through language. This study demonstrates both methodological and empirical possibilities to do so

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  • 10.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordiska högskolan för folkhälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Borup, Ina
    Nordiska högskolan för folkhälsovetenskap.
    Hanås, Ragnar
    Uddevalla Hospital.
    If dad comes, we are happy - if mom fails to appear, we become desperate: A Grounded Theory study of Swedish diabetes teams perecption of fathers’ involvement in their child's everyday life2011Ingår i: 4th International Research Seminar on SALUTOGENESIS and meeting of the IUP-GWG-SAL: May 30-31, 2011, University West, Trollhättan, Sweden, 2011, s. 1-12Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: Since parental involvement is essential to the outcome of diabetes type 1 treatment in childhood and high paternal engagement in everyday life promote the child's health, it is of value to explore how professionals, the diabetes teams (DT), perceive fathers' involvement in their child with diabetes type 1.

    Method: The study design was Constructivist Grounded Theory and data was collected by Repeated Focus Groups discussions with three Swedish pediatric diabetes teams, between May 2010 and January 2011.

    Results: The core category for the diabetes teams' perception of fathers' involvement was If dad comes, we are happy – if mom fails to appear, we become desperate. The core category relied on three subcategories. Societal and cultural context where DTs perceived fathers involvement as having specific properties and specific areas of responsibility, Balancing where the DTs balanced the father's involvement against the mother's engagement and Becoming aware where the DTs raised awareness of the fathers from being a indistinct parents-unit till to identify and appreciate the father's engagement.

    Conclusions: Perceiving fathers as equal caregivers, and becoming aware of fathers as a health resource, could support an active health promotion perspective in pediatric diabetes care. 

  • 11.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordic School of Public Health NHV, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers' encounter of support from paediatric diabetes teams: the tension between general recommendations and personal experience2013Ingår i: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524, Vol. 21, nr 3, s. 263-270Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose of this grounded theory study was to explore and discuss how fathers involved in caring for a child with type 1 diabetes experienced support from Swedish paediatric diabetes teams (PDTs) in everyday life with their child. Eleven fathers of children with type 1 diabetes, living in Sweden and scoring high on involvement on the Parental Responsibility Questionnaire, participated. Data were collected from January 2011 to August 2011, initially through online focus group discussions in which 6 of 19 invited fathers participated. Due to high attrition, the data collection continued in eight individual interviews. A semi-structured interview guide was used, and the fathers were asked to share experiences of their PDT's support in everyday life with their child. A simultaneous and constant comparison approach to data collection and analysis allowed the core category to emerge: the tension between general recommendations and personal experience. This core category illuminates how the fathers experienced tension between managing their unique everyday life with their child and balancing this to meet their PDT's expectations with regard to blood glucose levels. The core category was supported by two categories: the tension between the fathers'and their PDT's knowledge, whereby fathers reported discrepancies between their PDT's medical knowledge and their own unique knowledge of their child; and the tension between the fathers'and their PDT's goals, whereby the fathers identified differences between the familys' and their PDT's goals. As a dimension of the core category, fathers felt trust or distrust in their PDT. We conclude that to achieve high-quality support for children with diabetes and to enhance their health and well-being, involved fathers' knowledge of their unique family situation needs to be integrated into the diabetes treatment.

  • 12.
    Boman, Åse
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Povlsen, Lene
    Nordic School of Public Health, Gothenburg.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Hanas, Ragnar
    Department of Pediatrics, NU Hospital Group, Uddevalla Hospital, Uddevalla.
    Borup, Ina
    Nordic School of Public Health NHV, Gothenburg.
    Fathers of Children With Type 1 Diabetes: Perceptions of a Father's Involvement From a Health Promotion Perspective2014Ingår i: Journal of Family Nursing, ISSN 1074-8407, E-ISSN 1552-549X, Vol. 20, nr 3, s. 337-354Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes how fathers of children diagnosed with type 1 diabetes understand their involvement in their child's daily life from a health promotion perspective. Sixteen Swedish fathers of children living with type 1 diabetes were interviewed. Manifest and latent content analysis was used to identify two themes: the inner core of the father's general parental involvement and the additional involvement based on the child's diabetes. The former was underpinned by the fathers' prioritization of family life and the fathers being consciously involved in raising the child, and the latter by the fathers promoting and controlling the child's health and promoting and enabling the child's autonomy. The results highlight that the quality of the fathers' involvement is essential in the management of a child's chronic illness. It is important for pediatric diabetes health care professionals to assess the quality of fathers' involvement to promote the child's health.

  • 13.
    Brämberg, Elisabeth Björk
    et al.
    University of Gothenburg, The Sahlgrenska Academy, Institution of Health and Care Sciences,.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Määttä, Sylvia
    Centre for Gender Equal Care, Göteborg, .
    Lack of individualized perspective: A qualitative study of diabetes care for immigrants in Sweden2012Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Vol. 14, nr 2, s. 244-249Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study describes the care provided by a diabetes nurse specialist, and the care needs expressed by people with type 2 diabetes mellitus and an immigrant background. Clinical encounters between a diabetes nurse specialist and 10 people diagnosed with type 2 diabetes mellitus were observed and analyzed by means of qualitative content analysis. One theme, "the diabetes nurse specialist as the conductor of the visit", and four categories emerged from the findings, illustrating the power imbalance between the patients and the diabetes nurse specialist, as well as the lack of an individual perspective. Shifting from a medical perspective to one of openness towards the people's experiences provides a possibility for caregivers to empower patients suffering from type 2 diabetes mellitus. The medical perspective seemed to steer the visit towards curative activities. Thus, technique-centered care should be developed by including individualized care. © 2012 Blackwell Publishing Asia Pty Ltd.

  • 14.
    Castillo, Ivan Andrés
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Arveklev Höglund, Susanna
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen for hälsopromotion och vårdvetenskap.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    When nursing education becomes political: Norm-critical perspectives in a campus-based clinical learning environment2023Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Nursing education is in the process of incorporating critical thinking, social justice, and health inequality perspectives into educational structures, aspiring to help nursing students develop into professional nurses prepared to provide equal care. Norm criticism is a pedagogical philosophy that promotes social justice. This qualitative case study aimed to gain an understanding of and elaborate on an educational development initiative in which norm criticism was incorporated into the composition of a new campus‐based clinical learning environment for nursing education. By analyzing documents and interviews with the help of reflexive thematic analysis three themes were generated: “Intention to educate beyondnursing education,” “Educating in alliance with society,” and “The educative ambiguity of the Clinical Learning Centre. ”The case study indicates that the incorporation of norm criticism into a campus‐based clinical learning environment may encourage nursing students to evolve social skills for nursing practice that support health equality within healthcare. By collaborating with society, nursing education can considerably improve its educational frameworks in alignment with societal demands. However, the inclusion of norm criticism in a setting such as a campus‐based clinical learning environment entails a clash with established institutionalized norms and being perceived as too proximate to politics.

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  • 15.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Att bli sjuksköterska: en introduktion till yrke och ämne2019Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
  • 16.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Att vårda i en normmedveten miljö2022Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, s. 261-286Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 17.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    I backspegeln: en historisk återblick2019Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg, Elisabeth, Lund: Studentlitteratur AB, 2019, 3., s. 43-68Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 18.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Department of Health Sciences in Åalesund, NTNU, Trondheim (NOR).
    Learning in the Third Room-A Way to Develop Praxis by Embracing Differences Between Theoretical and Practical Knowledge2022Ingår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 45, nr 2, s. E48-E55Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Contradictions between theory and practice are well known in nursing. To this end, this article discusses a learning strategy that might facilitate the capture of the dialectic between theory and practice, equally valid components of a nurse's competence, giving the 2 forms of knowledge equal relevance. Using a virtual platform (ie, the "third room") decreases the power order between different forms of knowledge. Nurses, students, and teachers all contribute to a seminar using nonhierarchical structures and concepts to capture the knowledge that enables to learn the praxis of nursing.

  • 19.
    Dahlborg, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Sjuksköterskan, vem är det?2019Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Elisabeth Dahlborg, Lund: Studentlitteratur AB, 2019, 3., s. 23-42Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 20.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Eriksson, Henrik
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Encircling discourses: A guide to critical discourse analysis in caring science2023Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    The aim of this article was to introduce Fairclough's critical discourse analysis (CDA) in caring and nursing science, to provide a guide on how to perform such an analysis, and to describe the wider context of discourse epistemology.

    Design

    The article is designed as a methodological paper, including (a) epistemological roots of discourse analysis, (b) an overview of discourse analytical research within caring and nursing science which points out an increased trend, and (c) a guide to conducting a CDA.

    Analysis

    It is important that discourse analysis is available and accessible to nursing and caring researchers. Through the process of encircling discourses, valuable insight is given into fields that otherwise would be lost or would not be available.

    Conclusion

    Our summary stance is that discourse analysis as it is presented in this article is strongly advisable for use in nursing and caring sciences.

    Ladda ner fulltext (pdf)
    fulltext
  • 21.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lau, M.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    En introduktion till normer och jämlik vård2022Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg, E. & Tengelin, E., Lund: Studentlitteratur , 2022, s. 23-49Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 22.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, EllinorMittuniversitetet, Östersund.
    Jämlik vård: normmedvetna perspektiv2022Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
  • 23.
    Dahlborg, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Aasen, Elin
    Norwegian University of Science and Technology, Trondheim, Norway (NOR).
    Strunck, Jeanne
    Aalborg University, Aalborg, Denmark (DNK).
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Ottesen, Aase Marie
    Aalborg University, Aalborg, Denmark (DNK).
    Dahl, Berit Misund
    Norwegian University of Science and Technology, Trondheim, Norway (NOR).
    Helberget, Lindis Kathrine
    Norwegian University of Science and Technology, Trondheim, Norway (NOR).
    Lassen, Inger
    Aalborg University, Aalborg, Denmark (NOR).
    The struggle between welfare state models and prevailing healthcare policy in Scandinavian healthcare legislative documents2021Ingår i: International Journal of Health Governance, ISSN 2059-4631, nr 1, s. 51-64Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose

    The paper aims to compare and discuss the findings of discursive constructions of patients in legal texts from the three Scandinavian countries. Since traditional welfare state systems in Scandinavia are being challenged by new governance systems, new questions are being raised about patient positions and agency, carrying with them potential ethical dilemmas for healthcare professionals.

    Design/methodology/approach

    The methodology of the paper is inspired by critical discourse analysis. Comprehensively analysing the findings of previous discourse studies on how "the patient" is constructed in central policy texts, this study compares the position of the patient in Norway, Sweden and Denmark.

    Findings

    The paper reveals ideological struggles across the Scandinavian countries, operating at a political level, a legislative level and a healthcare level. It is shown that national governance systems still exert hegemonic power by strongly influencing patients' degree of choice and autonomy. The discursive struggle between welfare state governance and other governance systems in Scandinavia indicates a shift towards a commercial healthcare market although a traditional welfare model is advocated by professionals and researchers

    Research limitations/implications

    Because of the specific conditions of Scandinavian healthcare policy, the findings lack generalisability. The research approach should therefore be explored further in additional contexts.

    Practical implications

    The findings of this study can inform policymakers, professionals and patients of the ideological values underlying seemingly objective shifts in national policy.

    Originality/value

    A comparative critical discourse analysis can expose patterns in the Scandinavian approaches to patient rights.

  • 24.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Att analysera berättelser (narrativer)2012Ingår i: Dags för uppsats: Vägledning för litteraturbaserade examensarbeten / [ed] Friberg Febe, Lund, 2012, 2, s. 162-173Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 25.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Att analysera diskurser2012Ingår i: Dags för uppsats: Vägledning för litteraturbaserade examensarbeten / [ed] Friberg, Febe, Lund, 2012, 2, s. 145-160Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 26.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Att bli sjuksköterska: en introduktion till yrke och ämne2010Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
  • 27.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Att bli sjuksköterska: en introduktion till yrke och ämne2014Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
  • 28.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    I backspegeln: en historisk återblick2010Ingår i: Att bli sjuksköterska : en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, s. 39-57Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 29.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Kunskap, kunskapsanvändning och kunskapsutveckling2012Ingår i: Dags för uppsats: Vägledning för litteraturbaserade examnensarbeten / [ed] Friberg, Febe, Lund: Studentlitteratur AB, 2012, 2, s. 23-36Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 30.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Praxis i vårdvetenskap2010Ingår i: Lärande i och för det nya arbetslivet / [ed] Lagrosen, Stefan, Lundh Snis, Ulrika, Nehls, Eddy, Lund: Studentlitteratur , 2010, 1, s. 139-154Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 31.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Preoperative Information Provided to Swedish and Immigrant Patients Before Total Hip Replacement2012Ingår i: Medicinski arhiv, ISSN 0350-199X, E-ISSN 1986-5961, Vol. 66, nr 6, s. 399-404Artikel i tidskrift (Refereegranskat)
    Abstract [en]

     Background: Total hip replacement is an operation that usually leads to pain  relief and improved health related quality of life (HRQoL). Previous studies have demonstrated the importance of information about upcoming surgery.

    Therefore, it was of interest to study how both immigrants, whose first language was not Swedish, and Swedish patients described pre-operative information.

    Material and methods:

    Individual interviews were conducted with 10 immigrants and 10 Swedish participants. The data were analysed using qualitative content analysis. The study was carried out in western Sweden from March to November 2010.

    Results:

    The findings revealed that pre-operative information for all patients undergoing elective total hip replacement was limited. Patients from both groups expressed concern about inadequate  preoperative information pertaining to the surgery, implant selection, pain relief, choice of anaesthesia, no or too short a time to put questions to the surgeon and an overall stressful situation.

    Conclusions: Adequate preoperative information is important for optimising pain relief and shortening the hospital stay. The fact that the patients overwhelmingly rated the preoperative information as inadequate may be due to several reasons. Mental distress and the two-week interval between the time when the patient received the information and the operation might have contributed to the low degree of retention.

  • 32.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sjuksköterskan, vem är det?2010Ingår i: Att bli sjuksköterska: en introduktion till yrke och ämne / [ed] Dahlborg Lyckhage, Elisabeth, Lund: Studentlitteratur , 2010, 1, s. 21-37Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 33.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Vårdandets normer: minskat handlingsutrymmer för vårdare och patient2015Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar & Tengelin, Ellinor, Lund: Studentlitteratur , 2015, s. 61-77Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 34.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Boman, Åse
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Analysis of discourses in a health care context2010Ingår i: Challenging the Boundaries, Vancouver, Canada, 3-5 October 2010, 2010Konferensbidrag (Refereegranskat)
    Abstract [en]

    Abstract

    To develop nursing as a critical normative science (Kirkevold, 2009), a description of the various care areas and different health phenomena is needed. This is being done on the basis of various qualitative methods´; hence within nursing discourse analysis is used to a limited extent. The aim of this paper is to exemplify phenomenon and topics within nursing that have been studied by using discourse analysis. The examples are from studies conducted during the previous years by the authors. Discourses within palliative care based on documents and observations (2009), nursing as a subordinated profession, based on media analysis (2009), and an ongoing study about discourses within care of children with diabetes based on policy documents in the Nordic countries.

    Discourse analysis provides data, such as interviews, actions and documents to be analyzed in a broader system of knowledge (Wilkinson & Kitzinger, 2000., Lupton, 1993). A discourse is a “systems of thought and systematic ways of carving out reality and is composed by structures of knowledge that influences systems of practice” (Chambon, 1999). All discourses are textual and an inter-textual drawing upon other texts, contextually embedded in historical political and cultural settings. A given text also transforms in a manner that is socially constrained and conditional upon relations of power (Foucault 1979). As Bacchi (2005) urges it is possible to adopt a more comprehensive dual-focus agenda in discourse analysis, taking into account the dual movement of discourse: the way discourse speaks us and the way we speak the discourse.

    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 35.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå. Faculty of Medicine and Health Sciences, Department of Health Science Aalesund, NTNU, Norway .
    Brink, Eva
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lindahl, Berit
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare, Sweden.
    A Theoretical Framework for Emancipatory Nursing With a Focus on Environment and Persons' Own and Shared Lifeworld2018Ingår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 41, nr 4, s. 340-350Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    By giving a brief overview of the metaconcepts in nursing, with a focus on environment, we sketch a theoretical framework for an emancipatory perspective in nursing care practice. To meet the requirements of equality in care and treatment, we have in our theoretical framework added a critical lifeworld perspective to the antioppressive practice, to meet requirements of equity in health care encounter. The proposed model of emancipatory nursing goes from overall ideological structures to ontological aspects of the everyday world. Based on the model, nurses could identify what kind of theoretical critical knowledge and thinking they require to conduct equal care and encounter the person behind the patient role.

  • 36.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Fredén, Lars
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Hassler, Sven
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Skyvell Nilsson, Maria
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på grundnivå.
    Gränshinder: en kvalitativ och kvantitativ studie av samverkandesjukvård2014Rapport (Övrigt vetenskapligt)
    Abstract [en]

    The project "Health care interaction" among different care providers was introduced as a trial activity in the municipalities of Strömstad and Tanum in the spring of 2010. The aim of health care interaction is to provide citizens health care adapted to their specific need within shortest possible time frame; Is emergency care not needed, the aim is to avoid that the care seeker ends up in an emergency room at the hospital. In this study experiences from health care interaction is described with quantitative as well as qualitative data. Empirical data is based on available medical statistics, focus group interviews with nurses with long experience from pre-hospital emergency care and home health care, questionnaires data gathered from other health professionals involved in the activity, individual interviews with nurses and physicians at call centers for medical information, primary health care centers, home health care, pre-hospital health care and elderly care. The analysis of the data reveal opportunities and expectations among the personnel as well as their willingness to develop and improve the health care. It's also evident that the general impression among health care personnel is that increased interaction among health care providers improves the quality of the health care given. Health care interaction also contributes to improved opportunities for person-centered care with an increased degree of continuity and participation for the patient. The study also reveals that collaboration between colleagues promotes development of individual and collective knowledge. Conclusions drawn from the study is that the documentation and information system used in health care interaction needs to strengthen the participation of the care seekers as well as to improve in accessibility for the personnel involved. In order for health care interaction to evolve and develop through close follow-up and evaluation, a more transparent and uniform system for documentation is recommended. It's also concluded from the study that the call center for medical information (1177) as one of the major actors in the health care interaction program has the best potential to instigate an expansion and development of the health care interaction among care providers.

    Ladda ner fulltext (pdf)
    fulltext
  • 37.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Friberg, Febe
    Högskolan i Stavanger .
    Changing essay writing in undergraduate nursing education through action research: a Swedish example2013Ingår i: Nursing Education Perspectives, ISSN 1536-5026, E-ISSN 1943-4685, Vol. 34, nr 4, s. 226-232Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article describes the development of literature-based models for bachelor degree essays in Swedish undergraduate nursing education. Students' experiences in a course with literature-based models for bachelor degree essays are discussed. The ever-growing body of nursing research and specialized and complex health care practices make great demands on nursing education in terms of preparing students to be both skilled practitioners and users of research. Teaching to help students understand evidence-based practice is a challenge for nursing education. Action research was used to generate knowledge of and practical solutions to problems in everyday locations. Six models were developed: concept analysis, contributing to evidence-based nursing by means of quantitative research, contributing to evidence-based nursing by means of qualitative research, discourse analysis, analysis of narratives, and literature review. Action research was found to be a relevant procedure for changing ways of working with literature-based, bachelor degree essays. The models that were developed increased students' confidence in writing essays and preparedness for the nursing role.

  • 38.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Gardvik, Anna
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Karlsson, Helena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Törner Mulari, Jenny
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Young Women With Anorexia Nervosa2015Ingår i: SAGE Open, E-ISSN 2158-2440, Vol. 5, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe how young women living with self-identified anorexia narrate about their lives by blogging. Thirteen Swedish blogs were chosen and analyzed by means of qualitative content analysis. The results described falling ill, the illness itself, and the path to recovery. Low self-esteem, depressed state of mind, and self-destructive behavior were typical signs at the start of the illness. The women’s lives were characterized by a need for controlling their body by tormenting it and by the illness demanding all their concentration and energy. The women suffered from the feeling of being a disappointment to their family members. The illness was like an enemy that had to be defeated with the help of family members, health care professionals, and by means of therapy. A turning point occurred when the women felt at their worst or had tired of the illness and could concentrate on something other than their body and the eating disorder. Suffering from self-identified anorexia was described as experiencing low self-esteem. The illness took all of the women’s time and energy. For a turning point to be reached, the women needed support from family, friends, and health care professionals, including the use of distractions.

  • 39.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lau, Malena
    Vithetsnormer: normer som producerar "hudfärgade" plåster2015Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar, Tengelin, Ellinor, Lund: Studentlitteratur AB, 2015, 1, s. 131-151Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 40.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lau, Malena
    Tengelin, Ellinor
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Normer som hinder för jämlik och rättighetsbaserad vård2015Ingår i: Jämlik vård: normmedvetna perspektiv / [ed] Dahlborg Lyckhage, Elisabeth, Lyckhage, Gunnar & Tengelin, Ellinor,, Lund: Studentlitteratur AB, 2015, 1, s. 37-57Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 41.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lidén, Eva
    Sahlgrenska Academy at the University of Gothenburg, Institute of Health and Care Sciences.
    Competing discourses in palliative care.2010Ingår i: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, ISSN 1433-7339, Vol. 18, nr 5, s. 573-582Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: Palliative care focuses on early identification as well as prevention and alleviation of suffering. Previous studies have established that palliative care is a disciplinary area in a state of transformation due to the involvement of different professional categories and that nursing care in the palliative context is influenced by the dominance of the medical perspective. AIM: This study aimed to describe palliative care from a nursing perspective prior to the implementation of a palliative care programme. PATIENTS AND METHODS: The approach was inspired by the ethnographic method and a constructionist perspective was used as a theoretical framework, as the focus was on existing palliative care discourses. Field studies were conducted on a ward where palliative care was provided to patients at the end of life. Approval for the study was granted by the Ethics Committee at Sahlgrenska Academy. Data were collected by means of participant field studies, informal deliberations and other relevant documents. MAIN RESULTS: Four different discourses were discerned: caring, non-caring, curing and the organisation. CONCLUSIONS: The ethos on the ward was strongly linked to the medical discourse. We consider that a prerequisite for the organisation of palliative care is an expressed caring perspective based on the patients' experiences of suffering, which perspective is lacking in the curing and organisational discourses.

  • 42.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Lindahl, Berit
    University of Borås, Caring Sciences.
    Living in liminality-being simultaneously visible and invisible: caregivers' narratives of palliative care.2013Ingår i: Journal of social work in end-of-life & palliative care, ISSN 1552-4256, Vol. 9, nr 4, s. 272-288Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Palliative care is an integral part of care and takes place in many settings-including the home, special accommodations, and hospitals. However, research shows that palliative care often ends with a death in the hospital due to the heavy burden on the primary caregiver. This study explores the meaning of being the primary caregiver of a close one who is terminally ill and is based on qualitative interviews with six primary caregivers of a terminally ill individual at home. The findings are discussed in the light of the theoretical concepts of liminality, lived body, and power. A potential impending risk exists of being abandoned when one is the primary caregiver to a close one who is terminally ill. This situation calls for professional caregivers to take responsibility and to respond to these, often unspoken, needs. This is particularly important concerning bodily care and the medical treatment regimen. In addition, when friends and relatives are absent, there is an ethical demand on professional caregivers to compensate for this lack and to compensate for this need. Palliative home care demands care that is person-centered-including the individual's history, family and loved ones, and individual strengths and weaknesses.

  • 43.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lyckhage, GunnarTengelin, EllinorHögskolan Väst, Institutionen för hälsovetenskap, Avdelningen för vårdvetenskap på avancerad nivå.
    Jämlik vård: normmedvetna perspektiv2015Samlingsverk (redaktörskap) (Övrigt vetenskapligt)
  • 44.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Määttä, Sylvia
    The influence of gender in academia: a case study of a university college in Sweden2011Ingår i: Equality, Diversity and Inclusion, ISSN 2040-7149, E-ISSN 2040-7157, ISSN 2040-7149, Vol. 30, nr 5, s. 379-393Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose – The aim of this paper is to describe senior lecturers' experiences of and reflections on the influence of gender on their work and career possibilities.

    Design/methodology/approach – Eight informants, four female and four male university teachers, representing different schools at a Swedish university college were interviewed. A qualitative content method was used for analysis.

    Findings – The findings revealed that the lecturers at the university college had an experience of academic gender neutrality. The findings also pointed to experiences of gendered practice that had been internalized and made normal. It also revealed that the lecturers did not consider or reflect on the gap between experiences of and reflections on gender neutrality and gendered practice.

    Research limitations/implications – Even if the number of informants is small, the findings have something important to tell about the gap between gender-neutral academia and practice in academia.

    Originality/value – The findings imply that although the Swedish model of equality work has been successful in many ways, a confrontation on the micro-political level is required to achieve a gender equality workplace environment and to increase women's career possibilities.

  • 45.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Work-Integrated Learning2014Ingår i: Advances in Nursing Science, ISSN 0161-9268, E-ISSN 1550-5014, Vol. 37, nr 1, s. 61-69Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Praxis is a concept that is both vague and overused in nursing science. Hence, a more stringent use of the concept praxis could help clarify the connections between theory and practice. The purpose of this theoretical article was to highlight the advantages of developing praxis in nursing education. By using praxis as a dialectic concept, nurse educators can make significant contributions to clinical practice by clarifying that theory and practice are perceived as 2 sides of same coin, leading to a move from "being in praxis" to "being of praxis," a way to develop the professionÊs autonomy. © 2014 Lippincott Williams and Wilkins.

  • 46.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - grundnivå.
    Boman, Åse
    Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    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 Act2017Konferensbidrag (Refereegranskat)
    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.

  • 47.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Boman, Åse
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    "The Emperor's new clothes": discourse analysis on how the patient is constructed in the new Swedish Patient Act.2017Ingår i: Nursing Inquiry, ISSN 1320-7881, E-ISSN 1440-1800, Vol. 24, nr 2, artikel-id e12162Artikel i tidskrift (Refereegranskat)
    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.

  • 48.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Pilhammar, Ewa
    Sahlgrenska Academy at Göteborg University, Institute of Health Care Sciencies.
    The importance of awareness of nursing students' denotative images of nursing2008Ingår i: Journal of Nursing Education, ISSN 0148-4834, E-ISSN 1938-2421, Vol. 47, nr 12, s. 537-543Artikel i tidskrift (Refereegranskat)
  • 49.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Pilhammar-Anderson, Ewa
    University of Gothenburg.
    Predominant discourses in Swedish nursing2009Ingår i: Policy, Politics & Nursing Practice, ISSN 1527-1544, E-ISSN 1552-7468, Vol. 10, nr 2, s. 163-71Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to elucidate the predominant discourse in the field of Swedish nursing in 2000, 25 years after nursing was introduced as an academic discipline in Sweden. The method used was content analysis and deconstructive analysis of discourses. Laws, statutes, regulations, and examination requirements, including official reports, recruitment campaigns, and media coverage, were analyzed. The findings uncovered competing discourses striving to gain hegemony. In the public sector, official requirements competed against the media fixation on gender stereotypes and the realities of local recruitment campaigns. Media has a major role in disseminating prevailing conceptions and conventions pertaining to the nursing profession. As a result, decision makers, students, patients, and family members could get lower expectations of the professional competence of nursing practitioners than would otherwise have been the case in the absence of media exposure.

  • 50.
    Dahlborg Lyckhage, Elisabeth
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Skyvell-Nilsson, Maria
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Prerequisites for person-centered care: As described by community care nurses2015Ingår i: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 3, nr 1, s. 5-13Artikel i tidskrift (Refereegranskat)
    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.

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