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  • 101.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    von Post, I
    Perioperativ vård - att förena teori och praxis2008Bok (Fagfellevurdert)
  • 102.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    von Post, I
    Eriksson, K
    Clinical research with a hermeneutical design and an element of application2010Inngår i: International Journal of Qualitative Methods, ISSN 1609-4069, E-ISSN 1609-4069, Vol. 9, nr 2, s. 172-186Artikkel i tidsskrift (Fagfellevurdert)
  • 103.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    von Post, Irene
    Åbo Akademi.
    From Practice to Theory: How the Basic Concepts Appears in a Perioperative Practice2013Inngår i: International Journal of Caring Sciences, ISSN 1791-5201, E-ISSN 1792-037X, Vol. 6, nr 3, s. 369-379Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of the study was to describe how the basic concepts, human being, health, suffering, caringand culture appear in perioperative practice in order to obtain an understanding of the concepts in practice.Methods: A hermeneutic text interpretation of results from ten previous studies and reports fromperioperative research meetings with co- researchers was conducted in order to gain an understanding ofthe concepts in practice.Results: The basic concepts were understood as; The human being – the patient and the nurse. Patient is asuffering human being who has been betrayed by the body; a body that needs to undergo surgery. Nurse -the caring human being, whose ethos is embedded in human dignity and emerges in their caring acts.Health – to be a unique human being: someone who wants to be taken seriously wants to become involved,to be considered a resource and to establish a communion. Suffering – a struggle between good and evil:Suffering exists in different forms. Suffering in care can be a result of the staff behaviour towards thepatient and towards each other, how caring/the work is organized, or how the nurses’ time with the patientsis planned. Caring – to be there for the patient; the nurses’ care for the patient, taking the patient seriouslyand safeguarding the patient’s dignity. The culture – material and spiritual culture: human dignity is theethos of the perioperative culture and appears as confirmed or violated dignity and value conflicts.

  • 104.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    von Post, Irene
    Åbo Academy University, Finland.
    Preserved and violated dignity in surgical practice: nurses' experiences2014Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 21, nr 3, s. 335-346Artikkel i tidsskrift (Fagfellevurdert)
  • 105.
    Lindwall, Lillemor
    et al.
    Mälardalens högskola.
    von Post, Irene
    Eriksson, K
    Caring perioperative culture, its ethos and ethic2007Inngår i: Journal of Advanced Perioperative care, Vol. 3, nr 1, s. 27-34Artikkel i tidsskrift (Fagfellevurdert)
  • 106.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Institutionen för hälsa och vård.
    von Post, Iréne
    Institutionen för vårdvetenskap, Åbo akademi, Vasa.
    Människan i det perioperativa vårdandet: Antropologisk och etisk reflektion2005Rapport (Annet vitenskapelig)
    Abstract [sv]

    Att som patient få vara människa i det perioperativa vårdandet är en etisk utmaning för anestesi- och operationssjuksköterskor. Vårdvetenskap som akademisk disciplin ser människan som enheten kropp, själ och ande och det etiska utgör kärnan i allt vårdande. Sjuksköterskans etiska ansvar blir att garantera patienten, den lidande människan, hennes värde som människa och skydda och bevara hennes värdighet.

    Den kliniska vårdvetenskapen (vid bädden) utforskar det perioperativa vårdandet i olika kliniska situationer. Dess uppgift är att skaffa ett språk för och kunskap om det perioperativa vårdandet. Därför måste vi stanna upp och reflektera över vad som är det vårdande och icke vårdande samt vad som sker i en klinisk situation mellan patient och sjuksköterska.

    Ett intressant drag i det perioperativa vårdandet är att de perioperativa samtalen med sjuksköterskan från operationsavdelningen kanske blir de enda verkliga samtalen under hela sjukhusvistelsen. Kroppen kan inte ensam klara av sjukdomen själv utan alla inre krafter måste finnas tillgängliga.

  • 107.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    von Post, Iréne
    Perioperativ vård - den perioperativa vårdprocessen2000Bok (Fagfellevurdert)
  • 108.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    von Post, Iréne
    Perioperativ vård - teori och praxis2010Inngår i: Uppdukat, ISSN 1101-5624, nr 4, s. 8-9Artikkel i tidsskrift (Annet vitenskapelig)
  • 109.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    von Post, Iréne
    Äldre patienter och den perioperativa dialogen2009Rapport (Annet (populærvitenskap, debatt, mm))
    Abstract [sv]

    Föreliggande FOU- rapport är ett kliniskt grundforskningsprojekt, med ett applikationsmoment som inriktar sig på att upptäcka okända eller redan kända sammanhang i praxis och handlar om hur anestesi- och operationssjuksköterskor genom den perioperativa dialogen tar ansvar för att kontinuiteten hålls samman. Vårt forskningsintresse är att öka förståelsen för det perioperativa vårdandet, den vårdande akten och att implementera vårdvetenskaplig forskning i praxis.

     

    Forskningens resultat presenteras i tre studier: Den äldre patienten, som skall genomgå ett kirurgiskt ingrepp (studie I). I denna studie vidgas kunskapen om den professionella förförståelsen, när professionen främjar seendet och när professionen liksom ’Maya’s slöja’ skymmer seendet. Studien visar också hur den professionella förförståelsen påverkar medforskares och forskares föreställningar om sig och sin praxis i en klinisk grundforskning med ett applikationsmoment. Vi vill lyfta fram betydelsen av att forskare och medforskande anestesi- och operationssjuksköterskor som genomför projekt i en egen kontext klargör sin professionella förförståelse innan studierna påbörjas. Studie II handlar om; Att få dela sina tankar. Vad den äldre patienten talar om, med sin anestesi- eller operationssjuksköterska, i den perioperativa dialogen. I studien delade den äldre patienten sina tankar med sin anestesi- eller operationssjuksköterska, om att vara äldre och drabbad av sjukdom. Genom den perioperativa dialogen framstod anestesi- och operationssjuksköterskan som att hon/han var intresserad av patienten och som ett efterlängtat besök när de möttes igen. Genom att dela den äldre patientens tankar får anestesi- och operationssjuksköterskan kunskap om den patient hon/han skall vårda och vad den äldre patienten upplevde som lidande och välbefinnande. I studie III beskrivs; Den perioperativa dialogen – när anestesi- och operationssjuksköterskan blir en känd person för den äldre patienten. Studien handlar om hur anestesi- och operations-sjuksköterskor skyddar och bevarar den äldre patientens värdighet genom att bli en känd person för den äldre patienten som skall genomgå en operation.

    I projektet har siktet varit inställt på att skapa vetande om och ett nytänkande inom den perioperativa vården. Vi har utgått från Erikssons (2003) teoretiska betraktelse av vårdverkligheten som i grunden är en humanvetenskap och vars grundläggande epistemologi är hermeneutik. Projektets motiv var att med hjälp av den perioperativa dialogen föra in ett caritativt vårdvetenskapligt tänkande i praxis och bidra till en vetenskaplig hållning hos anestesi- och operationssjuksköterskor samt överbrygga, skapa broar mellan teori och praxis. Vi ser dialogen mellan teori och praxis som nödvändig för att det perioperativa vårdandet skall kunna beskrivas, analyseras, och förstås som ett vara i en sammanhängande helhet. Vi menar att både teorin och praxis behöver utvecklas för att den perioperativa vården i framtiden skall bli till för patienten. Det är vårt ansvar som anestesi- och operationssjuksköterskor att synliggöra och tillämpa den kunskap som är framtagen inom den perioperativa forskningen så att forskningens resultat tillägnas den äldre patienten som skall genomgå ett kirurgiskt ingrepp.

     

    Projektets ansvariga vetenskapliga ledare har varit Lillemor Lindwall, RN, RNA, RNT, HVDr/PhD, lektor i omvårdnad, Karlstads universitet och Iréne von Post, RN, RNA, RNT, HVDr/PhD, Enheten för vårdvetenskap, Åbo akademi, Vasa.

     

  • 110.
    Lindwall, Lillemor
    et al.
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    von Post, Iréne
    Bergbom, I.
    Patients and nurses experiences of perioperative dialogues2003Inngår i: Journal of Advanced Nursing 43 (3): 246-253Artikkel i tidsskrift (Fagfellevurdert)
  • 111.
    Lohne, Vibeke
    et al.
    Högskolan i Oslo og Akershus, Oslo Norway.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Family caregivers' experiences in nursing homes: narratives on human dignity and uneasiness2014Inngår i: Research in Gerontological Nursing, ISSN 1940-4921, E-ISSN 1938-2464, Research in gerontological nursing, ISSN 1940-4921, Vol. 7, nr 6, s. 265-272Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This qualitative study focused on dignity in nursing homes from the perspective of family caregivers. Dignity is a complex concept and central to nursing. Dignity in nursing homes is a challenge, according to research. Family caregivers are frequently involved in their family members' daily experiences at the nursing home. Twenty-eight family caregivers were included in this Scandinavian cross-country, descriptive, and explorative study. A phenomenological-hermeneutic approach was used to understand the meaning of the narrated text. The interpretations revealed two main themes: "One should treat others as one would like others to treat oneself" and "Uneasiness due to indignity." Dignity was maintained in experiences of respect, confidence, security, and charity. Uneasiness occurred when indignity arose. Although family caregivers may be taciturn, their voices are important in nursing homes. Further investigation of family caregivers' experiences in the context of nursing homes is warranted.

  • 112.
    Lohne, Vibeke
    et al.
    Högskolan i Oslo og Akerhus.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Fostering dignity in the care of nursing home residents through slow caring2017Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 24, nr 7, s. 778-788Artikkel i tidsskrift (Fagfellevurdert)
  • 113.
    Lohne, Vibeke
    et al.
    Oslo and Akershus University, College of Applied Sciences, Norway.
    Schjölberg, Tore Kr
    Oslo and Akershus University, College of Applied Sciences, Norway.
    Lindwall, Lillemor
    Oslo and Akershus University, College of Applied Sciences, Norway.
    Nåden, Dagfinn
    Oslo and Akershus University, College of Applied Sciences, Norway.
    No man is an island: the silent struggle of invisible caregivers2016Inngår i: Journal Clinical Case Reports and Reviews, ISSN 2059-0393, Vol. 2, nr 9, s. 472-476Artikkel i tidsskrift (Fagfellevurdert)
  • 114.
    Nilsson, Madeleine
    et al.
    Åbo Akademi University, Finland.
    From, Ingrid
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Högskolan Dalarna.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    The significance of patient participation in nursing care: A concept analysis2018Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 33, nr 1, s. 244-251Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Objective: The purpose of this study was to report on a concept analysis of the meaning of patients’ participation. Participation is commonplace in many areas of health care and has become an important issue in healthcare services. Participation is essential when giving nursing care. Challenges exist throughout clinical practice to make the patient a participant in their own care. The study had a caring science perspective. Method: A literature study based on Walker and Avant's method was used with eight steps. Data were collected using several databases covering the years 1995–2017. The analysis covered fifteen articles, dissertations, reports and textbooks. Findings: Patients’ participation may be defined as a concept that relates to and includes the three caring science concepts: learning, caring relationship and reciprocity (defining attributes). Conclusion: Participation is a concept with vague meaning that is prevalent in nursing practice. Patients’ participation is a complex concept. By using the attributes, it could be more visible in nursing care. The next question for research in this area is how these three attributes can best practically be achieved in a clinical context.

  • 115.
    Nåden, Dagfinn
    et al.
    Norway.
    Rehnsfeldt, A
    Råholm, MB
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Caspari, S
    Aasgaard, T
    Slettebö, A
    Höy, B
    Lillestö, B
    Heggestad, AK
    Lohne, V
    Aspects of indignity in nursing home residences as experienced by family caregivers2013Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 20, nr 7, s. 748-761Artikkel i tidsskrift (Fagfellevurdert)
  • 116.
    Pulkkinen, Maria
    et al.
    Helsinki Univ Hosp, Peijas Hosp, Dept Anesthesia & Operat, Sairaalakatu 1, Vantaa 01400, Finland..
    Junttila, Kristiina
    Helsinki Univ Hosp, Helsinki, Finland..
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    The perioperative dialogue: A model of caring for the patient undergoing a hip or a knee replacement surgery under spinal anaesthesia2016Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 30, nr 1, s. 145-153Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of the study was to describe how patients undergoing either a hip or a knee replacement surgery under spinal anaesthesia experienced to be a part of the perioperative dialogue as an ideal model of caring. A qualitative approach was chosen as a method. Nineteen patients undergoing either a hip or a knee replacement surgery under spinal anaesthesia participated. These patients and their nurse anaesthetists had three perioperative dialogues in the pre-, intra- and postoperative phase of care. Data were collected by means of conversational interviews by four voluntary nurse anaesthetists who wrote the dialogues from each perioperative phase. The text from the collected data was analysed by qualitative, latent content analysis. The findings of the analysis show three identified themes: Suffering while waiting for surgery (preoperative dialogue), Continuity creates togetherness (intraoperative dialogue) and Uniqueness - the patient has been seen (postoperative dialogue). The findings show evidence that the perioperative dialogue is an ideal model of caring and serves the patients' desires of individual and dignified care. The patients have a deep appreciation when there is time to develop a caring encounter with his or her own nurse. When a caring encounter has been established, the patient is involved in his or her own care. This model of caring offers the perioperative nurses a new way of caring and arouses reflections about their main task caring for the suffering patient. The continuity created by the perioperative dialogue probably has an influence on both patient satisfaction and patient safety.

  • 117.
    Rehnsfeldt, Arne
    et al.
    Stord Haugesund Univ Coll, N-5414 Stord, Norway..
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    Lohne, Vibeke
    Oslo & Akershus Univ Coll Appl Sci, Oslo, Norway..
    Lillesto, Britt
    Univ Nordland, Bodo, Norway..
    Slettebo, Ashild
    Univ Agder, Kristiansand, Norway..
    Heggestad, Anne Kari T.
    Oslo & Akershus Univ Coll Appl Sci, Oslo, Norway..
    Aasgaard, Trygve
    Oslo & Akershus Univ Coll Appl Sci, Oslo, Norway..
    Raholm, Maj-Britt
    Sogn & Fjordane Univ Coll, Sogndal, Norway..
    Caspari, Synnove
    Oslo & Akershus Univ Coll Appl Sci, Oslo, Norway..
    Hoy, Bente
    VIA Univ Coll, Aarhus, Denmark..
    Saeteren, Berit
    Oslo & Akershus Univ Coll Appl Sci, Oslo, Norway..
    Naden, Dagfinn
    Oslo & Akershus Univ Coll Appl Sci, Oslo, Norway..
    The meaning of dignity in nursing home care as seen by relatives2014Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 21, nr 5, s. 507-517Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background: As part of an ongoing Scandinavian project on the dignity of care for older people, this study is based on 'clinical caring science' as a scientific discipline. Clinical caring science examines how ground concepts, axioms and theories are expressed in different clinical contexts. Central notions are caring culture, dignity, at-home-ness, the little extra, non-caring cultures versus caring cultures and ethical context - and climate. Aim and assumptions: This study investigates the individual variations of caring cultures in relation to dignity and how it is expressed in caring acts and ethical contexts. Three assumptions are formulated: (1) the caring culture of nursing homes influences whether dignified care is provided, (2) an ethos that is reflected on and appropriated by the caregiver mirrors itself in ethical caring acts and as artful caring in an ethical context and (3) caring culture is assumed to be a more ontological or universal concept than, for example, an ethical context or ethical person-to-person acts. Research design: The methodological approach is hermeneutic. The data consist of 28 interviews with relatives of older persons from Norway, Denmark and Sweden. Ethical considerations: The principles of voluntariness, confidentiality and anonymity were respected during the whole research process. Findings: Three patterns were revealed: dignity as at-home-ness, dignity as the little extra and non-dignifying ethical context. Discussion: Caring communion, invitation, at-home-ness and 'the little extra' are expressions of ethical contexts and caring acts in a caring culture. A non-caring culture may not consider the dignity of its residents and may be represented by routinized care that values organizational efficiency and instrumentalism rather than an individual's dignity and self-worth. Conclusion: An ethos must be integrated in both the organization and in the individual caregiver in order to be expressed in caring acts and in an ethical context that supports these caring acts.

  • 118.
    Råholm, Maj-Britt
    et al.
    Sogn og Fjordane University College, Norway.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad. Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013).
    Perspectives of Dignity of Residents Living in Nursing Homes: Experiences of Family Caregivers2014Inngår i: International journal for human caring, ISSN 1091-5710, Vol. 18, nr 4, s. 34-Artikkel i tidsskrift (Fagfellevurdert)
  • 119.
    Saeteren, Berit
    et al.
    Akershus University, Norway.
    Heggestad, Anne Kari Tolo
    Akershus University, Norway.
    Hoy, Bente
    VIA University College, Horsens, Denmark.
    Lillesto, Britt
    University of Nordland, Bodø, Norway.
    Slettebo, Ashild
    University of Agder, Kristiansand S, Norway .
    Lohne, Vibeke
    Akershus University, Norway.
    Råholm, Maj-Britt
    Sogn og Fjordane University College, Sogndal, Norway.
    Caspari, Synnove
    Akershus University, Norway.
    Rehnsfeldt, Arne
    Stord/Haugesund University College, Stord, Norway.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Akershus University, Norway.
    Asgaard, Trygve
    Akershus University, Norway.
    Naden, Dadfinn
    Akershus University, Norway.
    The dialectical movement between deprivation and preservation of a person's life space: a question of older nursing home resident’s dignity2016Inngår i: Holistic Nursing Practice, ISSN 0887-9311, E-ISSN 1550-5138, Vol. 30, nr 3, s. 139-147Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this study was to answer the question "What do nursing home residents do themselves in order to maintain their dignity?" Twenty-eight residents, 8 men and 20 women, aged 62 to 103 years, from 6 different nursing homes in Scandinavia were interviewed. The results showed that the residents tried to expand their life space, both physical and ontological, in order to experience health and dignity.

  • 120.
    Slettebö, Åshild
    et al.
    University of Agder, Grimstad, Norway.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013).
    The significance of meaningful and enjoyable activities for nursing home resident´s experiences of dignity2016Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 31, nr 4, s. 718-726Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    BACKGROUND:Living in a nursing home may be challenging to the residents' experience of dignity. Residents' perception of how their dignity is respected in everyday care is important.AIM:To examine how nursing home residents experience dignity through the provision of activities that foster meaning and joy in their daily life.METHOD:A qualitative design was used and 28 individual semistructured interviews conducted with nursing home residents from six nursing homes in Denmark, Norway and Sweden. The data were analysed with qualitative content analysis. Independent ethical committees in all participating countries granted their approval for the study.FINDINGS:The participants highlight two dimensions of the activities that foster experiences of dignity in nursing homes in Scandinavia. These two categories were (i) fostering dignity through meaningful participation and (ii) fostering dignity through experiencing enjoyable individualised activities.CONCLUSION:Activities are important for residents to experience dignity in their daily life in nursing homes. However, it is important to tailor the activities to the individual and to enable the residents to take part actively. Nurses should collect information about the resident's preferences for participation in activities at the nursing home.

  • 121.
    Sundell, Yvonne
    et al.
    Högskolan Väst.
    von Post, Iréne
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Perioperative care for older patients: a hermeneutical study2010Inngår i: Journal of Advanced Perioperative care, ISSN 1470-5664, Vol. 4, nr 2, s. 86-93Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of this study was to capture and describe what older patients undergoing the surgical process wished to talk about during perioperative dialogue with nursing staff. Background: For older people preparing for surgery is potentially a time of particular vulnerability and they may find it helpful to talk about the situation with a healthcare professional. Although other studies illustrate aspects of 'perioperative dialogue' with patients such studies have not specifically focused on older patients. 'The perioperative dialogue' is described as a nurse anaesthetist's or theatre nurse's pre-, intra- and postoperative dialogue with the patient about the surgery. Method: The study has a hermeneutic approach. Six nurse anaesthetists and three theatre nurses from five different hospitals in western Sweden documented their perioperative dialogue with a total of forty-two patients. The text from the perioperative dialogue was interpreted using hermeneutic text interpretation. Findings: During the perioperative dialogue the older patients discussed their hopes, joys and sorrows in everyday life, their body undergoing surgery and life after surgery. The nurses cared for these patients by providing time to talk, and by doing so, allowed the patients to express their unique individual concerns and needs. Conclusion: Facilitation of perioperative dialogue creates opportunities for nurse anaesthetists and theatre nurses to care for older patients by giving them the time to talk about their lives and their concerns. The perioperative dialogue is both a means and an opportunity for nurses to care for patients.

  • 122.
    Valeberg, Berit
    et al.
    Oslo and Akershus University; University College of Southeast Norway, Notodden, Norway Norway.
    Liodden, Ingrid
    Oslo and Akershus University, Norway.
    Grimsmo, Bergsvein
    Oslo and Akershus University, Norway.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper (from 2013). Oslo and Akershus University.
    Nurse anaesthetist students’ experiences of patient dignity inperioperative practice: a hermeneutic study2017Inngår i: Nursing Open, E-ISSN 2054-1058, Vol. 5, nr 1, s. 53-61Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Aim: The aim of the study was to describe how nurse anaesthetist students experi-enced patient dignity in perioperative practice.

    Design: A hermeneutical design and the critical incident technique were used to ob-tain experiences from practice.Method: In the Autumn of 2015, after participating in a mandatory lecture on ethics, 23 nurse anaesthetist students reported their experiences and interpretation concern-ing violation and preservation of patients' dignity in the operating theatre. The text, which was a compilation of descriptions of 35 incidents, was analysed by using herme-neutical text interpretation.

    Findings: The text revealed three main themes preserving patients' dignity: allocating time to the patient, inviting the patient to participate and shielding the patient's body. Furthermore, three main themes of dignity violation were identified: alienation, back-biting and violation of intimate sphere.

    Conclusion: Discussion and reflection based on the personal experience of the stu-dents during their practice are ways to strengthen ethical awareness and promote an ethical and dignified caring culture.

  • 123. Wiklund Gustin, Gunilla
    et al.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper, Avdelningen för omvårdnad.
    Omvårdnadsteorier i klinisk praxis2012Bok (Annet vitenskapelig)
  • 124.
    Willassen, Elin
    et al.
    Oslo and Akershus University College of Applied Sciences, Norway.
    Blomberg, Ann-Catrin
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    von Post, Irene
    Åbo Akademi.
    Lindwall, Lillemor
    Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper.
    Student nurses* experiences of undignified caring in perioperative practice: Part 22015Inngår i: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 22, nr 6, s. 688-699Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Background:In recent years, operating theatre nurse students' education focused on ethics, basic valuesand protecting and promoting the patients' dignity in perioperative practice. Health professionals are frequently confronted with ethical issues that can impact on patient's care during surgery.Objective:The objective of this study was to present what operating theatre nursing students perceivedand interpreted as undignified caring in perioperative practice.Research design:The study has a descriptive design with a hermeneutic approach. Data were collectedusing Flanagan's critical incident technique.Participants and research context:Operating theatre nurse students from Sweden and Norwayparticipated and collected data in 2011, after education in ethics and dignity. Data consisting of 47written stories and the text were analysed with hermeneutical text interpretation.Ethical considerations:The study was approved by the Karlstad University's Research Ethics Committee.Findings:The findings show careless behaviour and humiliating actions among health professionals. Healthprofessionals commit careless acts by rendering the patient invisible, ignoring the patient's worry and painand treating the patient as an object. They also humiliate the patient when speaking in negative terms aboutthe patient's body, and certain health professionals blame the patients for the situation they are in. Healthprofessionals lack the willingness and courage to protect the patient's dignity in perioperative practice.Discussion:In the discussion, we have illuminated how professional ethics may be threatened by morepragmatic and utilitarian arguments contained in regulations and transplant act.Conclusion:The findings reveal that patients were exposed to unnecessary suffering; furthermore, theoperating theatre nurse students suffered an inner ethical conflict due to the undignified caring situationsthey had witnessed

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