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  • 101.
    Hägglund, Doris
    et al.
    Örebro University, School of Health and Medical Sciences.
    Wadensten, Barbro
    Örebro University, School of Health and Medical Sciences.
    Andersson, Catarina
    Aflarenko, Margareta
    Örebro University, School of Health and Medical Sciences.
    Effekten av tranbärsjuice och personalutbildning i vårdhygien för att förebygga urinvägsinfektioner inom särskilt boende2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 28-32Article in journal (Refereed)
    Abstract [en]

    Cranberry juice is often given to elderly persons in nursing homes to prevent urinary tract infections; still there is little evidence to support its use. Basic hygiene routines are important for preventing urinary tract infections. The aim of this study was to investigate whether cranberry juice and staff education in hygiene care can prevent symptomatic urinary tract infections among elderly persons living in nursing homes. A quasiexperimental study with three intervention groups and one control group was conducted involving 257 elderly women and men. A total of 48 symptomatic urinary tract infections were documented over the six months of the study: 21 (43.7%) in the cranberry group, 11 (22.9%) in the control group, 9 (18.7%) in the cranberry/hygiene care group and 7 (14.5%) in the hygiene care group. These between-group differences were not statistic significant. Hence, our study showed no preventive effect from cranberry juice, alone or in combination with staff education in hygiene care, on the incidence of symptomatic urinary tract infections. However, more and better research with larger randomised trials or cranberry capsules is needed to study its potential use to prevent urinary tract infections in elderly persons.

  • 102.
    Idvall, Ewa
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Rosvall, Annika
    Nilsson, Roland
    Utvärdering av nätbaserat lärande avseende användarvänlighet, innehåll och kompetensutveckling2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 2, p. 31-33Article in journal (Refereed)
  • 103.
    Idvall, Ewa
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Nursing Science.
    Strand, Margareta
    Utveckling av kvalitet - med fokus på patienter med perifer venkanyl.2001In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 21, p. 36-41Article in journal (Other (popular science, discussion, etc.))
  • 104.
    Isaksson, Ann-Kristin
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Wenneberg, Stig
    School of Health and Caring sciences, Linnaeus University, Växjö, Sweden.
    Living with multiple sclerosis: The impact of chronic illness2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, ISSN 0107-4083, Vol. 34, no 3, p. 23-27Article in journal (Refereed)
    Abstract [en]

    Background: Some patients having multiple sclerosis (MS) still report gains from the adversity o f suffering from a chronic and debilitating illness.

    Aim: To explore the subjective experiences o f quality o f life in patients with MS, focusing on possible positive aspects o f having to come to terms with MS.

    Method: An inductive approach in the form o f latent content analysis was used to analyze the data from 61 MS-patient interviews.

    Findings: Fighting a losing battle but also gradually conquering oneself was the underlying theme that emerged from the following four main categories: Experience o f ill-health, Experience o f health in spite o f illness, Psychosocial consequences o f having MS, and Different ways o f managing MS. Patients with MS were forced to re-evaluate their life during the course o f illness, gaining hard-earned knowledge that became the basis for continually managing their illness.

    Conclusion: Nurses and other health care personnel need to be aware o f the impact living with MS has on patients as revealed by the present study in order to be able to help these patients come to terms with and adapt to the deleterious effects o f this illness.

  • 105. Islamoska, Julli
    et al.
    Nilsson, Roland
    Sjöström, Kerstin
    Willman, Ania
    Arbetsmodeller som säkrar sjuksköterskekompetensen-en systematisk litteratursammanställning2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 44-47Article, review/survey (Refereed)
    Abstract [en]

    The Swedish healthcare system is organized in a way that all nurses despite formal competence and experience have the same responsibilities. A newly graduated nurse has the same work-load and responsibility in patient care as the experienced nurse. newly graduated nurses need supervision by clinical experts in the process of developing skills, but also to reduce risks that exists when their authority is above their skills and level of experience. The aim was to identify existing organizational models were the nurses´work has been formalized according to their level of competence and experince in order to improve patient safety and patient satisfaction. A search with a systematic approach in CINAHL, The Cochrane Library and MedLine was performed. A total of 397 studies were identified and 31 articles were screened in full text. Finally three articles , which are insufficient with regards to issue recommendations, presented common factors as models that focus on experienced nurses´competence and the organization of patient care. The research regarding models of organization that secure nursing competence in patient care, how it is utilized and, it´s effect on patient care is insufficient. there is a need for extensive research examining this relation at ward level.

  • 106.
    Ivarsson, Bodil
    et al.
    Lunds universitet.
    Klefsgård, Rosemarie
    Lunds universitet.
    Nilsson, Gunilla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Experiences of group education: A qualitative study from the viewpoint of patients and peers, next of kin and healthcare professionals2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 2, p. 35-39Article in journal (Refereed)
    Abstract [en]

    Background:

    Group education is intended to strengthen the ability of patients with long-term illnesses to cope in everyday life.

    Aim:

    To describe how patients and peers, next of kin and healthcare professionals experienced group education sessions.

    Methods:

    A qualitative, critical incident technique was used. Thirty patients, 9 peers, 41 next of kin and 12 healthcare professionals were asked

    to describe in writing their experiences of group education, inspired by the Norwegian Vifladt & Hopen model. The answers were then analyzed

    and categorized.

    Findings:

    Three hundred and eleven critical incidents were identified and two main areas emerged in the analyses: Experiences related to the

    group education and Impact of the group education programs. Experiences related to the group education described The course, Knowledge

    and support, and Becoming closer. Impact of the group education programs described Output and Advice to the healthcare organizations.

    Conclusion: This kind of group education is valuable because the participants benefited from listening to and learning from each other.

    Patients and NoK had the opportunity to find new strategies for managing daily life. The study also showed that it is important to plan and

    implement the education and meetings in cooperation between healthcare professionals and experienced peers

  • 107. Johansson, Elsie
    et al.
    Roxberg, Åsa
    Linnéuniversitetet.
    Fridlund, Bengt
    Nurse’s consolation: A grounded theory study2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 2, p. 19-22Article in journal (Refereed)
  • 108.
    Johansson, Elsie
    et al.
    Högskolan i Halmstad, Sektionen för hälsa och samhälle.
    Roxberg, Åsa
    Växjö University, Faculty of Humanities and Social Sciences, School of Health Sciences and Social Work.
    Fridlund, Bengt
    School of Health Sciences Jönköping University.
    Nurse’s consolation: A grounded theory study2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 2, p. 19-22Article in journal (Refereed)
    Abstract [en]

    To date, consolation has not been clearly defined in nursing science. The purpose of this study was to identify the phenomenon of consolation from the perspective of practising nurses. Data from interviews with 21 nurses were analysed by means of the grounded theory approach. Consolation comprised supportive consolation, avoiding consolation, insufficient consolation and inaccessible consolation, which were integrated into the nurses’ professional approach and personal outlook. More basic research is required in order to illuminate the meaning of the phenomenon of consolation with focus on supportive consolation as well as the non-consolation phenomenon comprising the so-called avoiding, insufficient and inaccessible consolation. In order for nurses to be able to prescribe, carry out and evaluate consoling care which alleviates patient suffering, there is a need for further knowledge of what constitutes and does not constitute consolation.

  • 109.
    Johansson, Elsie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Roxberg, Åsa
    Växjö University, Växjö, Sweden.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI). Växjö University, Växjö, Sweden.
    Nurse’s consolation: A grounded theory study2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 2, p. 19-22Article in journal (Refereed)
    Abstract [en]

    To date, consolation has not been clearly defined in nursing science. The purpose of this study was to identify the phenomenon of consolation from the perspective of practising nurses. Data from interviews with 21 nurses were analysed by means of the grounded theory approach. Consolation comprised supportive consolation, avoiding consolation, insufficient consolation and inaccessible consolation, which were integrated into the nurses’ professional approach and personal outlook. More basic research is required in order to illuminate the meaning of the phenomenon of consolation with focus on supportive consolation as well as the non-consolation phenomenon comprising the so-called avoiding, insufficient and inaccessible consolation. In order for nurses to be able to prescribe, carry out and evaluate consoling care which alleviates patient suffering, there is a need for further knowledge of what constitutes and does not constitute consolation.

  • 110.
    Johansson, Elsie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Roxberg, Åsa
    School of Health Sciences and Social Work, Växjö University.
    Fridlund, Bengt
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Nurses' consolation: a grounded theory study2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 2, p. 19-22Article in journal (Refereed)
    Abstract [en]

    To date, consolation has not been clearly defined in nursing science. The purpose of this study was to identify the phenomenon of consolation from the perspective of practising nurses. Data from interviews with 21 nurses were analysed by means of the grounded theory approach. Consolation comprised supportive consolation, avoiding consolation, insufficient consolation and inaccessible consolation, which were integrated into the nurses’professional approach and personal outlook. More basic research is required in order to illuminate the meaning of the phenomenon of consolation with focus on supportive consolation as well as the non-consolation phenomenon comprising the so-called avoiding, insufficient and inaccessible consolation. In order for nurses to be able to prescribe, carry out and evaluate consoling care which alleviates patient suffering, there is a need for further knowledge of what constitutes and does not constitute consolation.

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  • 111.
    Johansson, Inger
    et al.
    Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad, Karlstads universitet.
    Hamrin, Elisabeth
    Linköping University, Department of Medicine and Health Sciences, Clinical Pharmacology . Linköping University, Faculty of Health Sciences.
    Bedömning av akut förvirringstillstånd med hjälp av NEECHAM Confusion Scale2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 42-43Article in journal (Refereed)
    Abstract [en]

    To assess and identify early sign as well as to follow up the progress or regress of acute confusion are important in nursing care. For this purpose different instruments have been developed and tested psychometrically. One of these instruments is the NEECHAM Confusion Scale. The aim of this article is to describe the development and content of the NEECHAM Confusion Scale and its application in a Swedish sample. This scale is a screening instrument for rapid and non-intrusive assessment and contains nine items organized in three domains; cognitive functions; behavioral measures; physiological control and stability. Possible total score ranging from 0 (minimal responsiveness) to 30 (normal function). A score equal to or less than 24 indicated the presence of confusion. The scale has been psychometrically tested among elderly patients with hip fractures in Sweden. The internal consistency (Cronbach´s alpha coefficient) was satisfactory at two test occasions .73 versus .82 and the construct validity with a three-factor solution accounted for 69% and 73% of the variance. Four months after discharge the predictive value showed a correlation between level of confusion, quality of life, and functional capacity. The study and the literature confirmed that the NEECHAM-scale can be helpful both for patients with delirium and those responsible of the care.

  • 112.
    Johansson, Inger
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Hamrin, Elisabeth
    Hälsouniversitetet i Linköping.
    Bedömning av akut förvirrningstillstånd med hjälp av NEECHAM Confusion Scale2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 42-43Article in journal (Refereed)
  • 113.
    Johansson, Pauline
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Petersson, Göran
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Saveman, Britt-Inger
    Institutionen för omvårdnad, Umeå universitet .
    Nilsson, Gunilla
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Experience of mobile devices in nursing practice2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 4, p. 50-54Article in journal (Refereed)
    Abstract [en]

    Background: In nursing care, the steady increase of healthrelated information implies that there is need for useful tools thateasily provide mobile access to accurate information.Aim: This study is aimed at exploring nurses’ and nursingstudents’ experience of using a mobile device in nursing practice,with the emphasis on usefulness, information retrieval, savingtime, patient safety, the quality of care, and confidence in thework performed.Methods: In this descriptive intervention study, registered nurses(RN) (n=14) and nursing students (NS) (n=7) used mobiledevices in nursing practice during a period of 15 weeks, andreplied to questionnaires prior to and after the intervention.Results and conclusion: We found that the mobile device wasperceived as useful and was presumed to imply increased confidenceand time savings, and to contribute to improved patientsafety and quality of care by enhancing access to necessaryinformation. To facilitate nursing practice, mobile devicesadjusted for technical, statutory, cultural, and language countryspecificconditions, should be further developed and implementedfor RNs and NSs. Furthermore, future research shouldinclude the end-users’ views.

  • 114. Johansson, Pauline
    et al.
    Petersson, Göran
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing.
    Nilsson, Gunilla
    Experience of mobile devices in nursing practice2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 4, p. 50-54Article in journal (Refereed)
    Abstract [en]

    Background: In nursing care, the steady increase of healthrelated information implies that there is need for useful tools thateasily provide mobile access to accurate information.Aim: This study is aimed at exploring nurses’ and nursingstudents’ experience of using a mobile device in nursing practice,with the emphasis on usefulness, information retrieval, savingtime, patient safety, the quality of care, and confidence in thework performed.Methods: In this descriptive intervention study, registered nurses(RN) (n=14) and nursing students (NS) (n=7) used mobiledevices in nursing practice during a period of 15 weeks, andreplied to questionnaires prior to and after the intervention.Results and conclusion: We found that the mobile device wasperceived as useful and was presumed to imply increased confidenceand time savings, and to contribute to improved patientsafety and quality of care by enhancing access to necessaryinformation. To facilitate nursing practice, mobile devicesadjusted for technical, statutory, cultural, and language countryspecificconditions, should be further developed and implementedfor RNs and NSs. Furthermore, future research shouldinclude the end-users’ views.

  • 115. Johansson, Stina
    Makrostruktur och moral: Några forskningsetiska inlägg om forskningens roll i sjuksköterskeyrket1991In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, ISSN 0107-4083, Vol. 11, no 2, p. 21-26Article in journal (Other academic)
  • 116.
    Johansson, Stina
    et al.
    Umeå University, Faculty of Social Sciences, Department of Social Work.
    Fahlström, Gunilla
    Uppsala universitet, Institutionen för socialmedicin.
    I nöd och lust: En studie av kvinnor som vårdar en närstående.1993In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 13, no 2, p. 15-22Article in journal (Other academic)
  • 117.
    Johansson, Stina
    et al.
    Institutionen för socialmedicin, Uppsala universitet.
    Fahlström, Gunilla
    Institutionen för socialmedicin, Uppsala universitet.
    Ericsson, Kjell
    Institutionen för socialmedicin, Uppsala universitet.
    Funktionsförmåga, tillsynsbehov och familjebaserade insatser för vårdtagare med stora hjälpbehov i hemvård [Functional level, care needs and family-based care for home-care recipients with extended care needs]1993In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 13, no 1, p. 11-17Article in journal (Refereed)
    Abstract [en]

    A study of home care and home health services was undertaken in three Swedish municipalities. Persons who received extended home care and home health care were interviewed. The interviews covered different themes such as impairments, care needs, functions and activities in the horizontal social network (the informal network), and opinions concerning how care is and should be provided. A modified ADL-index was used to assess the functional level of daily living. Care needs were measured by the judgement of the care recipient, and by the interviewer's judgement. The correspondence between these measures was high, with some exceptions. Lower correspondence between the measures was obtained for three categories of care recipients: individuals with communicative dysfunctions, younger individuals with reduced ability to move and, thirdly, individuals with psychosocial problems. Problems concerning measurement of care given by family members were also identified and discussed.

  • 118.
    Johansson Sundler, Annelie
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Högskolan i Skövde, Institutionen för vård och natur.
    Svanström, Rune
    Högskolan i Skövde, Institutionen för vård och natur.
    Hjärtats osäkerhet - en begreppsanalys2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 4, p. 42-47Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to elucidate the meaning and dimensions of the concepts uncertain, control, secure and risk. The results from the concept determination were discussed in relation to the phenomenon of women’s health and illness experiences following a myocardial infarction (MI). A method of concept determination was used. The findings disclose the complexity of the women’s existential uncertainty that was experienced by women following an MI. This uncertainty is an important matter in relation to the women’s health processes and to their well-being. In these processes the concepts control, secure and risk play a central role. Western culture of today seems to be characterized by a search for greater safety. Lifestyle disorders, such as an MI, seems to make people more aware of specific risk factors that may be avoided. Women who have suffered an MI want to be as safe as possible in order to not fall ill again, but live well. The women’s ambition to achieve greater safety may lead them to feel even greater uncertainty. It is a challenging act for healthcare professionals to balance their support, to give information and to care for patients with acute coronary syndromes.

  • 119.
    Johansson Sundler, Annelie
    et al.
    University of Skövde, School of Life Sciences. Mälardalen university, Sweden.
    Svanström, Rune
    University of Skövde, School of Life Sciences.
    Hjärtats osäkerhet - en begreppsanalys2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 4, p. 42-47Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to elucidate the meaning and dimensions of the concepts uncertain, control, secure and risk. The results from the concept determination were discussed in relation to the phenomenon of women’s health and illness experiences following a myocardial infarction (MI). A method of concept determination was used. The findings disclose the complexity of the women’s existential uncertainty that was experienced by women following an MI. This uncertainty is an important matter in relation to the women’s health processes and to their well-being. In these processes the concepts control, secure and risk play a central role. Western culture of today seems to be characterized by a search for greater safety. Lifestyle disorders, such as an MI, seems to make people more aware of specific risk factors that may be avoided. Women who have suffered an MI want to be as safe as possible in order to not fall ill again, but live well. The women’s ambition to achieve greater safety may lead them to feel even greater uncertainty. It is a challenging act for healthcare professionals to balance their support, to give information and to care for patients with acute coronary syndromes.

  • 120.
    Johansson [Tinnfält], Agneta
    et al.
    Örebro University, Department of Health Sciences.
    Ehnfors, Margareta
    Örebro University, Department of Health Sciences.
    Mental health-promoting dialogue of school nurses from the perspective of adolescent pupils2006In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, no 4, p. 10-13, 19Article in journal (Refereed)
    Abstract [en]

    Mental health is a major public health issue in Sweden, especially concerning children and adolescents. School plays a primary role as a health-promoting arena, where school nurses use the health dialogue to promote mental health. The aim of this study was to describe the prerequisites of a mental health-promoting dialogue with the school nurse from the perspective of young people. A further aim was to explore what adolescents believe are important dimensions for achieving such a desired dialogue. Twenty-six 15-year-olds in Sweden were interviewed after being assigned to five focus groups. Inductive qualitative content analysis was used. The findings show that the prerequisites for a mental health-promoting dialogue with the school nurse include what issues to discuss in the dialogue and where the dialogue should take place. The dimensions of the dialogue include what the adolescents think is most important in the dialogue with the school nurse: trustiness, attentiveness, respectfulness, authencity, accessibility during school hours and continuity.

  • 121.
    Jonsson, Åsa
    et al.
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Ottosson, Sandra
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Berndtsson, Ina
    University West, Department of Nursing, Health and Culture, Division of Nursing. University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Jag vet inte riktigt vad jag ska göra med svaret…: En intervjustudie om distriktssköterskors erfarenheter av att samtala med patienter om alkohol2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 3, p. 4-8Article in journal (Refereed)
    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.

  • 122. Jönsson, E
    et al.
    Fridlund, Bengt
    Växjö universitet.
    Marklund, B
    Nordström, B
    Psychosocial risk factors in families with infants: a municipality survey2006In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, no 3, p. 9-13Article in journal (Refereed)
  • 123. Jönsson, L
    et al.
    Fridlund, Bengt
    Lunds universitet.
    Parents-conception of participating in a home care programme from NICU: a qualitative analysis2003In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 23, no 4, p. 35-39Article in journal (Refereed)
  • 124. Jönsson, Sofia
    et al.
    Mårtensson, Jan
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. ADULT.
    Uppfattningar om ryggbedövning hos dagkirurgiska patienter som genomgår knäartroskopi2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 2, p. 19-23Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to examine how patients conceive spinal anesthesia during diagnostic kneearthroscopy. A qualitative design with phenomenographic approach was used and 14 elective day surgery patients were interviewed with semi-structured questions. The outcome resulted in three categories: to perceive various sensitive phenomena, to be exposed and to be noticed. The importance of patient involvement in their care, maintenance of integrity, and to have a working relationship between the patient and staff are some factors that should be lifted in the caring at spinal anesthesia. This study may help healthcare professionals to respond to each patient according to his / her individual needs and thus to ensure good care.

  • 125.
    Kaminsky, Elenor
    Neonatalavdelning 95F Akademiska barnsjukhuset och Ungdomsvägledningen i Uppsala.
    Etiska perspektiv på att rädda extremt underburna barn eller inte1993In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 13, no 3, p. 27-29Article in journal (Other academic)
  • 126.
    Kaminsky, Elenor
    Neonatalavdelning 95F Akademiska barnsjukhuset och Ungdomsvägledningen i Uppsala.
    Svenska barns tankar om krig1995In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 15, no 1, p. 30-32Article in journal (Other academic)
  • 127.
    Karlsson, Margareta
    et al.
    University West, Department of Nursing, Health and Culture, Division of Nursing.
    Sandén, Inger
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    En grupp sjuksköterskors beskrivning av goda vårdsituationer i palliativ vård2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 1, p. 50-53Article in journal (Refereed)
  • 128.
    Kiessling, Tina
    et al.
    Västra Götalandsregionen.
    Kjellgren, Karin
    Institutionen för Omvårdnad, Göteborgs Universitet.
    Patients' experiences of participation in care2004In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 24, p. 31-37Article in journal (Refereed)
    Abstract [en]

    Patients have a legal right to participate in their care and in the decision-making affecting their care in most Western countries. However, this is not only a matter of legal right. According to previous research, treatment outcome may be improved if patients experience greater participation. The aim of this Swedish study was to describe how patients experience their participation in the care, and factors that have an influence on their participation. A phenomenological approach was used and data was collected by interviews with eight inpatients at a surgical ward. The interviews were audio-taped and transcribed verbatim. Through analysis, meaning units were organized into themes and the essence was formulated. The experience of participation was expressed in following themes: a need of dialogue, continuity in contact with the staff and control. The essence of participation was the desire of a continuous dialogue with the caregiver, with the aim of exchanging information. Lack of time, as the patient experienced it, among the caregivers reduced the possibility to keep the dialogue. The need of control could force the patient to participate in the care situation.

  • 129.
    Lantz, Björn
    University of Borås, School of Engineering.
    Gender differences in reasons, facilitators, and barriers for parental presence in the NICU2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 1, p. 61-63Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to explore gender differences in reasons, facilitators, and barriers for parental presence in the neonatal intensive care unit (NICU) based on statistical analyses of secondary data. Background: Factors that may influence parental presence should be taken into careful consideration by NICU staff These factors are likely to differ between genders, as research studies demonstrated that mothers tend to spend more time with their preterm infants in the NICU than the fathers. Methods: The study was based on secondary data, which was obtained, corrected, and analysed with Fisher's exact test. Findings: For control reasons, a larger proportion of fathers are present at the NICU than mothers. A larger proportion of fathers, as compared to mothers, perceive difficult socio-economic situations as a barrier for parental presence. In contrast, mothers perceive goodquality treatment by hospital staff as a facilitator and poor treatments as a barrier for parental presence. Conclusion: Reasons, facilitators, and barriers for parental presence should be considered in order to increase parental presence in the NICU.

  • 130. Larsson, Mona
    et al.
    Svedlund, Marianne
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Aktivitetsutförandeproblem i samband med höftledsoperation: en intervjustudie av kvinnor och män.2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 3, p. 4-8Article in journal (Refereed)
  • 131. Ledin, Annica
    et al.
    Olsen, Lisbet
    Josefsson, Karin
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Sjuksköterskors syn på svårigheter i telefonrådgivning: En litteraturstudie2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 100, no 31, p. 11-18Article in journal (Refereed)
    Abstract [en]

    Aim: To deepen the knowledge of difficulties in registered nurses telephone advice and identify possibilities to master these.

    Background: Telephone advice increases the accessibility to health care and the streamlined work at primary health care centres. The goal of telephone advice nursing is to give a correct advice, adapted to the caller’s situation, in order to reach correct care level. However, nurses’ telephone advice includes risks for misjudgement and may risk the patient safety.

    Methods: A systematic and manual literature study was used in CINAHL and Pubmed. A total of 38 studies were identified and 13 articles were screened in full text.

    Findings: Nurses’ had difficulties in telephone advice in following areas: computerized decision aids, non-visual communication, third-part communication, limited resources, the nurses’ vulnerability, genus and ethnicity, and also ethical questions.

    Conclusion: Nurses perceived difficulties in telephone advice. They should take part in the development of computerized decision support and receive continuous training in communication skills. Nurses’ telephone advice should be facilitated by the existence of an open climate at the workplace, to discuss and to reflect on difficulties, in order to reach patient safety.

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  • 132. Ledin, Annica
    et al.
    Olsen, Lisbet
    Josefsson, Karin
    Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Mälardalens högskola.
    Sjuksköterskors syn på svårigheter i telefonrådgivning: En litteraturstudie2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 2, p. 11-18Article in journal (Refereed)
    Abstract [en]

    Aim: To deepen the knowledge of difficulties in registered nurses telephone advice and identify possibilities to master these. Background: Telephone advice increases the accessibility to health care and the streamlined work at primary health care centres. The goal of telephone advice nursing is to give a correct advice, adapted to the caller’s situation, in order to reach correct care level. However, nurses’ telephone advice includes risks for misjudgement and may risk the patient safety. Methods: A systematic and manual literature study was used in CINAHL and Pubmed. A total of 38 studies were identified and 13 articles were screened in full text. Findings: Nurses’ had difficulties in telephone advice in following areas: computerized decision aids, non-visual communication, third-part communication, limited resources, the nurses’ vulnerability, genus and ethnicity, and also ethical questions. Conclusion: Nurses perceived difficulties in telephone advice. They should take part in the development of computerized decision support and receive continuous training in communication skills. Nurses’ telephone advice should be facilitated by the existence of an open climate at the workplace, to discuss and to reflect on difficulties, in order to reach patient safety.

  • 133. Lidell, E
    et al.
    Segesten, K
    Fridlund, Bengt
    Högskolan i Halmstad.
    Myocardial infarction patients' anxiety along the life span and interrelationship with self-concept1998In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 18, no 3, p. 20-25Article in journal (Refereed)
  • 134.
    Lidell, Evy
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Axelsson, Åsa
    Institutionen för vårdvetenskap och hälsa, Göteborgs Universitet.
    Fridlund, Bengt
    School of Health Sciences, Jönköping University, Jönköping.
    Mårtensson, Jan
    School of Health Sciences, Jönköping University, Jönköping.
    Hildingh, Cathrine
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    A masters programme in cardiovascular nursing: a two-year-follow-up2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 48-49Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to evaluate professional development and promotion as well as whether the new competence was requested after completion of a one-year master programme (MP) in Cardiovascular (CV) nursing. In Sweden the first one-year MP within the CV area took place between 2003 and 2005 at Halmstad University with a follow-up in 2007. The sample consisted of seventeen former students who had completed the MP. A questionnaire was developed comprising twenty items grouped into three main sections. Most of the nurses stated that their knowledge was requested and that they had developed their professional attitude, skills and knowledge. Seven of the nurses had a new position and five of them had advanced in terms of leadership. In three cases, the master exam was critical for the employers’ decision. Six of the nurses who had a new post had obtained an increase in salary. In conclusion, the MP led to increased competence as well as improved career prospects. Information about the MP should be available at clinics, and collaboration between clinical practice and education is necessary in order to ensure relevant use of master educated nurses’ competence.

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  • 135.
    Lidell, Evy
    et al.
    Högskolan i Halmstad.
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Mårtensson, Jan
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Hildingh, Catrine
    Högskolan i Halmstad.
    A master programme in cardiovascular nursing: a two-year follow-up2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 48-49Article in journal (Refereed)
  • 136.
    Lidell, Evy
    et al.
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Arvidsson, Barbro
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Awareness in research supervision: a single subject study2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 2, p. 23-26Article in journal (Refereed)
    Abstract [en]

    Theoretically, one part of supervision is the direct object i.e. what can be learnt, another part is the indirect object aiming at how the learning process is constituted and influenced by both the doctoral student and his/her supervisor. Emphasising both the what and the how object of learning as well as their interrelationship may be an important factor for the development of the role of supervisor in research. The aim of this study was to describe supervision of doctoral students from the perspective of a research supervisor. Interview data were analysed in accordance with content analysis. The result showed that research supervision had a latent content of awareness of underlying structures and the preconditions for learning that became visible through self-appraisal, orientation towards a goal, in the interaction and the performance of an art. Awareness was a cornerstone in research supervision that enabled both the what and the how aspect of learning.

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  • 137.
    Lindgren, Margareta
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Nursing Science.
    Andersson, Inger S
    The Karen instruments for measuring quality of nursing care. Item analysis2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 89, p. 14-18Article in journal (Refereed)
  • 138.
    Lindqvist, Gunilla
    et al.
    Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences.
    Håkansson, Anders
    Petersson, Kerstin
    Informal home caregiving in a gender perspective: A selected literature review2004In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 24, no 4, p. 26-30Article in journal (Refereed)
    Abstract [en]

    An informal home caregiver is a person (family member or friends) who takes care of or participates to some degree in the care of a person in the home. This study provides a selected review of literature published 1982-2003 of the informal home caregiving from a gender perspective. A computer-aided search using MEDLINE and CINAHL was carried out. The final number of articles was 45. The main findings were that there are differences in informal caregiving due to gender. Gender differences were found in categories such as affected lifeworld, health problems, managing ability and caregivers experience from caring for a care receiver with different diseases. It is of importance that the informal caregiver is involved in the planning and that a planning act takes place. If society involves the informal home caregiver we can avoid the caregiver being the hidden victim of illness and disability. It is known that burdensome caregiving can result in encroachment due to exhaustion.

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    Informal home caregiving
  • 139. Lindqvist, Therese
    et al.
    Persson, Lina
    Svedlund, Marianne
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Sjuksköterskestudenters attityder till att ta emot vård av en manlig eller kvinnlig sjuksköterska2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 1, p. 4-8Article in journal (Refereed)
  • 140. Lindskog, K
    et al.
    Idvall, Ewa
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Care, Nursing Science.
    Preoperative huddesinfektion inför dagkirurgi - patienters följsamhet2004In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 72, p. 45-47Article in journal (Other academic)
  • 141.
    Lindwall, Lillemor
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Den talande kroppen- en vårdvetenskaplig studie ur blivande sjuksköterskors perspektiv2001In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 21, no 4, p. 16--20Article in journal (Refereed)
  • 142.
    Lindwall, Lillemor
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Vendlegård, C
    Hubner, C
    Värdighet som det visar sig i en kirurgisk praxis2010In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 30, no 3, p. 30-34Article in journal (Refereed)
  • 143.
    Lund, Carina
    et al.
    Hälsoakademin Örebro Universitet.
    Nilsson, Ulrica
    Umeå University, Faculty of Medicine, Department of Nursing.
    Patients’ perceived health and anxiety pre and post implantable cardioverter defibrillator insertion2010In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 30, no 1, p. 43-44Article in journal (Refereed)
    Abstract [en]

    Background: Previous research has shown that implantable cardioverter defibrillators (ICD) can improve patient’s quality of life and life-satisfaction.

    Aim: This small-scale study aimed to compare patients’ self-assessed health and anxiety before and one month after ICD insertion and measure whether or not ICD patients suffer from depression.

    Methods: Eighteen consecutive participants assessed health, anxiety and depression at two occasions: (i) the day of ICD implantation; and (ii) one month post ICD insertion. Health was assessed by EuroQol visual analogue scale (EQ VAS) and Hospital Anxiety and Depression Scale (HADS) was used to assess depression and anxiety.

    Results: The results showed a statistically significant increase in post ICD insertion values of health and decrease in values of anxiety compared to pre ICD insertion values. No difference was found regarding depression.

    Conclusion: The findings indicate that patients’ perceived health increase and anxiety decrease after an ICD insertion. However, more and larger studies are needed.

  • 144.
    Lund, Carina
    et al.
    Örebro University, School of Health and Medical Sciences. Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Nilsson, Ulrica
    Örebro University, School of Health and Medical Sciences. Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden.
    Patients’ perceived health and anxiety pre and post implantable cardioverter defibrillator insertion2010In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 30, no 1, p. 43-44Article in journal (Refereed)
    Abstract [en]

    Background: Previous research has shown that implantable cardioverter defibrillators (ICD) can improve patient’s quality of life and life-satisfaction.

    Aim: This small-scale study aimed to compare patients’ self-assessed health and anxiety before and one month after ICD insertion and measure whether or not ICD patients suffer from depression.

    Methods: Eighteen consecutive participants assessed health, anxiety and depression at two occasions: (i) the day of ICD implantation; and (ii) one month post ICD insertion. Health was assessed by EuroQol visual analogue scale (EQ VAS) and Hospital Anxiety and Depression Scale (HADS) was used to assess depression and anxiety.

    Results: The results showed a statistically significant increase in post ICD insertion values of health and decrease in values of anxiety compared to pre ICD insertion values. No difference was found regarding depression.

    Conclusion: The findings indicate that patients’ perceived health increase and anxiety decrease after an ICD insertion. However, more and larger studies are needed.

  • 145. Lundén, K
    et al.
    Baigi, A
    Lidell, E
    Hildingh, C
    Fridlund, Bengt
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. Quality improvements, innovations and leadership in health care and social work.
    Coronary care unit nurses' outlook on death - their own thoughts as well as those of their patients: a pilot study2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 3, p. 9-12Article in journal (Refereed)
  • 146.
    Lundén, Karin
    et al.
    Gothenburg University, Sweden.
    Baigi, Amir
    Dept. of Primary Health Care, Gothenburg University, Sweden.
    Lidell, Evy
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Hildingh, Cathrine
    Halmstad University, School of Social and Health Sciences (HOS), Centre of Research on Welfare, Health and Sport (CVHI).
    Fridlund, Bengt
    School of Health Sciences and Social Work, Växjö University, Sweden.
    Coronary care unit nurses' outlook on death - their own thoughts as well as those of their patients: a pilot study2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 3, p. 9-12Article in journal (Refereed)
    Abstract [en]

    No studies have examined the  level of preparedness of CCU  nurses to deal with cardiac patients’  death issues. Accordingly,  the aim of this pilot study was to  explore and describe CCU nurses’  outlook on their own as well  as their patients’ thoughts about  death. A pilot study was conducted  in 2005 at a University Hospital  in southern Sweden. The 63  (93%) nurses answered a newly  established 18-item questionnaire  regarding their own and their  patients’ thoughts about death.  Descriptive statistics revealed  that 90% of nurses believed that  patients often thought about  death. Regarding their outlook on  death issues, 41% were aware of  their personal standpoint, 63%  were clear about their plan of  action, 34% showed openness  towards their patients and 26%  expressed educational adequacy.  These low figures pertaining to  both personal and professional  awareness indicate a lack of  knowledge and competence. Clinical  implications are the provision  of various forums at CCUs  on this subject and the creation of  awareness at all levels of nursing  education. Research implications  are to further develop the instrument  and implement an intervention  at the CCU of how to care  for dying cardiac patients in a  professional manner.

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  • 147.
    Magnusson, Carl
    et al.
    Ambulans- och Prehospital Akutsjukvård, Gullbergs Strandgata 36 C, SE – 411 04 Göteborg.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för vårdvetenskap.
    Jutengren, Göran
    Högskolan i Borås, Institutionen för vårdvetenskap.
    Knutsson, Susanne
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Högskolan i Borås, Institutionen för vårdvetenskap.
    Patientnärmre vård: En observationsstudie av sjuksköterskans tid för patientnära vård2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 4, p. 4-9Article in journal (Refereed)
    Abstract [en]

    The aim: To conduct a follow up study to measure registered nurses’ time of direct patientcare after implementation of patientfocused care(PFC).

    Background: PFC is an organizational model with the objective to increase both patient participation and health care effectiveness. After areconstruction of wards to single bedrooms in a hospital south of Sweden. PFC was implemented to increase time for direct patientcare inorder to better meet patients’ needs.

    Method: Time measured observations were conducted. 20 registered nurses were observed in four different wards at a 525-bed hospital insouth of Sweden after implementation of PFC.

    Findings: In a workday of 8,5 hrs, registered nurses spend 6,8 hrs (79,8 %) with work related to patients. Time for directcare was 2 hrs(23,8 %) and time for indirect care was 4,8 hrs (56 %). Indirect care consists of categories such as documentation, report and medical round.

    Conclusion: In comparison before implementation of PFC, time for patientrelated care increased by 10,8 %. However, time is spent mainlyat patient indirectcare activities. It is important to also focus on a change of culture in the organization to succeed with an implementationof PFC.

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  • 148.
    Magnusson, Carl
    et al.
    Ambulans- och Prehospital Akutsjukvård, Göteborg.
    Ekebergh, Margaretha
    University of Borås, Sweden.
    Jutengren, Göran
    University of Borås, Sweden.
    Knutsson, Susanne
    Jönköping university, Sweden.
    Patientnärmre vård: En observationsstudie av sjuksköterskans tid för patientnära vård2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 4, p. 4-9Article in journal (Refereed)
    Abstract [en]

    The aim: To conduct a follow up study to measure registered nurses’ time of direct patientcare after implementation of patientfocused care(PFC).

    Background: PFC is an organizational model with the objective to increase both patient participation and health care effectiveness. After areconstruction of wards to single bedrooms in a hospital south of Sweden. PFC was implemented to increase time for direct patientcare inorder to better meet patients’ needs.

    Method: Time measured observations were conducted. 20 registered nurses were observed in four different wards at a 525-bed hospital insouth of Sweden after implementation of PFC.

    Findings: In a workday of 8,5 hrs, registered nurses spend 6,8 hrs (79,8 %) with work related to patients. Time for directcare was 2 hrs(23,8 %) and time for indirect care was 4,8 hrs (56 %). Indirect care consists of categories such as documentation, report and medical round.

    Conclusion: In comparison before implementation of PFC, time for patientrelated care increased by 10,8 %. However, time is spent mainlyat patient indirectcare activities. It is important to also focus on a change of culture in the organization to succeed with an implementationof PFC.

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    FULLTEXT01
  • 149. Magnusson, Carl
    et al.
    Ekebergh, Margaretha
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jutengren, Göran
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Knutsson, Susanne
    Patientnärmre vård: En observationsstudie av sjuksköterskans tid för patientnära vård...PATIENTFOCUSED CARE: AN OBSERVATIONAL STUDY OF REGISTERED NURSES’TIME FOR DIRECT PATIENT CARE2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 4, p. 4-9Article in journal (Refereed)
  • 150.
    Magnusson, Katarina
    et al.
    Linnaeus University, Faculty of Social Sciences, Department of pedagogy.
    Holt, Hanne Marit
    Linnaeus University, Faculty of Social Sciences, Department of pedagogy.
    Mosdal, Magnar
    Linnaeus University, Faculty of Social Sciences, Department of pedagogy.
    Felitzia, Roberto
    Linnaeus University, Faculty of Social Sciences, Department of pedagogy.
    Anställdas erfarenheter av tvärvetenskapligsamverkan inom missbruksvården.: En kvalitativ studie av två norska ochtvå svenska verksamheter2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 108, p. 28-30Article in journal (Other academic)
    Abstract [en]

    ABSTRACTThe aim of this study was to highlight employees' experiences of interaction about persons who for some reason have come into contact withthe treatment of youth and/or substance abuse care in Sweden and Norway. Differences between ownership and regulation in Sweden andNorway on cooperation in drug treatment are discussed.The study was conducted using a qualitative approach, semi-structured interviews with employees in operations involved with adults andadolescents and their families. As the study was small in scope, four respondents in four operations in three counties, it is not possible to draw anygeneral conclusions. However there was found in the interviews, supported from literature, important prerequisites for collaboration concerningyouth with substance abuse problems is to have good understanding of and respect for other professions. The need of having an understanding ofeach other's knowledge, decisions skills, flexibility and the resources available in the operations has also emerged. There is an ambition to getsynergy in work but there are parts of the law preventing cooperating. Another preventing factor is that several actors often are involved aroundthe person who seeks help. Where collaboration works there are often personal relationships involved between collaboration partners. Thismakes collaboration vulnerable since they rely on private networks that are at risk of disappearing as soon as a key person leaves the service.

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