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  • 101.
    Gustafsson, Erika
    et al.
    NU Hospital Group, Department of Institutional Forensic Psychiatric Care, Vänersborg.
    Holm, Maritha
    NU Hospital Group, Department of Institutional Forensic Psychiatric Care, Vänersborg.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Rehabilitation between institutional and non-institutional forensic psychiatric care: important influences on the transition process.2012Ingår i: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 19, s. 729-737Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    ACCESSIBLE SUMMARY: •  All patients cared for in Forensic Psychiatric Care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. In addition, several of the patients have alcohol and drug problems. •  During the stay in institutional FPC, one part of the rehabilitation program is to prepare the patient for non-institutional FPC. However, several patients fail with the rehabilitation. •  This study focuses important aspects that influence the patients' ability to manage their rehabilitation through admission to non-institutional FPC, viewed from different caregivers' perspective. •  The transition is influenced by a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. A major barrier for successful admission was whether the patients managed their own finances or not. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person. ABSTRACT: All patients cared for in forensic psychiatric care (FPC) have some kind of psychiatric disorder and most of them have committed one or more criminal acts. One part of the patient's rehabilitation is the transition from institutional to non-institutional FPC, but a number of patients do not succeed. The aim of this study was to elucidate different caregivers' experiences of aspects that influence the patients' ability to manage this rehabilitation. A qualitative approach was chosen. Data were collected by interviews in two focus groups, each group comprising of six caregivers representing both institutional and non-institutional FPC. The transcribed interviews were analysed using a qualitative content analysis. Important aspects influencing the patients' transition described were a well-planned care plan, together with a suitable non-institutional dwelling and a tailored occupation. Other important areas were having a well-functioning and trusting social network and a good relationship with a contact person/advocate. A major barrier to a successful transition was whether the patients managed their own finances or not. It was stated that it is important that the patients participate in the care and that different authorities create individual conditions and flexible solutions. All of these factors are important to focus on when caring for patients during their stay in the institutional FPC.

  • 102.
    Halabi, Jehab O.
    et al.
    National Guard College of Nursing, Jeddah, King Saud bin Abdulaziz University for Health Sciences.
    Abdalrahim, Maysoon S.
    University of Jordan, Department of Clinical Nursing.
    Persson, Gunilla Length
    Sahlgrenska University Hospital, Department of Human Resource Management.
    Hedemalm, Azar
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Lepp, Margret
    University of Gothenburg,, The Sahlgrenska Academy, Institute of Health and Care Sciences.
    The development of a preceptor training program on clinical nursing education in Jordan in collaboration with Sweden2012Ingår i: Journal of Continuing Education in Nursing: Continuing Competence for the Future, ISSN 0022-0124, E-ISSN 1938-2472, Vol. 43, nr 3, s. 135-144Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: As part of the Swedish-Jordanian International Collaboration Project, this study developed, implemented, and evaluated a preceptor training program to enhance pedagogical strategies for integration of theory and practice in nursing education in Jordan. Methods: A three-phase program was developed and implemented (2006 to 2007) focusing on experiential learning using drama, case-method, and photo language methods. Data were collected from 12 preceptors in Jordan using questionnaires and interviews. Results: Four themes reflected experiences gained from participating in the program, including bridging the gap between theory and practice, enhancing students' imminent potential, promoting the role of preceptor, and facing challenges in applying pedagogical strategies. Participants noted a positive effect on their personal and professional growth as a preceptor, students' learning process, and the quality of health care. Conclusion: Preceptors perceived that the model program helped to bridge the gap between theory and practice, improved communication and networking, and improved the quality of health care in Jordan. © SLACK Incorporated.

  • 103.
    Hansen Orwehag, Monica
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för utbildningsvetenskap och språk.
    Lindström, Ann-Charlotte
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Winman, Thomas
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi.
    The undergraduate thesis in academic professional education (teachers, nurses and social workers): A study of supervisors’ and examiners’ perspectives2009Ingår i: Literacy as Worldmaking, 2009Konferensbidrag (Övrigt vetenskapligt)
  • 104.
    Hansson, Anders
    et al.
    University of Göteborg, Department of Public Health and Community Medicine/Primary Health Care.
    Friberg, Febe
    University of Stavanger, Faculty of Social Sciences, Department of Health Studies.
    Segesten, Kerstin
    University College of Borås, School of Health Sciences.
    Gedda, Birgitta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Mattsson, Bengt
    University of Göteborg, Department of Public Health and Community Medicine/Primary Health Care.
    Two sides of the coin: General Practitioners' experience of working in multidisciplinary teams2008Ingår i: Journal of Interprofessional Care, ISSN 1356-1820, E-ISSN 1469-9567, Vol. 22, nr 1, s. 5-16Artikel i tidskrift (Refereegranskat)
  • 105.
    Hedemalm, Azar
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Vård av patient med utländsk härkomst som har hjärtsjukdom2012Ingår i: Kardiologisk omvårdnad / [ed] Fridlund, Bengt; Malm, Dan; Mårtensson, Jan, Lund: Studentlitteratur AB, 2012, 2, s. 303-322Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 106.
    Henry, Alastair
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för utbildningsvetenskap och språk.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Motivation, Gender, and Possible Selves2013Ingår i: Language learning, ISSN 0023-8333, E-ISSN 1467-9922, Vol. 63, nr 2, s. 271-295Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Despite the consistency with which gender differences have been found in second language motivation, little systematic research has taken place on motivation and gender to date. Permeating self-concept development, gender impacts not only current selves but also future-oriented possible selves. In construing possible selves, females tend to emphasize interdependence, meaning they invest more in interpersonal relationships and self-other interaction. Based on instruments measuring ideal language-speaking/using selves and an interdependent self-construal in a sample of 140 female and 129 male adolescents enrolled in the final year of secondary education in Sweden, and using confirmatory factor analysis, support was found for the hypothesis that gender-related variance on a measure of the ideal language-speaking/using self could be accounted for by an interdependent self-construal. In discussing the results, further avenues for exploring the impact of gender on possible selves using more contextually sensitive research designs are presented. © 2013 Language Learning Research Club, University of Michigan.

  • 107.
    Johansson, Ann-Caroline
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur.
    Axelsson, Malin
    Malmo University, Department of Care Science, Faculty of Health and Society..
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Illness perceptions in relation to experiences of contemporary cancer care settings among colorectal cancer survivors and their partners2014Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, artikel-id 23581Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Illness is constituted by subjective experiences of symptoms and their psychosocial consequences. Illness perceptions concern people’s lay beliefs about understandings and interpretation of a disease and expectations as to disease outcome. Our knowledge about illness perceptions and coping in relation to the cancer care context among persons with colorectal cancer (CRC) and their partners is incomplete. The aim of the present study was to explore illness perceptions in relation to contemporary cancer care settings among CRC survivors and partners. The present research focused on illness rather than disease, implying that personal experiences are central to the methodology. The grounded theory method used is that presented by Kathy Charmaz. The present results explore illness perceptions in the early recovery phase after being diagnosed and treated for cancer in a contemporary cancer care setting. The core category outlook on the cancer diagnosis when quickly informed, treated, and discharged illustrates the illness perceptions of survivors and partners as well as the environment in which they were found. The cancer care environment is presented in the conceptual category experiencing contemporary cancer care settings. Receiving treatment quickly and without waiting was a positive experience for both partners and survivors; however partners experienced the information as massive and as causing concern. The period after discharge was being marked by uncertainty and loneliness, and partners tended to experience non-continuity in care as more problematic than the survivor did. The results showed different illness perceptions and a mismatch between illness perceptions among survivors and partners, presented in the conceptual category outlook on the cancer diagnosis. One illness perception, here presented among partners, focused on seeing the cancer diagnosis as a permanent life-changing event. The other illness perception, here presented among survivors, concentrated on leaving the cancer diagnosis behind and moving forward. The importance of illness perceptions among survivors, and the differences in illness perceptions between survivors and partners, should be recognized by healthcare professionals to achieve the goals of person-centered contemporary cancer care.

  • 108.
    Johansson, Ann-Caroline B
    et al.
    University of Gothenburg, Institute of Health and Care Sciences, Sahlgrenska Academy, Gothenburg, Sweden.
    Axelsson, Malin
    Malmö University, Department of Care Science, Faculty of Health and Society, Malmö, Sweden.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Self-Reorientation Following Colorectal Cancer Treatment: A Grounded Theory Study2015Ingår i: Open Nursing Journal, ISSN 1874-4346, E-ISSN 1874-4346, Vol. 9, s. 25-32Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    After colorectal cancer (CRC) treatment, people reorganize life in ways that are consistent with their understanding of the illness and their expectations for recovery. Incapacities and abilities that have been lost can initiate a need to reorient the self. To the best of our knowledge, no studies have explicitly focused on the concept of self-reorientation after CRC treatment. The aim of the present study was therefore to explore self-reorientation in the early recovery phase after CRC surgery. Grounded theory analysis was undertaken, using the method presented by Charmaz. The present results explained self-reorientation as the individual attempting to achieve congruence in self-perception. A congruent self-perception meant bringing together the perceived self and the self that was mirrored in the near environs. The results showed that societal beliefs and personal explanations are essential elements of self-reorientation, and that it is therefore important to make them visible.

  • 109.
    Johansson, Ingvor
    et al.
    NU Hospital group, Department of Internal Medicine.
    Karlson, Björn W.
    Astra Zeneca R&D, Mölndal.
    Grankvist, Gunne
    Högskolan Väst, Institutionen för individ och samhälle, Avd för psykologi och organisationsstudier.
    Brink, Eva
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Disturbed sleep, fatigue, anxiety and depression in myocardial infarction patients2010Ingår i: European Journal of Cardiovascular Nursing, ISSN 1873-1953, Vol. 9, nr 3, s. 175-180Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Disturbed sleep has been linked to increased morbidity, mortality and depression and worsened health-related quality of life in patients with chronic illness. Few studies of readjustment after coronary artery disease have explicitly focused on sleep disturbance. Aim: To explore associations between disturbed sleep, fatigue, anxiety and depression, and to assess to what extent fatigue four months post-MI could be explained. Method: The sample included 204 consecutive patients, ≤ 80 years of age who answered questionnaires about disturbed sleep, fatigue, anxiety and depression four months after MI. Results: The variables anxiety, depression and disturbed sleep were all associated with fatigue. The regression model accounted for 46% of the variance in fatigue with depression and disturbed sleep as predictors. Infarct size measured by conventional biochemical markers, left ventricle ejection fraction and history of previous MI were not correlated with disturbed sleep, fatigue, anxiety or depression. Conclusions: From knowledge about associations between disturbed sleep, fatigue, anxiety and depression after MI, cardiac nurses could be trained to observe such symptoms. Optimal care for sleep disturbance may include actions to reduce anxiety and depression as well as self-care advices about sleep hygiene in order to improve sleep quality and reduce fatigue. © 2009 European Society of Cardiology.

  • 110.
    Jonsson, Åsa
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Ottosson, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Berndtsson, Ina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Jag vet inte riktigt vad jag ska göra med svaret…: En intervjustudie om distriktssköterskors erfarenheter av att samtala med patienter om alkohol2013Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, nr 3, s. 4-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Nurses should work from health perspective and have profound knowledge of what affects public health. Through dialogue with patients, nurses have an essential role to illustrate patients drinking behavior and illuminate the effects of alcohol on health.

    Aim: The aim of this study was to illuminate the district nurses experiences of dialogue with patients concerning alcohol.

    Method: Eight district nurses were interviewed at experiences of dialogue with patients concerning alcohol.

    Findings: Three themes were interpreted, as feeling of security in reassuring to know that there had time, have sufficient knowledge and to find a good opportunity to talk about alcohol. Personal values attitude affected the dialogue Patient’s responsibility for the dialogue when the patient herself not asked at alcohol was it no conversation or if the patient signaled that they did not want to talk about alcohol ended the dialogue.

    Conclusion: The experience of safety in the work situation, personal attitudes towards alcohol affected the district nurse´s attitudes and abilities to accomplish dialogue with patients concerning alcohol. It was remarkable that the responsibility for the content of the dialogue in several occasions was submitted to patients. The district nurses want guidelines and procedures for working with alcohol issues.

  • 111.
    Karlsson, Margareta
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Sandén, Inger
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    En grupp sjuksköterskors beskrivning av goda vårdsituationer i palliativ vård2007Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, nr 1, s. 50-53Artikel i tidskrift (Refereegranskat)
  • 112.
    Klapp Lekholm, Alli
    et al.
    University of Gothenburg, Department of Education.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Effects of student characteristics on grades in compulsory school2009Ingår i: Educational Research and Evaluation, Vol. 15, nr 1, s. 1-23Artikel i tidskrift (Refereegranskat)
  • 113.
    Klapp Lekholm, Alli
    et al.
    Göteborg university, Department of Education.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    The Influence of Student Characteristics and Gender on Grades in Compulsory School2008Konferensbidrag (Övrigt vetenskapligt)
  • 114. Landtblom, Anne-Marie
    et al.
    Lang, Cecilia
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    The study circle as a tool in education of multiplesclerosis patients in Sweden2008Ingår i: Patient Preference and Adherence, ISSN 1177-889X, Vol. 2, nr 2, s. 225-232Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Patient education plays an important role in the management of chronic diseases that can cause disability and predictable psychosocial problems. Quality of life assessment in multiple sclerosis (MS) has confirmed that psychosocial complications related to working life, marriage/partnership, and the family often occur. Furthermore, symptoms such as fatigue, pain, and sexual dysfunction have a great impact. We wanted to develop and implement study circles to promote the patients’ abilities to meet such common problems and to provide a network where they can be autonomous and develop appropriate strategies in self-care and existential problems.

    Methods: Together with the MS patient organization and a study association, we have arranged study circles for patients with MS, thus providing structured information according to a pedagogic model. The patients are encouraged to work together in groups to learn about the disease and its key symptoms, to develop strategies to master these symptoms in everyday life, and to make necessary changes, ie, self-care management. The programme also contains handicap policies.

    Results: Fifteen study circles with a total of 105 patients started during the first year. Fifteen circle leaders were approved. A focus interview showed that the patients are highly satisfied but also revealed some problems in interactions with health care professionals. The study circles were included in a wider project from a newly started multidisciplinary centre for health education for a variety of chronic diseases causing disability, which aims at becoming a regional interface between the health care system, patient organizations, and educational services.

    Conclusion: The study circles have an important role to play in the management of MS. Good organization is required to make such a project work since health care services do not normally work so closely with patient organizations and educational services.

    Practice implications: Study circles that are permanently established and function well are of great help for the patients and the work at the MS clinic is substantially facilitated. Health care professionals also gain from the arrangement by learning more about the self-perceived impact of the disease.

  • 115.
    Lantz, H
    et al.
    Sahlgrenska University Hospital, Department of Medicine.
    Brattby, L.-E
    Uppsala University Hospital, Department of Medical Sciences, Clinical Physiology.
    Fors, H.
    Northern Älvsborg Hospital, Trollhättan,Department of Paediatrics.
    Sandhagen, B.
    Uppsala University Hospital, Department of Medical Sciences, Clinical Physiology.
    Sjöström, L.
    Sahlgrenska University Hospital, Department of Medicine.
    Samuelson, Gösta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Body composition in a cohort of Swedish adolescents aged 15, 17 and 20.5 years2008Ingår i: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 97, nr 12, s. 1691-1697Artikel i tidskrift (Refereegranskat)
  • 116.
    Lekholm, Alli Klapp
    et al.
    University of Gothenburg, Department of Education.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Discrepancies between school grades and test scores at individual and school level: Effects of gender and family background2008Ingår i: Educational Research and Evaluation, ISSN 1380-3611, E-ISSN 1744-4187, Vol. 14, nr 2, s. 181-199Artikel i tidskrift (Refereegranskat)
  • 117.
    Lindström, Ann-Charlott
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Något som inte längre är: Distriktssköterskors yrkesutövning på vårdcentral ur ett genusperspektiv2007Doktorsavhandling, monografi (Övrigt vetenskapligt)
    Abstract [en]

    District nurses have a long tradition of independence and influence over the content and organisation of their work, while the activities at their surgeries have been kept separate from other health services. Social and structural changes have led to a situation where district nurses in primary care are now included in the primary health centre’s organisation. This means that they are expected to collaborate with other staff in prophylactic and health-promoting working tasks and to function in c... mer

    hild health care with respect to supporting relationships. The health service is one of many social institutions that are permeated with the gender order where conceptions of what is male and female create the conditions for power relations and division of labour. The question is how the professional practice of district nurses today can be described in view of the fact they have been integrated into the organisation of the primary health centre. Have their tasks and independence been affected? The aim of this study is to describe the professional practice of the district nurses at primary health centres from a gender perspective. The epistemological approach is based on the constructionist perspective and the theory that gender is a social construct, subject-related and situationally conditioned, and a product of social interactions that affect super-/subordination. The research method is ethnographical, and the empirical material is based on data from participant observations, interviews and field notes. The main result shows that district nurses are not a part of the structural changes that have taken place, that their tasks are similar to those of doctors and registered nurses. Tasks of a medical nature tend to be the norm for the more ”work-intensive” and respected work addressing adult care-consumers, while the district nurses’ healthpromotion work is given lower priority. The district nurses’ competence in health work does not appear to be part of the collective competence at the primary health centre, and when external consultants seek cooperation in cross-sectional health projects, it is done under the auspices of the doctor’s surgery. The result also shows that child health care is a mother-orientated working area with a traditional and heteronormative gender order, which means that concepts of what is male and female affect, for example, discussions about parental competence. Mothers are primarily regarded as being responsible for care and welfare, while the fathers’ absence is taken for granted. When cooperating with parents, the district nurses fall back on their “female competence”, while collaboration with doctors is a question of adjustment. The district nurses alternate between different roles, a leading one and a minor one, depending on whether they are working on their own or with the doctors, which affects their relational support function. The result should be regarded as an expression of resistance to change, making it difficult for the district nurses to consolidate their position in the organisation. Taken together, these circumstances imply that there is a risk of cementing conceptions of female competence as being inherited, while in actual fact it is a question of assignment and a working structure that maintains the gender order in professional life. Despite the revision of district nurse education in accordance with EU directives, the interdisciplinary content is still considerable, and the question is whether the new research-based education with a family perspective is necessary, since socio-economic transformation and changes in the structure of the family demand other interventions than the socialhygienic ones previously applied.

  • 118.
    Lindström, Ann-Charlott
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Rätt sätt men fel grejer: distriktssköterskors samarbete på vårdcentral2009Ingår i: Team i vård, behandling och omsorg: erfarenheter och reflektioner / [ed] Berlin, Johan, Carlström, Eric, Sandberg, Håkan, Lund: Studentlitteratur , 2009, s. 49-74Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 119.
    Löfvenmark, Caroline
    et al.
    Karolinska Institutet, Department of Clinical Sciences, Danderyd Hospital, Division of Cardiovascular Medicine.
    Mattiasson, Anne-Cathrine
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Billing, Ewa
    Uppsala University Hospital, Department of Medical Sciences.
    Edner, Magnus
    Uppsala University Hospital, Department of Medical Sciences.
    Perceived loneliness and social support in patients with chronic heart failure2009Ingår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 8, nr 4, s. 251-258Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Self-reported conditions have become increasingly important in patient care, and perceived loneliness and social relationships in patients with chronic heart failure (CHF) are not sufficiently investigated. Aim: The aim was to investigate perceived loneliness and social support in patients with CHF. Further, to investigate whether loneliness and social support might be associated with gender, age, healthcare utilization and mortality. Methods: One hundred and forty nine patients with CHF, hospitalised at least once during a 4-month period in 2006, completed a self-reported questionnaire including measurements about loneliness and social support. Healthcare utilization was assessed prospectively by frequency of readmissions and number of days hospitalised during 1 year. Results: Loneliness was reported by 29 (20%) participants. They were more often women (p < 0.001) and younger (p = 0.024). Patients who perceived loneliness had fewer social contacts (p = 0.033), reported lower occurrence of emotional contacts (p = 0.004), were less satisfied with social contacts and close relationships (p < 0.001). Those reporting loneliness had more days hospitalised (p = 0.044), and more readmissions to hospital (p = 0.027), despite not having more severe CHF. Conclusion: Loneliness is a health-related risk indicator in that patients with CHF who perceived loneliness have more healthcare utilization than those who do not report loneliness despite not having more severe CHF. © 2009 Elsevier B.V. All rights reserved.

  • 120.
    Nobis, Regina
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sandén, Inger
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Young men's health: a balance between self-reliance and vulnerability in the light of hegemonic masculinity2008Ingår i: Contemporary nurse, ISSN 1037-6178, Vol. 29, nr 2, s. 205-217Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Masculinity, in its hegemonic form, can have the effect that men avoid talking about health problems and do not consult health care, even when help is needed. This study had two aims: firstly to describe how young men relate to health, ill health, masculinity and their bodies, and secondly to investigate their abilities of self-care. Interviews with eleven men were conducted using a semi-structured approach. Qualitative content analysis was used to analyse the transcribed interviews. The findings revealed five main themes; 'body awareness', 'the creation of self-reliance', 'feelings of freedom', 'the process of self-care awareness' and, finally, 'feelings of vulnerability'. Hegemonic masculinity impacted greatly on the men in this study and could be traced in expressions of dependency, vulnerability, loss of freedom and an altered body image. These were viewed as health disadvantages due to the threat to hegemonic masculinity. 

  • 121.
    Nobis, Regina
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sandén, Inger
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Elofsson, Kristina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Masculinity and urogenital cancer: Sensitive issues in health care2007Ingår i: Contemporary Nurse, ISSN 1037-6178, Vol. 24, nr 1, s. 79-88Artikel i tidskrift (Refereegranskat)
  • 122.
    Nyman, Viola M K
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Prebensen, Asa K
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Flensner, Gullvi E M
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Obese women's experiences of encounters with midwives and physicians during pregnancy and childbirth.2010Ingår i: Midwifery, ISSN 0266-6138, E-ISSN 1532-3099, Vol. 26, nr 4, s. 424-429Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: to describe obese women's experiences of encounters with midwives and physicians during pregnancy and childbirth. DESIGN: a qualitative study using a phenomenological approach. Data were collected by means of interviews that were tape-recorded. SETTING: the women's homes or at a hospital in western Sweden. PARTICIPANTS: 10 women with body mass index >30, three primiparous and seven multiparous, who had given birth at a hospital in western Sweden in the period between October 2006 and September 2007 were interviewed four to six weeks after childbirth. FINDINGS: the meaning of being both obese and pregnant is living with a constant awareness of the body, and its constant exposure to the close observation and scrutiny of others. It involves negative emotions and experiences of discomfort. Feelings of discomfort increase as a result of humiliating treatment, whilst affirmative encounters alleviate discomfort and provide a sense of wellbeing. CONCLUSION AND IMPLICATIONS FOR PRACTICE: obese pregnant women are a vulnerable group because obesity is highly visible. Caregivers tend to focus on providing care to obese patients somatically, but are additionally in need of knowledge about care from the woman's point of view. Many obese women have negative experiences of health care that they have to overcome. It is necessary to individualise care for obese pregnant women, which involves taking time to give the women an opportunity to tell their own story. Caregivers have to promote health but it has to be done honestly and respectfully. In order to avoid judgemental attitudes and causing increased suffering for obese pregnant women, midwives and physicians need to be conscious of, reflect upon and verbalise their own attitudes and power.

  • 123.
    Olsson, Maivor
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Larsson, Lena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Bäck-Pettersson, Siv
    Department of Research and Development, NU-hospital Organization.
    The impact of concordant communication in outpatient care planning: nurses' perspective2012Ingår i: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, s. 748-757Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To elucidate nurses’ (RNs) experiences of co-ordinated care planning in outpatient care. Background: Co-ordinated care planning has been studied from the perspectives of both patients and nurses in inpatient care, but it is missing in outpatient care.

    Method: Qualitative content analysis of interviews with ten registered nurses participating in two focus groups.

    Results: An overall theme was identified: creating concordant communication in relation to patient and health-care providers. The result is based on four categories and nine sub-categories.

    Conclusions: Nurses need extraordinary communication skills to reach concordance in outpatient care planning. Apart from involving and supporting the patients and next of kin in the decision-making process, the outcome of the nursing process must be understood by colleagues and members of other professions and health-care providers (non-nursing).

    Implications for nursing management: An effective outpatient care-planning process requires that care managers understand the impact of communicating, transferring information and reaching agreement with other health-care providers, actively supporting employees in the outpatient care-planning process and contributing to the development of common goals and policy documents across organisational boundaries.

  • 124.
    Rolander, Katarina
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Kleibrant, Mia
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Föreställningar hos patienter med Diabetes Mellitus Typ 22010Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background: Type 2-diabetes is now a public health problem, which constitutes 85-90 percent of diabetes care. The district nurse´s role in treating a diabetic (/person with diabetes) does not only comprise pure medical treatment but also support, advice and training to the individual. In our profession as nurses, we have found that medical knowledge in patients with Typ 2-diabetes is not always enough to obtain changes in lifestyles.

    Aim: The purpose of this study was to investigate the illness perceptions in patients with Type 2-diabetes and their impact on health behavior.

    Method: This qualitative study used grounded theory as a method.

    Results: The informants described in the interviews, their perceptions of living with Type 2-diabetes. The analysis revealed the main category periodic health behavior built up on and related to five categories developed in data: preventive health awareness, guilt, confidence in medical treatment, motivational problems and periods of insight.

    Conclusion: This study contributes to understanding of patients with Type 2 - diabetes their beliefs about illness and how it affects everyday lives.

    Keywords: Believes, District nurses, Groundey Theory, Illness perception, Type 2-diabetes

  • 125.
    Rudolfsson, Gudrun
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    The common world: a model of the perioperative dialogue, its ethos and characteristic structural caring principles2010Ingår i: International Journal for Human Caring, ISSN 1091-5710, Vol. 14, nr 1, s. 27-35Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The purpose for this paper was to explore, on the basis of a previous research program, the foundations of caring associated with the ethos in the common world of the perioperative dialog. Ahermeneutic approach grounded in caring science was employed, in which ethos represents the ultimate meaning of caring. This approach resulted in a model comprising the caring properties and characteristic structural caring principles. As a guiding principle of the common world, ethos revealed a deeper principle of order, the responsibility of the face--"Here I am." 

  • 126.
    Rudolfsson, Gudrun
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Hallberg, Lillemor
    Halmstad University, School of Social and Health Sciences.
    Ringsberg, Karin
    Nordiska Högskolan för folkhälsovetenskap, Göteborg.
    Von Post, Irene
    Abo Akademi University, Department of Caring Science.
    The nurse has time for me: the perioperative dialogue from the perspective of patients2003Ingår i: Journal of Advanced Perioperative Care, ISSN 1470-5664, Vol. 1, nr 3, s. 77-84Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    AIM: The aim of this study was to describe patients' experience of the perioperative dialogue. METHOD: Semi-structured interviews were carried out with 18 patients, seven men and 11 women aged 20 to 76 years, with whom perioperative dialogues had been held. Data were collected and analysed according to grounded theory. FINDINGS; A core category: 'making time for me'; two main categories: 'comforting me' and 'becoming involved'; with three subcategories each: 'easing my mind by talking with the nurse', 'instilling faith within me', and 'having confidence in the nurse'; and 'being considered a resource', 'establishing a sense of communion', and 'making me feel that I am a human being', emerged from the data. The time with the nurse was experienced as comforting and made the patients feel involved in the perioperative procedures. When the nurse made time to talk with them they felt eased, were made more confident and gained faith in the success of their operation. When the patients were considered to be a resource, they felt that they were unique human beings, and this helped to establish a sense of communion with the nurses. CONCLUSION: The perioperative dialogue allowed the patients time with the nurse and was experienced by them as having a positive effect on the healing process and recovery. 

  • 127.
    Rudolfsson, Gudrun
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    von Post, Irene
    Åbo Akademi.
    Eriksson, Katie
    Åbo Akadem.
    The development of caring in the perioperative culture: Nurse leaders' perspective on the struggle to retain sight of the patient2007Ingår i: Nursing Administration Quarterly, ISSN 0363-9568, E-ISSN 1550-5103, Vol. 31, nr 4, s. 312-324Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article focuses on Swedish nurse leaders and is aimed at achieving a more complete and differentiated understanding of what constitutes caring in the perioperative culture as well as their knowledge and responsibility for the development of caring. Interviews with open-ended questions were conducted with 10 nurse leaders, in which they described their experiences of developing perioperative caring. The interpretation process was based on Gadamer's philosophy of hermeneutics. The findings indicate that developing a perioperative caring culture is a struggle to retain sight of the patient, a process that includes the following 6 phases: (1) when the nurse leaders understood perioperative caring as a process, the nurse's and patient's shared world became obvious to them; (2) safeguarding the patient's position as a unique human being; (3) safeguarding the nurse's welfare by creating a compassionate atmosphere; (4) promoting an idea means never giving up; (5) attaching importance to being trustworthy; and (6) being involved in a dynamic interaction, comprising communion and reciprocity. The most important goal of nursing leadership is to safeguard the welfare of the suffering patient and the relationship between the nurse leader and nursing staff, based on the motive of caritas derived from the idea of humanistic caring. 

  • 128.
    Ryckenberg, Annette
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Wallin, Elisabet
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sjuksköterskors erfarenheter av att uppmärksamma, bedöma och hantera somatiska symtom och problem i det psykiatriska omvårdnadsarbetet2012Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    Patients with mental disabilities are more prone to somatic illnesses than the general public. Unhealthier lifestyles and side effects of medication might be causes of conditions that lead to diabetes, cardiovascular diseases and premature death. According to the Social Board patients with mental disabilities receive poorer treatment than patients with only somatic diagnosis.

    Aim:

    The aim of the study was to describe nurses' experiences to identify, assess and manage somatic symptoms and problems within the psychiatric care.

    Method:

    The study is based on interviews with 12 nurses working in psychiatric outpatient and inpatient care. A qualitative content analysis was chosen.

    Result:

    The nurses performed nursing through talking, blood sampling and measuring for example blood pressure. They followed up side effects of medication. This was done routinely or on their own initiative in order to identify, assess and manage somatic symptoms and problems. The nurses had the experience that they did not have sufficient knowledge of somatic care. They had wanted more collaboration with colleagues and other care units to increase this. The alliance with the patient was a precondition for aiding patients to make lifestyle changes.

    Conclusion:

    There is need for simple routines and strategies to control somatic symptoms and problems. It is of importance for the patients to receive equivalent care and making it easier for the nurses to provide care. Increased collaboration with colleagues and other care units could facilitate this process of care taking.

     

  • 129.
    Rystedt, Hans
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Gustafsson, Jan
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Arbetsintegrerat lärande i praktiken: integration av teori och praktik i en verksamhetsförlagd sjuksköterskeutbildning2007Rapport (Övrigt vetenskapligt)
    Abstract [sv]

    Föreliggande rapport är en utvärdering av en treårig sjuksköterskeutbildning där såväl de teoretiska som praktiska delarna av utbildningen är förlagda till olika institutioner inom hälso- och sjukvården. Syftet med projektet var dels att utveckla en utbildning som bättre svarar mot de nya krav som ställs på vårdpersonal i en föränderlig vårdverksamhet, dels att tillägna sig kunskap om de lärprocesser studenter genomgår under sin utildning och hur dessa svarar mot kraven på en professionell yrkesroll. Utvärderingens grundläggande utgångspunkt är att undervisningsprocessen är av stor betydelse för både projektets måluppfyllelse och utbildningens resultat och där vi vill skapa en fördjupad förståelse för relationen mellan utbildningens mål, undervisningsprocessen och dess utfall. För att förstå hur den verksamhetsförlagda sjuksköterskeutbildnings undervisning fungerar har vi studerat utbildningen från insidan. Ett sådant förhållningssätt ökar möjligheterna att upptäcka organisationens policy i termer av vilka som formar policyn samt hur policyn skapar olika möjligheter för olika aktörers utvecklingsprocesser i förhållande till projektets intentioner. Metodmässigt har vi arbetet med observationer och videofilmning av ett antal utvalda moment i utbildningen, samt fokusgruppintervjuer med studenter och lärare/handledare. På ett övergripande plan visar utvärderingen att studenterna är positiva till den verksamhetsförlagda utbildningen. Studenterna vill inte byta utbildningsmiljö utan ser många fördelar med att läsa integrerat och att varva teori och praktik under hela utbildningsperioden. Även lärarna på utbildningen ser pedagogiska och professionsmässiga fördelar med att genomföra en verksamhetsförlagd sjuksköterskeutbildning. Samtidigt visar utvärderingen att det inte är utbildningsplanen, studiehandledningen eller litteraturen som anger vad som är viktig kunskap. Inte heller undervisningen eller läraren har någon framträdande position i studenternas syn på vad som formar utbildningens kunskapskrav. Istället är det praktiken och tentamina som anger vad som räknas som viktig kunskap inom utbildningen. Ett tydligt exempel på detta fenomen var utbildningens skriftliga tentamensformer som fick en starkt strukturerande effekt och som därmed kraftfullt påverkade studenterna studiestrategier. Som en effekt av skriftliga tentamensformer utvecklade studenterna en ytinriktad studiestrategi och fokuserade på fakta till förmån för en mer djupinriktad och förståelse inriktad strategi. Under sin praktik ser studenterna sina handledare som förebilder och som genom sitt handlande anger vad en sjuksköterska måste kunna i din profession. Praktiken framstår som en norm för vilken kunskap som studenten måste tillägna sig. Den verksamhetsförlagda sjuksköterskeutbildningens organisation syftar till att studenterna skall få en möjlighet att röra sig mellan olika sociala praktiker vilket kan beskrivas som deltagarbanor i syfte att öppna upp för nya perspektiv för kunskapsutveckling och lärande. Utvärderingen visar samtidigt på svårigheter för studenterna när det gäller att utveckla ett fullvärdigt deltagande i några av dessa sociala praktiker vilket påverkar studenterna möjlighet till ett optimalt lärande på ett negativt sätt. Utbildningen försöker att skapa och konstruera ett nytt lärande och problemlösande subjekt. Detta subjekt kan beskrivas som ett PBL-subjekt och har sin grund i den problembaserade pedagogiska ideologin. Studenterna har dock svårt att identifiera sig med detta nya subjekt då de istället refererar till ett mer traditionellt subjekt. Denna situation skapar en ontologisk otrygghet vilket studenterna försöker att lösa genom att söka efter en traditionell student och lärarrelation. De eftersöker tydlighet och förutsägbarhet och en lärare med specifika kunskaper om det aktuella innehållet som de kan vända sig till för att få hjälp eller svar. Lärarna upplever i sin tur att de inte har lyckats med att implementera och förmedla utbildningens kunskapssyn. Utvärderingen visar entydigt att projektet uppnått en social och organisatorisk integration där teoretiska och praktiska moment varvas på ett sätt som i huvudsak uppfattas positivt av studenterna. Däremot finns inga entydiga indikationer på att det sker en integration på en innehållslig nivå i linje med projektets intentioner, dvs att relationen mellan teori och praktik artikuleras på ett sådant sätt att en ny relation konstrueras. Detta svarar mot den re-kontexualiseringsprocess som återfinns inom utbildning vilket medför att utbildningens struktur och innehåll i stor utsträckning anpassas till de lokala institutionella förutsättningarna. Utvärdering visar på en rad kritiska aspekter som är centrala för att AIL som utbildningskoncept ska kunna utvecklas och bidra till en mer genomgripande integration av teori och praktik. I resultatet visas hur det är möjligt att uppnå en integration på organisatorisk nivå, medan att det för att nå en integration på innehållslig nivå krävs mer genomgripande strategier för att hantera spänningar och motsättningar mellan en ämnesbaserad och en tematisk struktur. En bredd av olika lärarkompetenser framhålls som viktig för att uppnå detta, liksom en tydligare koppling mellan olika arbetsformer i utbildningen. Tidigare studier av problembaserade undervisningsupplägg har i stor utsträckning betonat autonomi och självstyrt lärande utifrån ett individualkonstruktivistiskt perspektiv. För att i högre grad beakta innehållsliga aspekter inom det arbetsintegrerade lärandet föreslås ett perspektiv i utveckling och forskning som i större utsträckning fokuserar på interaktion och kommunikation mellan lärare och studenter.

  • 130.
    Samuelson, Gösta
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Åman, Jan
    Lodefalk, Maria
    Detlofsson, Ingalill
    Cederholm, Ulla
    Vall, Helene
    Mat vid diabetes2008Ingår i: Barn och ungdomsdiabetes, Lund: Studentlitteratur , 2008, s. 93-102Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 131.
    Sandén, Inger
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Söderhamn, Olle
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning.
    Experiences of living in a disrupted situation as partner to a man with testicular cancer2009Ingår i: American Journal of Men's Health, Vol. 3, nr 2, s. 126-133Artikel i tidskrift (Refereegranskat)
  • 132.
    Smedman, Anna
    et al.
    Lidköpings kommun.
    Gustafsson, Kerstin
    Lidköpings kommun.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Att vårda äldre personer på särskilt boende under livets slutskede: Undersköterskornas perspektiv2015Ingår i: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 5, nr 2, s. 79-92Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In Sweden, reforms in health and social care for older people were impplemented in 1992 (Ädelreformen) and provided older people with the opportunity to be cared for in their own homes, under the responsibility of the local municipality. Most of the older people choose to live in their own home or in sheltered housing, a so-called special housing, for rest of their lives and are able to recieve extensive nursing care, including palliative care. Thus, palliative care has shifted from care at hospitals to care in own homes or special housing, which has increased the demands placed on nursing staff. The aim of this study was to elucidate the meanings the nursing staff expressed as regards caring for older persons in special housing in a palliative stage. Qualitative interviews with eight assistant nurses were performed. The inter-views were recorded, transcribed verbatim and analysed using qualitative content analysis. To care for an old person in the palliative stage means  "Caring for a friend", "Creating a calm and peaceful death", "Giving support to relatives" and "Alternating between feelings of powerlessness and satisfaction". When an old person died, the assistant nurse mourned him or her as the would a friend. Amongst the colleguages, the assistant nurses experienced a sense of security, which meant openness and the courage to discuss and reflect upon their feelings, both during the care and after the death. Despite this there was a need for more time to grieve after the death.

  • 133.
    Söderberg, Inger
    et al.
    Kungälvs Sjukhus.
    Trevena, Ingela
    Södra Älvsborgs sjukhus.
    Fridolfsson, Agneta
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Transitioner under sjukdomstiden: Sjuksköterskans stödjande funktion för patienter med cancer2006Ingår i: Theoria: journal of nursing theory, ISSN 1400-8033, Vol. 15, nr 1, s. 16-24Artikel i tidskrift (Övrigt vetenskapligt)
  • 134.
    Söderhamn, Olle
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för sjuksköterskeutbildning. Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Holmgren, Linda
    Health Promotion Officer, Feelgood, Linköping.
    Testing Antonovsky's sense of coherence (SOC) scale among Swedish physically active older people2004Ingår i: Scandinavian Journal of Psychology, ISSN 0036-5564, E-ISSN 1467-9450, Vol. 45, nr 3, s. 215-21Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In Antonovsky's salutogenic theory, the major concept sense of coherence (SOC) is constituted of three core components called comprehensibility, manageability, and meaningfulness. Several scales that are intended to measure SOC are available and used by researchers in health and caring sciences all over the world. When using a scale, evidence of its quality in different study groups is needed in order to get reliable and valid data. The aim of this study was to test reliability and construct validity of the Swedish version of Antonovsky's original 29-item sense of coherence (SOC) scale in a group of physically active older people. The scale was tested with a convenience sample of 140 physically active older individuals, who took part in different fitness-training groups in eastern Sweden. Reliability was assessed as item to total correlations and with the Cronbach's alpha coefficient. Construct validity was assessed with the known groups technique, confirmatory factor analysis, and with logistic regression analysis. The results showed that in the studied group of older individuals, the instrument was a very reliable tool with a Cronbach's alpha coefficient of 0.92. Construct validity of the scale was supported by the fact that the global concept sense of coherence was found to be hierarchically organized in a model that consisted of the three core components of comprehensibility, manageability, and meaningfulness. Furthermore, perceived health could be explained to some degree by sense of coherence, but even more by comprehensibility, in both cases independently of chronological age. The results clearly corroborated Antonovsky's theory.

  • 135.
    Söderhamn, Olle
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. University of Agder, Department of Health and Nursing Sciences, Faculty of Health and Sport Sciences,Grimstad and Kristiansand, Norway.
    Skisland, Anne
    University of Agder, Department of Health and Nursing Sciences, Faculty of Health and Sport Sciences,Grimstad and Kristiansand, Norway.
    Herrman, Margaretha
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för hälsa, kultur och pedagogik.
    Self-care and anticipated transition into retirement and later life in a Nordic welfare context2011Ingår i: Journal of Multidisciplinary Healthcare, ISSN 1178-2390, E-ISSN 1178-2390, Vol. 2011:4, nr 4, s. 273-279Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Abstract: Few studies have appeared in the health care literature on the meaning of transition into retirement and later life. However, this predictable-involuntary transition may influence personal health and well-being, and studying it from a self-care perspective could be useful. The aim of this study was to illuminate aspects of self-care in a group of middle-aged individuals in relation to their anticipated transition into retirement in the Nordic welfare context. A total of 13 individuals, aged 55 to 65 years, were randomly chosen from the total number of inhabitants in three municipalities in mid-west Sweden. Conversational interviews took place, during which the informants shared important events in their lives that had occurred from early childhood until the present time, together with thoughts about their anticipated future developmental transition into later life. The interviews were tape recorded and transcribed verbatim. After content analyses and interpretation, a comprehensive picture of the phenomenon was revealed. The results showed that there were opportunities, expectations, wishes, concerns, and worries related to the transition into retirement and old age among informants from both rural and urban municipalities. Self-care, in connection with this, depended on motivating and demotivating factors. Autonomy and mature dependence seemed to be positive driving forces for reaching a successful transition into later life. Supporting autonomy should be a way of facilitating the transition into retirement and later life.

  • 136.
    Tengelin, Ellinor
    et al.
    Högskolan Väst, Institutionen för hälsovetenskap.
    Dahlborg Lyckhage, Elisabeth
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Nursing teachers’ reflections on their own norm-critical competence2016Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Background: Nursing education in Sweden generally lacks norm-critical perspectives, even though this could help unveil normative judgements of patients in nurses’ daily work. To pursue work-integrated learning about norm criticism for nursing teachers at a small university college in Sweden, all teachers involved in nursing education were offered the course Norm-Aware Caring.Aim: To describe how norm criticism in nursing education is constructed by nursing teachers’ discussions.Methods: After the course Norm-Aware Caring, 20 of the participating 33 nursing teachers were interviewed in five focus groups about their reflections on their new knowledge. The interview transcripts were analyzed on the basis of Fairclough’s discourse analysis, in which words and social practice are seen as mutually constituting each other.Results: Discursive constructions related to teaching, caring and learning were seen in the text. Norm critical teaching was constructed as a practice of much consideration not to insult any student. Norm criticism as a basic caring value was closely related to person-centered care. Their own, personal learning was expressed as fear to use their new knowledge in a wrong way. The teachers themselves considered norm-criticism as something to learn in order to improve the understanding of people who does not fit into majority norms. This perspective of tolerance was consistent in the construction of all discourses.Discussion: It appears that the teachers’ social practice is influenced by a perspective that divides the “normal” from the “deviant”. This may prevent an internalization of norm-critical knowledge, a perspective that aims to question categorizations of normality. Therefore, it is important to continuously scrutinize and reflect over the role of social norms as part of work-integrated learning for nursing teachers.

    References

    AGENCY FOR HEALTH CARE ANALYSIS 2014. A more equal care is possible. Analysis of unmotivated differences in care, encounters and treatment. Report 2014:7. Stockholm: Agency for Health Care Analysis.

    FAIRCLOUGH, N. 1989/2015. Language and power, London, Routledge.

    KIRKEVOLD, M. 2009. Nursing Science – epistemological deliberations]. In: ÖSTLINDER, G., SÖDERBERG, S. & ÖHLÉN, J. (eds.) Caring as an Academic Subject: Report from a Working Conference. Swedish Association for Nurses.

    VAN HERK, K. A., SMITH, D. & ANDREW, C. 2011. Examining our privileges and oppressions: incorporating an intersectionality paradigm into nursing. Nursing Inquiry, 18, 29-39.

  • 137.
    Theander, Kersti
    et al.
    Department of Medicine and Care, Division of Nursing Science, Faculty of Health Sciences, Linköping University.
    Cliffordson, Christina
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Torstensson, Olof
    Hospital of Oskarshamn.
    Jakobsson, Per
    Department of Pulmonary Medicine, University Hospital, Linköping.
    Unosson, Mitra
    Department of Medicine and Care, Faculty of Health Sciences, Linköping University.
    Fatigue Impact Scale: Its validation in patients with chronic obstructive pulmonary disease2007Ingår i: Psychology, Health & Medicine, ISSN 1354-8506, E-ISSN 1465-3966, Vol. 12, nr 4, s. 470-484Artikel i tidskrift (Refereegranskat)
  • 138.
    Vejedal, Åsa
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Omvårdnadsdokumentation: granskning av omvårdnadsjournaler inom psykiatrisk slutenvård2011Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.

    Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.

    Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied. Data was audited using the Cat-ch-Ing audit instrument that comprises 22 questions reflecting various issues relating to the VIPS model and the nursing process. Measurements of quantity and quality were evaluated for each question using a 4-point scale.

    Results The nursing documentation showed a better quantity and quality at the patients’ admission for care than the remaining documentation, long duration of hospital stay indicated better quantity of documented nursing diagnoses and nursing interventions, all of the wards showed a poorly quantitative documentation of status after admission for care as well as nursing care plans.

    Conclusion The nursing documentation within psychiatric care of inpatient settings of one department showed an inadequate documentation of nursing both quantitatively and qualitatively. The nursing care of the patient was neither described nor evaluated.

    Clinical implications The results suggest that strategies for improving nursing documentation will be needed in the future. In addition, further education in using the VIPS fully can be a means to enhance the nurses’ documentation.

  • 139.
    Wasshede, Lena
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Lesbiska barnfamiljers möten med hälso- och sjukvården2009Självständigt arbete på avancerad nivå (magisterexamen), 10 poäng / 15 hpStudentuppsats (Examensarbete)
    Abstract [en]

    Background:

    Due to a more open climate in society for homosexual people several lesbian couples have given birth to children in their relations. Research has shown no differences between children in lesbian families and children in heterosexual families considering mental and social health. International research has also shown that lesbian parents often have bad experiences from meetings with healthcare providers.

    The

    aim of this study was to describe lesbian child families/familyplannings and the lesbian parents experiences and expectations of the healthcare.

    The

    method for the study was qualitative interview with 9 lesbian parents. The data was analysed by the queer theory heteronormative concept.

    The

    results of the research was that lesbian families considered themselves as a nuclear family and at the same time distanced themselves from the nuclear family concept. The findings showed that lesbian couples are involved in a very long process when they try to become parents. The lesbian parents often met a heteronormative approach in their meetings with nurses in the health care, mainly in nurse's speech and practices. Such approaches lead to negative experiences for the lesbian parents.

    Conclusion:

    Nurses need to bee aware of the consequences of heteronormative practices. These aspects should be highlighted in all education for nursing. 

  • 140. Wester, Agneta
    et al.
    Larsson, Lena
    Olofsson, Lena
    Pennbrant, Sandra
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Caregivers’ experiences of caring for an elderly next of kin in Sweden2013Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, nr 4, s. 28-32Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Care of elderly changed in the 1990s in Sweden; treatment sessions were shortened in particular. Consequently, patients have a greater need for care when returning home from hospital. This task may seem overwhelming and caregivers can feel lonely, worn out and resigned in their situation. Aim: Explore how caregivers experience caring for an elderly next of kin in ordinary living. Method: Qualitative content analysis of semi-structured interviews with eleven Swedish caregivers. Findings: Caregivers experienced their situation as something to be endured. In particular, they felt a need for belonging, a need for controlling everyday life, and a need for support. Conclusion: Home care nurses, health centres and home support workers should be aware of and respect caregivers’ needs in terms of support.

  • 141.
    Wikström, Ann-Charlott
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Knowing in practice: a tool in the production of intensive care2007Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    The overall aim with the the present thesisi was to find out how intensive care is produced by focusing on the ICU staffs interaction with each other and the technological tools they use. Theoretical perspective draws on socio cultural theory and the concepts accounting practices, moralöity in discourse and workplace research. The method used is ethnography and the data has been collected through participant observations and interviews in an intensive care unit in Swedish health care. The result... mer

    is presented through four papers. The first paper shows that intensive care to a great extent is produced through rutines. The division of labour is marked and taken for granted by the ICU staffs. Verbal reports, visual displays and activities make the information avaliable and shared understanding seems to make words redundant when the everyday practices are carried out. Further technology seems to be embedded in the caring for the patients. In the second paper the findings also show that technology intervenes in the division of labour and both challenges the ICU staffs' practical knowing and refurmulates practice. The awareness of routine problems is connected to the ability to "see" and to the ICU staffs cultural/contextual knowing. Knowing in practice transforms when new technology is introduced in the ICU. Problems are solved in concert often in a hierarchical way. The third paper in turn illuminates that the meaning of technology seems to be connected to the ICU staffs' accounting practices, i.e. their experiences of intensive care, thaier education, how long they have worked in the ICU and their positions in the network. Accounting practices is also socially shaped by the interaction among the ICU staff.It is the knowing that has been developed over time and it is the knowing that new ICU staff members have to learn to be competent actors in the ICU environment. Furthermore it is found in the fourth paper that moral values are negotiated in assessments of patients, medical decisions, other professionals (in)competence and othe institutions' activities. Thus it seems that moral values embedded and intertwined in the ICU staffs' everyday practices. It is concluded that the ICU staffs competence i.e. knowing in situated activities could be seen as a tool in the production of intensive care. And this knowing seems to be distributed between the humans and between humans and the technological tools to make everyday practices more flexible. The ICU staff does not solve problems solely through individual cognitive work rather staff members "borrow" knowing from each other and solve problems in concert. Intensive care is produced here and now at the same time as the past is present in the everyday pracitices. The meaning is shaped in context and moral values are embedded in the intensive care discourse. In this sense intensive care could be described as a technically, cognitively and morally intense environment.

  • 142.
    Wikström, Ann-Charlott
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Cederborg, Ann-Christin
    Department of Behavioural Sciences, Linköping University.
    Johanson, Marita
    Högskolan Väst, Administration.
    The meaning of technology in an intensive care unit-an interview study2007Ingår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 23, nr 4, s. 187-195Artikel i tidskrift (Refereegranskat)
  • 143.
    Wikström, Ann-Charlott
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Johanson, Marita
    Högskolan Väst, Administration.
    Plos, Kathy
    Cederborg, Ann-Christin
    Morality in discourse in a intensive care unit: a field studtArtikel i tidskrift (Refereegranskat)
  • 144.
    Wikström, Ann-Charlott
    et al.
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning. Högskolan Väst, Institutionen för hälsovetenskap, Avdelningen för omvårdnad - avancerad nivå.
    Larsson, Ullabeth Sätterlund
    Sahlgrenska Academy at Göteborg University, Institute of Health Care Pedagogics.
    Technology -an actor in the ICU: a study in workplace research tradition.2004Ingår i: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, nr 5, s. 555-61Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    BACKGROUND: The present study focuses on human-machine interaction in an intensive care unit in the West of Sweden. AIMS: The aim of the present study was to explore how technology intervenes and challenges the ICU staff's knowing in practice. THEORETICAL PERSPECTIVE: The study's theoretical starting point draws on workplace research tradition. Workplace studies encompass the interaction between the actors' situated activities and the technological tools that make their activities possible. METHOD: Fieldwork or in situ studies of everyday practice in an intensive care unit documented in written field notes constituted the data. RESULTS: The findings show first how technology intervenes in the division of labour when the taken-for-granted "old" everyday practice is disrupted when a new machine intervenes in the morning's work; secondly, it reveal how technology challenges practical knowing and thirdly, it shows how technology reformulates practice. Staff members' awareness of routine problems is often connected to the ability to see, which is always related to cultural/contextual competence. CONCLUSION: It is concluded that it is not talk alone that helps the caregivers to "(dis)solve" the problems. The ability to see the problems, the work environment and to find the relevant supporting tools for "(dis)solving" the routine problems is also crucial. But it is not possible to say that it is the skillful work of humans that solve problems, nor do we claim it is the tools that do so. Humans and tools are interwoven in the problem-solving process. Relevance to clinical practice. Routine problems in the intensive care unit are not "(dis)solved" through the cognitive work of individual staff members alone. Problems are also "(dis)solved" jointly with other staff members. Staff members "borrow" the knowing from each other and problems are re-represented through communication. The knowing has to be distributed among the intensive care unit staff to make the everyday work flexible.

  • 145.
    Winman, Thomas
    et al.
    Högskolan Väst, Institutionen för individ och samhälle, Avd för socialpedagogik och sociologi.
    Rystedt, Hans
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Från patientjournal till digitala informationssystem2010Ingår i: Omvårdnadens grunder: en specialutgåva för sjuksköterskor / [ed] Edberg, Anna-Karin, Lund: Studentlitteratur , 2010, 1, s. 313-342Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 146.
    Winneby, Ewa
    et al.
    SHD, FyrBoDal, Uddevalla.
    Flensner, Gullvi
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Rudolfsson, Gudrun
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för vårdvetenskap på avancerad nivå.
    Feeling rejected or invited: Experiences of persons seeking care advice at the Swedish Healthcare Direct organization2014Ingår i: Japan Journal of Nursing Science, ISSN 1742-7932, Vol. 11, nr 2, s. 87-93Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim Swedish Healthcare Direct is an organization staffed by registered nurses who act as telenurses and assess callers’ need for care, taking both medical and personal aspects into account. They direct the care seeker to: emergency care (level I), a care center on duty (level II), their regular doctor (level III), or provide advice about self-care strategies (level IV). In this assessment process, the nurse and care seeker should reach mutual agreement. The aim and focus of the present study was to elucidate the care seeker’s situation and experiences of the care received after being triaged and directed to level II, although the telenurse in fact assessed their medical problems as corresponding to level III. Methods A total of eight recent Swedish Healthcare Direct users were interviewed in this qualitative study. Data were analyzed by means of content analysis. Results Three themes emerged – “feeling trapped”, “feeling disrespected”, and “feeling invited” – comprising seven subthemes. Conclusion Care seekers experienced suffering as well as struggling to be allowed to be a patient. When not met by an ethically correct stance, they continued to seek care. In contrast, when they encountered commitment and an ethically correct attitude, their health process began and they had no further need for contact.

  • 147.
    Ökvist, Marie
    Högskolan Väst, Institutionen för omvårdnad, hälsa och kultur, Avd för specialistsjuksköterskeutbildning.
    Sömn hos små barn och deras föräldrar2009Självständigt arbete på avancerad nivå (yrkesexamen), 10 poäng / 15 hpStudentuppsats
    Abstract [en]

    Background: How small children sleep influence the whole family. Sleeping problems, could influence children physical, mental, emotionally, cognitive and socially. When parents get waked by the children, who wake by themselves in the middle of the night, the parents do not always now what to do. Aim: The aim of this study was how children sleep and how it influence their parents sleep habit. The question formulation was threefold: Firstly. To describe the sleeping habit of children aged 0-3 years and their parents. Secondly, how usual are sleeping problems and which are the differences concerning sleep between those who experience problems and those who do not? Thirdly, witch help has the parents searched and received concerning sleeping problems. Method: The study was empirical and a questionnaire was constructed. This was delivered to three children care centres. 51 questionnaires were answered and analysed. Results: The parents who believed that they sometimes had problem with the sleep, felt more irascible. They also believed that the children were more frequently sick. The parents talked more with district nurse, and they had more frequently at least two children.

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