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  • 151.
    Markkula, Veronika
    et al.
    Högskolan i Skövde.
    Hellström Muhli, Ulla
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Sociology.
    Diskursen om den svenska skolsköterskans hälsostödjande arbete i kvalitativ forskning: En kvalitativ metasyntes2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 2, p. 22-27Article, review/survey (Refereed)
  • 152. Marklund, B
    et al.
    Almroth, B
    Schaffrath, A M
    Fridlund, Bengt
    Högskolan i Halmstad.
    Families' medical self-care management in a primary health care area in Sweden1999In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 19, no 4, p. 10-14Article in journal (Refereed)
  • 153.
    Martinsson, Ingrid
    et al.
    Blekinge Institute of Technology.
    Edberg, Anna-Karin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Janlöv, Ann-Christin
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Forskningsplattformen Hälsa i samverkan.
    Growing old in a foreign context: older immigrants experience of the everyday life in nursing home2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 3, p. 34-38Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of the study was to illuminate older immigrants’ experiences of moving to a residential care facility.

     

    Background: Increased immigration will lead to a future increase in the number of older immigrants in residential care. In order to adjust nursing care to their needs it is important to acquire knowledge of their situation.

     

    Methods: Semi-structured interviews with seven immigrants living in residential care in Sweden were analysed using a qualitative manifest content analysis.

     

    Findings: Older immigrants’ experience of everyday life in residential care facilities was: Trying to adjust to relocation to residential care, Feeling alienated by communication difficulties, and Trying to stay connected by keeping ties to the origin and past, with internal variation seen as subcategories.

     

    Conclusion: Older immigrants, who move into residential care are vulnerable and experience a major transition as they move from a familiar social and cultural environment into a place mainly designed for older Swedes. There is a great risk that they will become alienated and highly dependent on their relatives if not nursing care interventions with specific focus on their needs are developed.

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  • 154.
    Milton da Silva, Jenny
    et al.
    Högskolan i Borås; Sahlgrenska Universitetssjukhuset, CIVA.
    Henricson, Maria
    Jönköping University, School of Health Science, HHJ, Dep. of Nursing Science. Jönköping University, School of Health Science, HHJ. ADULT.
    Promotion of hope in patients care for in an intensive care unit in Indonesia2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 1, p. 4-8Article in journal (Refereed)
    Abstract [en]

    Aim and objective: The aim was to describe the nurses’ perception about how to promote hope in critically ill patients, cared for in intensive care units in Indonesia.

    Background: The concept of hope and hopelessness has been in focused in nursing from various orientations as a subjective phenomenon in relation to illness experiences. There is a lack of studies examining patterns of how nurses promote hope in critically ill patients in in tensivecare.

    Design and Method: Five specialized intensive care nurses from two different intensive care units were interviewed. The interviews were analysed according to a qualitative content analysis.

    Results: The patient’s hope is something personal and depends on different factors. These factors can either be a supporting system or an inhibiting factor to the nurse’s illumination of hope. Meaning, if something is very important for the patient (i.e. the family), there can be a radical difference if that person is present and supporting, present and not supporting or even not present at all.

    Conclusion: By using interventions including information, communication and religion, the nurses may release hope within the patient. This hope can be cultural and socially bound but it does not avoid the facts of the promotion that can be tailored by the nurses to individual circumstances and possibly used in other wards but also in different countries.

  • 155.
    NIlsson, Ulrica
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Föräldrars uppfattning av vården vid barnets narkos och uppvakning: en studie av personalens bemötande, föräldrars oro och behovet av preoperativ och postoperativ information1999In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 19, no 4, p. 20-25Article in journal (Refereed)
    Abstract [sv]

    SyfteMot bakgrund av mina erfarenheter som narkossköterska samt studier av litteratur rörande barn och föräldrars upplevelser vid narkos och uppvakning var syftet med denna studie: – att beskriva och förstå hur en grupp föräldrars uppfattar vården och bemötandet i samband med att deras barn sövts och vårdats postoperativt. – att beskriva deras uppfattning om den preoperativa informationen jämfört med deras egna behov av information. – att beskriva och få en förståelse för den eventuella oro som finns kring att vara med sitt barn då det sövs och opereras.

    Målsättningen är att utifrån dessa kunskaper förbättra omhändertagandet, förståelsen, den preoperativa informationen samt den postoperativa uppföljningen av föräldrar och barn framförallt då det gäller polikliniska operationer. Det är angeläget att få svar på dessa frågor då den polikliniska verksamheten inom alla kirurgiska specialitéer ökar. Man måste se till helheten, d.v.s. till hela familjen, och ge både barn och föräldrar stöd, förståelse och information. Att förbättra rutinerna kring denna helhet är ett mål att stäva mot.

    Material och metodUndersökningsgrupp Utgångspunkt för inklusion i studien var föräldrar till barn som sövts och opererats polikliniskt. Valet av polikliniska operationer föll på ÖNH-kliniken, Regionssjukhuset i Örebro. Denna grupp valdes p.g.a. sitt stora antal då ÖNH-kliniken är den klinik som gör flest polikliniska operationer på barn. Barnen har opererats för paracentes, plaströrsinläggning i trumhinnan och abrasio. Barnens ålder var mellan 1-13 år. 104 föräldrar fick en enkät hemskickad till sig 1-3 månader efter barnets operation. Antalet (104) föll på att dessa barn opererades under en viss tidsperiod och det var ett rimligt urval att bygga studien på. Studien var retrospektiv.

  • 156.
    Nilsson, Ulrica
    Umeå University, Faculty of Medicine. Umeå University, Faculty of Medicine, Department of Nursing.
    Parents’ opinion of the child’s anaesthesia care1999In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 4, p. 20-25Article in journal (Refereed)
  • 157.
    Nunstedt, Håkan
    et al.
    University West, Department of Nursing, Health and Culture, Divison of Caring Sciences, undergraduate level.
    Johansson, Mona
    Gebremariam, Tomas
    Föräldrars strategier för atthantera relationen med sin psykisktsjuka son eller dotter2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 2, p. 10-15Article in journal (Refereed)
    Abstract [en]

    Aim: The aim of this study was to describe strategies that parents use in managing their everyday relationship with their mentally ill son ordaughter.Background: When a son or daughter is suffering from mental illness, the parents’life arenas become affected. To help individuals with a lackof coping strategies handle the stress that can arise in mental ill health situations, it is important to develop more knowledge about howparents handle everyday life with their son or daughter with mental illness.Methods: Qualitative interviews with open-ended questions were conducted with ten parents. The data were analysed through manifest contentanalysis.Findings: Three categories were found, all with subcategories: finding power in everyday life; the need for external support; and preparednessfor coping.Conclusion: The management strategies the interviewed parents used consisted of gaining power every day by taking out moments to dispeltheir thoughts, and by creating both an openness in the family and the opportunity to practice leisure activities to temporarily distancethemselves from the relationship with their son or daugher with mental illness. They also mentioned the need to be prepared to handle differentsituations that may arise. In this regard, both routines and flexibility are important management strategies for these parents. When ason/daughter is receiving treatment at a psychiatric ward, support from health professionals is important for parental management strategies

  • 158.
    Nyström, Maria
    University of Borås, School of Health Science.
    Att arbeta med psykiskt funktionshindrade personer: Professionella vårdgivares uppfattningar2002In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 22, no 3, p. 32-38Article in journal (Refereed)
    Abstract [en]

    Different ideological standpoints shape the understanding of severe mental illness and the actions taken in psychiatric care and social services. Decentralised and community-based care is today, after the psychiatric reform in Sweden 1995, replacing the mental hospitals. Deinstitutionalisation has thus caused a larger interest in the issue of knowledge and competence when caring for people with severe mental illness. This study focuses on similarities and differences of opinions and attitudes among professional caregivers. A questionnaire was distributed to 162 professional caregivers, 65 from psychiatric care and 97 from social welfare services. The results indicated that professionals within social welfare service did neither consider their knowledge of severe mental illness adequate, nor did they find their options to get further education and supervision satisfactory. Furthermore they felt they did not receive enough information when taking over responsibility from psychiatric care. When the participants were asked what personal characteristic they find most important in their work with people with severe mental illness, none of the questioned, either within psychiatric care or within social welfare service, made a priority to ”believe what a person with severe mental illness says”. Hence, booth organizations appear to put their confidence in professional knowledge, in favor of experiences expressed by people with severe mental illness.Different ideological standpoints shape the understanding of severe mental illness and the actions taken in psychiatric care and social services. Decentralised and community-based care is today, after the psychiatric reform in Sweden 1995, replacing the mental hospitals. Deinstitutionalisation has thus caused a larger interest in the issue of knowledge and competence when caring for people with severe mental illness. This study focuses on similarities and differences of opinions and attitudes among professional caregivers. A questionnaire was distributed to 162 professional caregivers, 65 from psychiatric care and 97 from social welfare services. The results indicated that professionals within social welfare service did neither consider their knowledge of severe mental illness adequate, nor did they find their options to get further education and supervision satisfactory. Furthermore they felt they did not receive enough information when taking over responsibility from psychiatric care. When the participants were asked what personal characteristic they find most important in their work with people with severe mental illness, none of the questioned, either within psychiatric care or within social welfare service, made a priority to ”believe what a person with severe mental illness says”. Hence, booth organizations appear to put their confidence in professional knowledge, in favor of experiences expressed by people with severe mental illness.

  • 159.
    Nyström, Maria
    University of Borås, School of Health Science.
    Daily experiences of the long-term mentally ill after de-institutionalization2002In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 22, no 63, p. 31-36Article in journal (Refereed)
    Abstract [en]

    The first aim of this study was to investigate how long-term mentally ill persons adjusted to life after de-institutionalisation. The second aim was to estimate the relevance of interpretations made previously in a qualitative study, concerning long term mentally ill person’s incapability to benefit from new experiences. A survey was conducted in 1996 and a follow- up was made in 1998. A randomly chosen sample of longterm mentally ill persons replied to questions about their living conditions as well as interpersonal relations, personal experiences and self-esteem. Most of the participants in the study were living alone and their everyday lives seemed lonely and inactive. In spite of decreased psychiatric consultations after the psychiatric de-institutionalisation, they changed neither their external nor their internal world during the two years covered by this study.

  • 160.
    Nyström, Maria
    University of Borås, School of Health Science.
    Reflekterande team: en arbetsmodell för evidensbaserad vård2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 2, p. 42-44Article in journal (Refereed)
    Abstract [en]

    A reflective team (RT) is working to solve current health care problems in a professional team led by a reflection leader. The goal is that through reflection about the team members’ own caring experiences and scientific research create action plans based in proven experience and scientific evidence. This article describes the idea behind the RT, the first attempt to implement the RT and reflection leaders’ preliminary experiences of managing RT.

  • 161.
    Nyström, Maria
    University of Borås, School of Health Science.
    Vilka önskemål har psykiskt funktionshindrade människor? Professionella vårdgivares skattningar av patienters, vårdtagares och klienters önskemål gällande boende sysselsättning samt vård och omsorg: en jämförande studie2003In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 23, no 67, p. 10-15Article in journal (Refereed)
    Abstract [en]

    In this study eleven items concerning wants and needs of severely mentally ill persons were compared with estimations of the same items made by professional caregivers in psychiatric care and social welfare services. A questionnaire with ten-point Likert scales was distributed to 205 participants, 65 professionals within psychiatric care, 97 professionals within social welfare services and 43 severely mentally ill persons. The Likert scales dealt with living conditions, daily activities, nursing interventions and social welfare services. The severely mentally ill persons scored their wants and needs and professional caregivers estimated the importance of every item concerning the same issues. Professional caregivers made quite similar estimations irrespective of their professional or organizational belonging. They did, however, differ quite a lot from the wants and needs made by the severe mentally ill persons themselves.

  • 162.
    Nyström, Maria
    et al.
    University of Borås, School of Health Science.
    Piscator, R.
    Att dra sig tillbaka från omgivningen: en ond cirkel vid svår psykisk ohälsa2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 1, p. 31-36Article in journal (Refereed)
    Abstract [en]

    To withdraw – a viscous circle in severe mental illness. The aim of this study has been to analyse and describe circumstances behind and experiences of severely mentally ill persons’ withdrawal. Six persons, two women and four men, aged 31–57, with experiences of withdrawal due to psychosis, were interviewed. Manifest and latent meanings were described. Factors that led to withdrawals were insufficient medication, alcohol and sleeplessness. The meaning of withdrawal was characterized by a viscous circle. The process starts with the necessesity to avoid external and internal stressors. It continues with changed reality and brooding. Senses of being an outsider are enlarged and the viscous circle is completed with further withdrawal. Psychiatric care is reflected upon as an opportunity for the caregivers to step in early and break up the viscous circle.

  • 163.
    Ohlson, Elisabeth
    et al.
    Leg.sjuksköterska, Fil.Mag..
    Arvidsson, Barbro
    Leg.sjuksköterska, PhD..
    Sjuksköterskornas uppfattning av hur processorienterad omvårdnadshandledning kan befrämja deras psykiska hälsa2005In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, no 2, p. 32-35Article in journal (Refereed)
    Abstract [sv]

    Nursing is a profession involving mental strain. Sick-rates among nurses are increasing. Positive working conditions are essential in order to prevent the negative effects of work-related stress. The aim of this study was to describe how clinical group supervision can promote mental health among nurses. Data was collected by means of semi-structured interviews with 12 nurses having attended clinical supervision for 1,5 year. The material was analysed using a qualitative method with reference to phenomenography. The analysis resulted in three qualitatively different descriptive categories: 1. To reflect; to talk and work with emotions. 2. To feel support; to feel strengthened personally and professionally. 3. To have control; to delimit and cope with stress. The result shows that clinical supervision has an impact when it comes to preventing negative effects of work-related stress. Karasek-Theorell´s ”demand-control-support-model” confirms the conception that clinical group supervision has a protective and supporting effect on nurses’ mental health. The consensus of opinion is that clinical group supervision prevents the negative effects of work-related stress. Further research is therefore needed to investigate if there is a connection between clinical group supervision and sick-rates among nurses.

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  • 164.
    Olsson, Henny M
    et al.
    Linköping University, Department of Medicine and Care. Linköping University, Faculty of Health Sciences.
    Gullberg, Mats T
    Linköping University, Department of Medicine and Care, Nursing Science. Linköping University, Faculty of Health Sciences.
    Nursing education and valuation of theoretical and practical sections of the education. Expectations and knowledge of the nurse role1987In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 7, no 13, p. 412-416Article in journal (Refereed)
  • 165.
    Perseius, Kent-Inge
    et al.
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Samuelsson, Mats
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Andersson, Eva
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Berndtsson, Tord
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Götmark, Håkan
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Henriksson, Freddie
    Stockholm School of Economics.
    Kåver, Anna
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Nilsonne, Åsa
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Åsberg, Marie
    Department of Clinical Neuroscience, Psychiatry section, Karolinska Institute.
    Does dialectical behavioural therapy reduce treatment cost for patients with borderline personality disorder: A pilot study2004In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 24, no 2, p. 27-30Article in journal (Refereed)
    Abstract [en]

    Objective: In order to assess costs - consequences of dialectal behavioural therapy (DBT) in suicidal women with borderline personality disorder (BPD), the present study takes advantage of pilot data collected during a training phase, in relation to a large scale randomised controlled trail (RCT). Method: Under a 18 month period, 22 suicidal women with BPD were treated with outpatient DBT, with focus on reducing parasuicidal behaviour. Outcome data collected retrospectively 12 months before therapy start, were compared to prospective data collected up to 18 months in therapy. The cost - analysis included direct health care costs only. Results & Conclusions: The results suggest that DBT may have a positive impact on treatment costs, which decreased significantly during the last 12 months in a 18 month therapy period. The reduction of costs is due to decrease in the number of psychiatric inpatient days. The conclusions that can be drawn from the results are, however, limited as the study was not made in RCT conditions and indirect costs to society were not assessed.

  • 166.
    Petersen, Karin Anna
    et al.
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Education.
    Lundin, Sverker
    Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Education.
    Nursing education in Sweden: recruitment from different socio-economic backgrounds2007In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 27, no 3, p. 19-23Article in journal (Refereed)
    Abstract [en]

    A study mainly based on national register of all student in higher education during 1997-2001. Focus is on educations towards health and nursing as part of a social field of higher education (Bourdieu).

    Quite contrary to being a resource for achieving higher status, we tentatively claim that the title as a nurse also make the relation of domination towards medicine more clear cut and therefore contributes to its reproduction.

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  • 167.
    Petersson, Ulrika
    et al.
    Neonatal Intensivvårdsavdelning, SUS, Lund.
    Sobiecki, Dariusz
    AIIVA, Infektionsklinik, SUS, Malmö.
    Hagell, Peter
    Kristianstad University, School of Health and Society, Avdelningen för Hälsovetenskap. Kristianstad University, Research Environment PRO-CARE.
    Samuelson, Karin
    Institutionen för hälsa, vård och samhälle, Medicinska fakulteten, Lunds Universitet.
    Intensivvård ur ett genusperspektiv: en registerstudie2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 2, p. 51-55Article in journal (Refereed)
    Abstract [en]

    Objective: The aim of this study was to describe in a gender specific perspective, demographic data from adult patients that have been treated in an intensive care unit.

    Background: Many studies show that there are differences between men and women when it comes to different aspects of health care. The knowledge of these differences is limited when relating to intensive care in Sweden.

    Method: Demographic data registered in the Swedish intensive care register including all intensive care cases during the year of 2009 (n=695) in an intensive care unit in a hospital in southern Sweden was analyzed. A group comparison between the sexes was made with the following variables: number of patients admitted, length of stay in the ICU, SAPS 3 (Simplified Acute Physiology Score) points, the five most common diagnosis, mortality and mortality per diagnosis.

    Results: The study showed an over-representation of men (62,2 %, p<0.001) in number of intensive care patients. The mortality was 9,9 % overall and significantly higher amongst men (11,8 %), compared with women (6,8 %, p=0.034). There were no differences between the sexes in length of stay, diagnosis, SAPS 3 points and mortality per diagnosis.

    Conclusions: This study has shown that more men than women are treated in the intensive care unit and that more men die during their time in the intensive care unit.

  • 168.
    Petzäll, Kerstin
    et al.
    Karlstad University, Faculty of Social and Life Sciences, Department of Nursing.
    Wijk, H
    Öhlén, J
    Lidén, E
    German Millberg, L
    Jacobsson, C
    Söderberg, S
    Berg, L
    Engström, Å
    Höglund, I
    Lepp, M
    Lindström, I
    Nygren, B
    Persson, C
    Skär, L
    Suserud, B-O
    Söderlund, M
    Verksamhetsförlagd utbildning på avancerad nivå - ny utmaning för specialistutbildningar för sjuksköterskor2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 4, p. 41-43Article in journal (Other academic)
  • 169.
    Randers, Ingrid
    et al.
    Sophiahemmet University.
    Mattiasson, Anne-Cathrine
    Sophiahemmet University.
    Den Aristoteliska Etiken: förståelsegrund för den enskilda sjuksköterskans moraliskt goda handlande i vården och omsorgen om den gamla människan1999In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 19, no 1, p. 18-23Article in journal (Refereed)
  • 170.
    Rehnsfeldt, Arne
    et al.
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Welfare and Care (IVV).
    Arman Rehnsfeldt, Maria
    Linköping University, Faculty of Health Sciences. Linköping University, Department of Welfare and Care (IVV).
    Livsförståelseetik och vittnesbörd - vårdetiska aspekter2005In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 25, no 3, p. 19-23Article in journal (Refereed)
  • 171.
    Rosebrink, Malin
    et al.
    University of Skövde, School of Life Sciences. Kvinnokliniken, Skaraborgs Sjukhus KSS.
    Zekaj, Milihate
    University of Skövde, School of Life Sciences. Kvinnokliniken, Skaraborgs Sjukhus KSS.
    Adolfsson, Annsofie
    University of Skövde, School of Life Sciences. Kvinnokliniken, Skaraborgs Sjukhus KSS.
    Kvinnors upplevelser av tidig graviditet, efter att ha upplevt ett eller flera missfall tidigare i livet2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 1, p. 4-8Article in journal (Refereed)
    Abstract [en]

    Purpose: To describe women’s experiences of early pregnancy after their experience of earlier miscarriage(s).

    Method: This study used a qualitative method with a phenomenological perspective. Midwives working in Maternity Healthcare Center were intermediaries in the data collection. The analysis material consisted of six open interviews with women in early stages of pregnancy that have experienced miscarriage in the past. The data analysis created an essence of the women´s experiences.

    Results: All of the interviewees are happy to be pregnant. For some of the women the happiness is mixed with worry about experiencing another miscarriage. They are reluctant to experience the grief and loss that had accompanied their previous miscarriages. Those women are able to explain their misgivings to friends and family experience less worry and reluctance. A positive outlook for their pregnancy and to see miscarriage as something natural makes it easier to live with the outcomes.

    Conclusion: Women who have had a previous experience of miscarriage have mixed feelings of happiness and worry in early stages of pregnancy. Those women that choose to think positively accept miscarriage as part of nature’s way and feel an inner peace. All of the women realize the importance of finding peace in their pregnancy.

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    Kvinnors upplevelser av tidig graviditet, efter att ha upplevt ett eller flera missfall tidigare i livet
  • 172. Röing, Marta
    et al.
    Hederberg, Malin
    Holmström, Inger K.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    (Tele)health promotion in primary healthcare centers – an exploratory study.2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 3, no 34, p. 33-37Article in journal (Refereed)
  • 173.
    Röing, Marta
    et al.
    Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.
    Hederberg, Malin
    Holmström, Inger K.
    School of Health, Care and Social Welfare, Mälardalen University, Västerås .
    (Tele)health promotion in Swedish primary healthcare centers: an exploratory study2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 3, p. 33-37Article in journal (Refereed)
    Abstract [en]

    The area of interest in this study is nurses working with telenursing(telephone advice nursing) in primary healthcare centers,and if they can take on the role as promoters of health. Publichealth goals in recent years have placed increased emphasis onhealth promotion, for example prevention of the harmful effectsof sunbathing, alcohol, drug and tobacco abuse, promotion ofphysical activity, and healthy diet habits. These goals may implya new undertaking for healthcare providers. This study exploresif, and how nurses working with telenursing in Swedish primaryhealthcare centers actively work with health promotion, and theirperceptions of factors which may hinder and/or facilitate thiswork. Qualitative content analysis of open-ended interviews witheight nurses revealed hinders to health promotion related to theorganization, the callers, and among the nurses themselves. Ifnurses working with telenursing are to work in a more healthpromotingway, they need to have the support from leadershipand politicians. A change in understanding of what telenursingservices include seems to be needed, even among telenurses. Such a change could prove beneficiary to all citizens, and hence to the promotion of health.

  • 174.
    Sahlberg-Blom, Eva
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hårsmar, Anna-Lena
    Örebro County Council, Örebro, Sweden.
    Österlind, Jane
    Ersta Sköndal högskola, Stockholm, Sweden.
    Assistant nurses’ descriptions of signs of dying among older people in nursing homes2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 3, p. 20-24Article in journal (Refereed)
    Abstract [en]

    Background: In Sweden, assistant nurses are the group of professionals who have a great deal of contact with older, dying persons in nursing homes. They have substantial experience in this area. It is therefore important that their voices are heard about their experience of how they identify that an older person is dying.

    Aim: The purpose was to describe assistant nurses’ experiences of signs of dying among older people in nursing homes.

    Method: A qualitative manifest content analysis was used. Four interviews were performed with eight experienced assistant nurses, individually or in groups, from two nursing homes.

    Findings: The result is characterized by the assistant nurses’ descriptions of both subtle and manifest signs that an older person is dying. The analysis led to two categories: “the older person expresses insight” and “the older person’s body changes”. The first of these mainly involved observations of psychosocial changes, while the second mainly contained observations of bodily changes.

    Conclusion: The clinical experiences as the assistant nurses achieve give valuable incitements for creating good palliative care. The assistant nurses must be seen as a significant part of the care team. They should be offered continuous education and support regarding palliative care in order to develop their skills and practical knowledge.

  • 175.
    Sahlberg-Blom, Eva
    et al.
    Örebro universitet.
    Hårsmar, Anna-Lena
    Brickegårdens primärvårdscenter.
    Österlind, Jane
    Ersta Sköndal University College, Department of Health Care Sciences. Ersta Sköndal University College, Palliative Research Centre, PRC.
    Assistant nurses’ descriptions of signs of dying among older people in nursing homes2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 1, p. 20-24Article in journal (Refereed)
  • 176. Sainio, Janaa
    et al.
    Hansebo, Görel
    Ersta Sköndal University College, Department of Health Care Sciences.
    Att flytta till sjukhem - en ny fas i livet: en intervjustudie2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 2, p. 27-31Article in journal (Refereed)
  • 177.
    Salzmann-Erikson, Martin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Persson, Jennifer
    Rättspsykiatriska kliniken, Säter.
    Fallqvist, Carolina
    Landstinget Dalarna, Allmänpsykiatriska kliniken, Falun och Säter.
    De ropar efter hjälp, vi är vanmäktiga: att vårda patienter med självskadebeteende i rättspsykiatrisk vård2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 3, p. 48-52, article id 113Article in journal (Refereed)
    Abstract [en]

    Introduction: This study addresses self-injury among patients receiving care in forensic psychiatry.Background: Self-injury is common among patients diagnosed with borderline personality disorder, bipolar disorder with elements ofdepression and schizophrenia. Self-injury affects both the patient as well as their surroundings.Objective: To describe nurses' experiences of caring for patients with self-injurious behavior in forensic psychiatric care.Method: A qualitative approach was applied. Data were collected through semi-structured interviews with eight nurses. The data werethereafter analysed with an inductive and manifest content analysis.Results: The results are presented according to two categories: ‘caring that evokes emotions’ and ‘caring that requires teamwork’.Discussion: In the present study, we demonstrate a duplicitous problem in which carers are divided over what is expected of them asresponsible and professional caregivers and their perceived lack of skills and their frustration.Conclusion: Viewing self-injury as a complex expression of mental illness, we recommend that further research is needed in this area– especially in the forensic psychiatric care context, where long term health care relationships are involved.

  • 178.
    Sandh, Marie
    et al.
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Boström, Barbro
    Halmstad University, School of Health and Welfare, Centre of Research on Welfare, Health and Sport (CVHI).
    Sjuksköterskors uppfattning om smärtbehandling och användning av riktlinjer2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 106, p. 44-49Article in journal (Refereed)
    Abstract [en]

    Aim: The aim was to identify how nurses perceive the performance of pain management and the use of guidelines for pain management.

    Background: Pain is one of the most common symptoms of illness for which people request health care. Patients in pain ought to be treated quickly and adequately in order to avoid developing a chronic state. Guidelines for effective pain relief are not always implemented in clinical practice.

    Method: A questionnaire regarding factors relevant to pain management and guidelines were designed.

    Findings: Of the 219 nurses who were invited, 111 (50.7%) answered the questionnaire. Thirty-one nurses responded that they used guidelines and they administered additional analgesics significantly more often when breakthrough pain occurred compared to nurses responding not using guidelines. Pain assessment is not always performed, 44 nurses agreed completely or partly that pain assessment is performed only when pain in the patient has become a problem. Forty-two nurses agreed completely or partly that there are routines in their department for treating patients with difficult pain issues. The nurses highlighted the importance of collaborating in team and having pain treatment routines.

    Conclusion: Pain management was perceived to be performed non-systematically and not always adapted to the individual. Guidelines were not always used.

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  • 179.
    Sandman, Per-Olof
    et al.
    Umeå universitet, Institutionen för Omvårdnadsforskning.
    Athlin, Elsy
    Regionsjukhuset Umeå, Kirurgiska kliniken.
    Axelsson, Karin
    Engström, Birgitta
    Regionsjukhuset Umeå, Neurologiska kliniken.
    En vårdfilosofi som utgångspunkt för förändringsarbete vid kirurgisk, medicinsk, neurologisk och psykogeriatrisk vård1992In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 12, no 3-4, p. 34-9Article in journal (Refereed)
  • 180.
    Sandvik, Ann-Helen
    et al.
    Åbo Akademi, Enheten för vårdvetenskap, Vasa, Finland and Yrkeshögskolan Novia, Enheten för hälsovård och det sociala området, Vasa, Finland.
    Melender, Hanna-Leena
    Vasa Yrkeshögskola, Enheten för social- och vårdarbete, Finland.
    Jonsén, Elisabeth
    Umeå University, Faculty of Medicine, Department of Nursing.
    Jönsson, Gunilla
    Umeå University, Faculty of Medicine, Department of Nursing.
    Salmu, Marita
    Vasa Yrkeshögskola, Enheten för social- och vårdarbete, Finland.
    Hilli, Yvonne
    Yrkeshögskolan Novia, Enheten för hälsovård och det sociala området, Vasa, Finland.
    Sjuksköterskestudenters erfarenheter av sin första kliniska utbildningsperiod: en nordisk kvantitativ studie2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 1, p. 20-25Article in journal (Refereed)
    Abstract [en]

    Background: Differences in quality of clinical education and support to students occur and there are demands for a unification of higher education in Europe.

    Aim: The aim of the study was to describe the nursing students’ experiences of their first clinical education period in relation to learning and professional development.

    Methods: The sample consisted of 139 nursing students from Finland and Sweden. The data was collected by questionnaire and analyzed statistically.

    Findings: Students’ experiences of clinical competence were examined from four perspectives: clinical preception, learning, learning objectives and reflection. Overall, students rated highly, however there were statistically significant differences among the students concerning nationality and length of clinical education. Students did not always get a clear picture of what was expected of them in clinical education and there were deficits in continuing feedback. Students’ clinical learning was associated with the length of clinical education.

    Conclusions: Clinical preceptoring as a catalyst in student's understanding and learning is central. Students rated learning of tasks and skills higher than abilities that require more reflection and consideration, which may indicate a more task-centered preception. A conscious didactic approach would help students to reflect and develop into professionals in nursing and caring science.

  • 181. Sandvik, Ann-Helén
    et al.
    Melender, Hanna-Leena
    Jonsén, Elisabeth
    Jönsson, Gunilla
    Salmu, Marita
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Yrkeshögskolan Novia.
    Sjuksköterskestudenters erfarenheter av sin första kliniska utbildningsperiod - en nordisk kvantitativ studie2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 3Article in journal (Refereed)
  • 182.
    Sandén, Inger
    Department of Nursing Science, Trollhättan-Uddevalla University, Vänersborg.
    The Swenoteca Medical Care Program as a Resource for Patients and Physicians2002In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 22, no 2, p. 33-37Article in journal (Refereed)
    Abstract [en]

    The overall aim is to investigate, from a communicative and interactive perspective, how physicians use the medical care program in dialogues with patients, and how patients use the program when they talk about their treatment and the disease, testicular cancer. Data consist of 23 patient-physician consultations and 23 interviews. The analysis was performed in stages. The results show that the physicians use the medical care program as an instrument in the dialogues and a structure for information when a patient is about to embark on a round of continued treatment after his operation. When the physician presents the course of treatment to the patient, he gives SWENOTECA as the reason for the choice. During the follow-up consultations, SWENOTECA is used as a basic framework for what should be checked from a medical point of view and as a structure to ensure that the checkups are performed. The medical care program seems to exert a strong influence on the men’s accounts during the interviews in terms of the medical terminology they use and as a structure for the course of the disease and for giving them a perspective of the future as well as hope.

  • 183.
    Strandberg, Thomas
    Örebro University, Department of Health Sciences.
    Traumatisk hjärnskada hos kvinnor: perspektiv på kön, sexualitet och funktionshinder: en litteraturstudie med feministisk ansats2004In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 24, no 1, p. 47-50Article in journal (Other academic)
    Abstract [en]

    The article is built upon tree topics: feminism, sexuality and disability. The purpose is to illuminate traumatic brain injury (TBI) among women in perspectives of gender, role and sexuality. On the basis of literature studies the article summarize (i) gender specific onsequences for women (ii) sexual consequences for women (iii) women role changes.

    The article brings up sexual consequences with TBI as increased and decreased sexual lust and problem with orgasms. Role changes are illuminated as working role, hobbyist and role as a family member. Even gender specific differences between cognition and emotion are mentioned.

    The article set focus on TBI as a hidden less recognised consequence for battered women. Gender perspectives are problemized and discussed in connection to TBI. Thinking in processes is described in purpose to give a more holistic perspective on mankind and its sexuality. Violence against women having TBI and frequents of injuries seen in a gender perspective is mentioned.

  • 184.
    Strandberg, Thomas
    Örebro universitet, Hälsovetenskapliga institutionen.
    Traumatisk hjärnskada hos kvinnor: perspektiv på kön, sexualitet och funktionshinder: en litteraturstudie med feministisk ansats2004In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 24, no 1, p. 47-50Article in journal (Other academic)
    Abstract [en]

    The article is built upon tree topics: feminism, sexuality and disability. The purpose is to illuminate traumatic brain injury (TBI) among women in perspectives of gender, role and sexuality. On the basis of literature studies the article summarize (i) gender specific onsequences for women (ii) sexual consequences for women (iii) women role changes.

    The article brings up sexual consequences with TBI as increased and decreased sexual lust and problem with orgasms. Role changes are illuminated as working role, hobbyist and role as a family member. Even gender specific differences between cognition and emotion are mentioned.

    The article set focus on TBI as a hidden less recognised consequence for battered women. Gender perspectives are problemized and discussed in connection to TBI. Thinking in processes is described in purpose to give a more holistic perspective on mankind and its sexuality. Violence against women having TBI and frequents of injuries seen in a gender perspective is mentioned.

  • 185. Ståhl, Malin
    et al.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Ständig tillsyn: en kvalificerad vårdhandling inom psykiatrisk vård2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, no 3, p. 38-42Article in journal (Refereed)
  • 186.
    Sundler J, Annelie
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Svanström, Rune
    Hjärtats osäkerhet: en begrereppsanalys2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 1, p. 42-47Article in journal (Refereed)
  • 187.
    Svedin, Tommy
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Norrlander, Annelie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Fläckman, Birgitta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Nursing science.
    Levnadsvanor, upplevd stress och hälsa hos personal inom ambulansens och räddningstjänstens verksamheter2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 1, p. 16-21Article in journal (Refereed)
    Abstract [en]

    There are comparable as well as non comparable factors for personnel involved in ambulance and emergency services. The aim of this study was to describe and compare the ambulance and emergency personnel-rated health, physical activity, diet and work-related stress factors and some physiological measurements. The groups were recruited through convenience sampling. Questionnaire was used as data collection method. In addition, physiological measurements of all participants were measured at one occasion. Important relationships emerged regarding health status, perceived fatigue and workload of ambulance personnel. Emergency services of physical activity showed a major difference in relation to ambulance personnel. Job satisfaction was perceived as good in both occupational groups, however, experienced ambulance personnel more psychologically stress. Significant difference was seen between the groups regarding fatigue after a session. Obese and those with high waistlines was over-represented in the ambulance. There were more ambulance personnel staffs that were treated for hypertension and /or diabetes. Differences were found between the groups regarding hypertension, diabetes and physical activity. It was concluded, the lifestyle factors that can prevent the risk of cardiovascular disease and metabolic syndrome, are the ones, were not overweight, exercise regularly, had a good diet and experienced a good job satisfaction.

  • 188.
    Svedin, Tommy
    et al.
    Högskolan i Gävle, Landstinget Gävleborg.
    Norrlander, Annelie
    Högskolan i Gävle,Landstinget Gävleborg.
    Fläckman, Birgitta
    Högskolan i Gävle.
    Levnadsvanor, upplevd stress och hälsa hos personal inom ambulansens och räddningstjänstens verksamheter2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 1, p. 16-21Article in journal (Refereed)
    Abstract [en]

    There are comparable as well as non comparable factors for personnel involved in ambulance and emergency services. The aim of this study was to describe and compare the ambulance and emergency personnel-rated health, physical activity, diet and work-related stress factors and some physiological measurements. The groups were recruited through convenience sampling. Questionnaire was used as data collection method. In addition, physiological measurements of all participants were measured at one occasion. Important relationships emerged regarding health status, perceived fatigue and workload of ambulance personnel. Emergency services of physical activity showed a major difference in relation to ambulance personnel. Job satisfaction was perceived as good in both occupational groups, however, experienced ambulance personnel more psychologically stress. Significant difference was seen between the groups regarding fatigue after a session. Obese and those with high waistlines was over-represented in the ambulance. There were more ambulance personnel staffs that were treated for hypertension and /or diabetes. Differences were found between the groups regarding hypertension, diabetes and physical activity. It was concluded, the lifestyle factors that can prevent the risk of cardiovascular disease and metabolic syndrome, are the ones, were not overweight, exercise regularly, had a good diet and experienced a good job satisfaction.

  • 189.
    Svärd-Andersson, Siv
    et al.
    Hälsohögskolan Jönköping.
    Berterö, Carina
    Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
    Living with an ostomy: Women's long term experiences2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, p. 19-22Article in journal (Refereed)
    Abstract [en]

    n/a

  • 190.
    Söderbäck, Maja
    et al.
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Ekström, Catarina
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare.
    Hälsovägledning med Somaliska föräldrar inom Svensk Barnhälsovård : En kvalitativ studie 2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 4, p. 33-37Article in journal (Refereed)
    Abstract [en]

    Background: Difficulties in intercultural encounters and communication in health care is well known. Swedish primary child health nurses' have daily encounter with Somali parents for health counseling of their young children. Little is known about their experiences of the intercultural understanding of the health counseling encounters.

    Aim:  To describe Swedish primary child health nurses' experiences of health counseling Somali parents.

    Methods: A qualitative design was used. Five child health nurses were strategic selected for interviews. A content analysis was used in the analysis.

    Findings: The primary child health nurses' experienced both facilitators and barriers in the encounters of health counseling, as well as within their profession and in the Somali parenting.

    Conclusion: Health counseling as an educational process. Time is important in intercultural encounters with health counseling in primary child health care to identify and show an interest in the Somali family's life history and perceived needs.

  • 191.
    Söderlund, Maud
    University of Gävle, Department of Education and Psychology, Ämnesavdelningen för pedagogik. University of Gävle, Faculty of Education and Business Studies, Department of Culture Studies, Religious Studies and Educational Sciences.
    Tre kvalitativa forskningsansatser med relevans för vårdvetenskap2003In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 23, no 2, p. 9-15Article in journal (Refereed)
    Abstract [en]

    Söderlund, Maud (2002). The purpose of this article is to show the distinctive features of three different qualitative approaches to research. To be able to reach a deeper understanding of the three scientific approaches chosen, I will start a methodological discussion by presenting three different approaches: the phenomenological, the hermeneutical and the phenomenographical approach and then examine them in order to clarify what kind of scientific knowledge they can generate with regard to caring science. The author’s opinion is that the patients’ perceptions of care depend on the unique educational process which is present in every culture and which influences people in each and every aspect of life. It makes caring a cultural matter and it calls attention to the processes of socialization and learning which traditionally would remain hidden or invisible. A case-study will be demonstrated. Than, I shall compare the approaches with one another in order to point out their similarity and difference. Lastly, I will argue for a way to describe what it can mean to a patient to be a patient in care giving settings.

  • 192.
    Söderman, Annika
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Jackson, Karin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Barn som far illa i sin hemmiljö: BVC-sjuksköterskors upplevelser av att möta och hjälpa barnen.2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 4, p. 38-42Article in journal (Refereed)
    Abstract [en]

    ABSTRACT

    Aim: The aim of this study was to describe child health nurses (CHN´s) experiences of meeting and helping the children exposed to child abuse in the home environment.

    Background: CHN´s have the opportunity to come close to families and support them. This support may strengthen the parental role which can improve the child's environment and provide help to children exposed to child abuse.

    Methods: A descriptive design with a qualitative approach (content analysis) was used. Six CHN´s were interviewed.

    Findings: The experience of to obtain an insight into the child maltreatment was described. The CHN´s experienced their meeting with child abuse as a difficult task e.g. to take a decision to notify the social services and the CHN as the child´ s agent. The CHN´s also had experiences of both providing and receiving support.

    Conclusions: CHN´s have a number of difficult tasks like meeting abused children. Through experience and support from colleges the CHN´s can reach a higher confidence in their own capacity of helping the children. This can affect how fast the CHN take the necessary decision to report to social services when a child is abused.

    KEYWORDS: Child abuse, Care failure, Child health care, Child health nurse, Failure to thrive.

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    Barn som far illa i sin hemmiljö
  • 193.
    Theodoridis, Kyriakos
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Omvårdnad som filosofisk aktivitet2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 2, p. 11-15Article in journal (Refereed)
    Abstract [sv]

    I denna artikel diskuteras tesen att omvårdnad kan beskrivas som en form av filosofisk aktivitet. Artikeln avser att belysa omvårdnadens filosofiska karaktär genom en analys av omvårdnad som yrkesverksamhet och som kunskapsdisciplin. I analysen framträder fyra attribut som kännetecknar omvårdnadens essens: etiskt ställningstagande, delaktighet i människors existentiella singulariteter, yrkeskompetensens komplexitet samt kravet på självkännedom. Sammantaget argumenteras att dessa fyra attribut konsoliderar omvårdnadens filosofiska dimension och ligger till grund för påståendet att omvårdnad (inom vissa kliniska regioner) kan beskrivas som en form av filosofisk aktivitet.

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  • 194. Tunedal, Ulla
    et al.
    Fagerberg, Ingegerd
    Mälardalens högskola.
    Sjuksköterska inom äldreomsorgen - en utmaning2001In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 21, no 2, p. 27-35Article in journal (Refereed)
  • 195. Valsö, Åse
    et al.
    Wik Ambjörnrud, Mona
    Lindahl, Berit
    University of Borås, School of Health Science.
    Begrensning av livsforlengende behandling til sederte intensivpatienter på respirator: hva er intensivsykepleierens rolle?2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 4, p. 37-41Article in journal (Refereed)
    Abstract [en]

    The aim: The aim was to illuminate ICU-nurses’ roles in the process of decision-making regarding limitation of life prolonging treatment to sedated patients on ventilators, and to get an insight to related knowledge of ethical and legal guidelines Method: Data consisted of qualitative semi-structured interviews analyzed via qualitative content analyses. Findings: The findings describe the nurses’ legally and ethical competences in relation to their caring role and insight into how the National Guideline is used. The ICU-nurses found decision-making difficult, but viewed their role as crucial through the whole withdrawal process. They took part indirectly in the decision-making concerning withdrawal as they are the ones who mediate their patient observations and next of kin’s wishes. Findings are presented in four categories: the ICU-nurses inclusion and participation in decision-making, deficient documentation, informing the next of kin and uncertainty about ethical and juridical perspectives. Conclusion: A multi-professional dialogue, knowledge about ethical and legal competencies, and content in the National Guideline, are seen as important help to the nurses as they are the ones who stay close to patients and the next of kin.

  • 196. Van der Moeren, Maaike
    et al.
    Willemsen, Leen
    Hellström Muhli, Ulla
    University of Skövde, School of Life Sciences.
    Accounts of School Nursing2008In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, no 1, p. 45-47Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe student’s accounts of school nursing and nursing activities. A purposive sample of nine informants was used, spanning students from two different schools aged between 17 and 19 years. Four  categories with sub categories emerged. (i) The students express emotions of being fond of the school nurse, but expect more caring attitudes from her (ii) The school nurse is seen as a good resource; however, the students’ confidence is partial. (iii) Reasons for consulting are mostly physical problems, despite psychological caring needs and (iv) SNHC activities are seen as useful, although too basic. These data expose a caring dilemma between the student’s needs and the professional/institutional achievements.

  • 197. Wallenius, Elisabeth
    et al.
    Möller, Kerstin
    Örebro University, School of Health and Medical Sciences.
    Berglund, Britta
    Karolinska institutet.
    Everyday impact of having a rare diagnosis: a questionnaire study2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, no 3, p. 13-17Article in journal (Refereed)
  • 198. Wester, Agneta
    et al.
    Larsson, Lena
    Olofsson, Lena
    Pennbrant, Sandra
    University West, Department of Nursing, Health and Culture, Division of Advanced Nursing.
    Caregivers’ experiences of caring for an elderly next of kin in Sweden2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 4, p. 28-32Article in journal (Refereed)
    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.

  • 199.
    Westergren, Albert
    et al.
    Central Hospital, Kristianstad.
    Jakobsson, Ulf
    Lund University.
    Räkna med det interna bortfallet [Count with the internal drop-out]2006In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, no 3, p. 54-56Article in journal (Other academic)
    Abstract [en]

    Missing data is a pragmatic fact

    that must be investigated and not

    a disaster to be mitigated. It is a

    property of the population to

    which we seek to generalize and

    can cause problems not only

    through its impact on the sample

    size available for analysis but

    also through its potential hidden

    biases. Making imputations without

    first analysing the randomness

    of the missing responses can

    even be worse than doing nothing,

    so care is needed while

    imputing missing values. This

    paper reflects on how to prevent,

    analyse and handle missing data

    and how effects of imputation can

    be checked.

  • 200. Wijk, H
    et al.
    Öhlen, J
    Lidén, E
    German Millberg, L
    Jacobsson, C
    Söderberg, S
    Berg, L
    Engström, Å
    Höglund, I
    Lepp, Margret
    Lindström, I
    Nygren, B
    Person, C
    Petzäll, K
    Skär, L
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Söderlund, M
    Verksamhetsförlagd utbildning på avancerad nivå: ny utmaning för specialistutbildningar för sjuksköterskor2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 4, p. 41-43Article in journal (Other academic)
    Abstract [en]

    The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher Education Reform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursing programmes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree with a masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbased knowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions and clinics. Specific didactical issues are raised.

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