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  • 301.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Thomson, Gill
    Axelin, Anna
    Pathways to emotional closeness in neonatal units - a cross-national qualitative study.2016In: BMC Pregnancy and Childbirth, ISSN 1471-2393, E-ISSN 1471-2393, Vol. 16, no 1, article id 170Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Research shows evidence for the importance of physical and emotional closeness for the infant, the parent and the infant-parent dyad. Less is known about how, when and why parents experience emotional closeness to their infants in a neonatal unit (NU), which was the aim of this study.

    METHODS: A qualitative study using a salutogenic approach to focus on positive health and wellbeing was undertaken in three NUs: one in Sweden, England and Finland. An 'emotional closeness' form was devised, which asked parents to describe moments/situations when, how and why they had felt emotionally close to their infant. Data for 23 parents of preterm infants were analyzed using thematic networks analysis.

    RESULTS: A global theme of 'pathways for emotional closeness' emerged from the data set. This concept related to how emotional, physical, cognitive and social influences led to feelings of emotional closeness between parents and their infants. The five underpinning organising themes relate to the: Embodied recognition through the power of physical closeness; Reassurance of, and contributing to, infant wellness; Understanding the present and the past; Feeling engaged in the day to day and Spending time and bonding as a family.

    CONCLUSION: These findings generate important insights into why, how and when parents feel emotionally close. This knowledge contributes to an increased awareness of how to support parents of premature infants to form positive and loving relationships with their infants. Health care staff should create a climate where parents' emotions and their emotional journey are individually supported.

  • 302.
    Flacking, Renée
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK ; Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
    Thomson, Gill
    University of Central Lancashire.
    Ekenberg, Linda
    Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK.
    Löwegren, Linda
    Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Division of Nursing, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
    Influence of NICU co-care facilities and skin-to-skin contact on maternal stress in mothers of preterm infants2013In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 4, no 3, p. 107-112Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the influence of co-care facilities and amount of skin-to-skin contact during Neonatal Intensive Care Unit (NICU) stay on maternal stress in mothers of preterm infants at two months corrected age.

    Methods:  A prospective cohort study that involved 300 mothers of pre-term infants was conducted in four NICUs (two with co-care facilities and two with non co-care) in Sweden. Data on duration of skin-to-skin contact per day for all days admitted to the NICU were collected using self-reports. Maternal stress was measured by the Swedish Parental Stress Questionnaire (SPSQ) at two months of infant’s corrected age.

    Results: Mothers whose infants were cared for in a NICU with co-care facilities reported significantly lower levels of stress in the dimension of ‘incompetence’ compared to mothers whose infants had been cared for in non co-care NICUs.  The amount of skin-to- skin experienced during the neonatal stay was not significantly associated with levels of maternal stress at two months corrected age.

    Conclusion:  The finding that mothers who do not experience co-care facilities experience greater levels of stress in relation to feelings of incompetence is of concern. Improvements to NICU environments are needed to ensure that mother-infant dyads are not separated.

  • 303.
    Flodin, Pia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Kristenson, Lina
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors kunskapsläge gällande trycksår och trycksårsprevention - en litteraturöversikt2015Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    The aim was to investigate the nurses’ level of knowledge concerning pressure ulcers and pressure ulcer prevention.

    The study was conducted as a general literature review. The databases used were PubMed, Cinahl and Web of Science. In total, 16 pieces of articles formed the basis of the beas results. Articles were written in Swedish or English and were not older than ten years.

    The result showed that nurses´ level of knowledge was low concerning pressure ulcers and pressure ulcer prevention. Further education and updating on the subject showed an increased level of knowledge among the nurses, however, were dropped in a short time since the regulations and routines at the departments where not updated. The nurses put frequently over responsibility for pressure ulcers and pressure sores prevention in assistant nurses and argued that the assessment of pressure sores happened automatically. Risk assessment instrument for pressure ulcers were used rarely or not at all. The nurses’ had more knowledge of preventive measures, in comparison with assistant nurses. Nursing students priority pressure ulcer prevention high.

    Conclusion: The lack of knowledge of nurses´ concerning pressure ulcers and pressure ulcer prevention was shown on several levels. The nurses did not know how to document correct, they had poor knowledge about prevention and the risk assessment instruments that were current on their particular workplace. Delegation of tasks, from registered nurse to assistant nurse, concerning pressure ulcers and pressure ulcer prevention often happened.

  • 304.
    Florin, Jan
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ehnfors, Margareta
    Univ Orebro, Sch Hlth & Med Sci, S-71082 Orebro, Sweden.
    Björvell, Catrin
    Karolinska Univ Hosp, S-17176 Stockholm, Sweden; Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden.
    A comparison between the VIPS model and the ICF for expressing nursing content in the health care record2013In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 82, no 2, p. 108-117Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Multi-professional standardized terminologies are needed that cover common as well as profession-specific care content in order to obtain a full coverage and description of the contributions from different health professionals' perspectives in health care. Implementation of terminologies in clinical practice that do not cover professionals' needs for communication might jeopardize the quality of care. PURPOSE: The aim of the study was to compare the structure and content of the Swedish VIPS model for nursing documentation and the international classification of function, disability and health (ICF). METHOD: Mapping was performed between key words and prototypical examples for patient status in the VIPS model and terms in the ICF and its framework of domains, chapters and specific terms. The study had two phases. In the first phase 13 key words for patient status in the VIPS model and the 289 terms (prototypical examples) describing related content were mapped to comparable terms in the ICF. In phase two, 1424 terms on levels 2-4 in the ICF were mapped to the key words for patient status in the VIPS model. RESULTS: Differences in classification structures and content were found, with a more elaborated level of detail displayed in the ICF than in the VIPS model. A majority of terms could be mapped, but several essential nursing care concepts and perspectives identified in the VIPS model were missing in the ICF. Two-thirds of the content in the ICF could be mapped to the VIPS' key words for patient status; however, the remaining terms in the ICF, describing body structure and environmental factors, are not part of the VIPS model. CONCLUSION: Despite that a majority of the nursing content in the VIPS model could be expressed by terms in the ICF, the ICF needs to be developed and expanded to be functional for nursing practice. The results have international relevance for global efforts to implement unifying multi-professional terminologies. In addition, our results underline the need for sufficient coverage and level of detail to support different professional perspectives in health care terminologies.

  • 305. Forberg, Ulrika
    et al.
    Johansson, Eva
    Ygge, Britt-Marie
    Wallin, Lars
    Karolinska Institutet.
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Accuracy in documentation of peripheral venous catheters in paediatric care: an intervention study in electronic patient records2012In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 9-10, p. 1339-1344Article in journal (Refereed)
    Abstract [en]

    Aims. The aim of this study is to compare the accuracy and completeness in the recording of peripheral venous catheters before and after implementing a template in the electronic patient record in paediatric care.

    Background. As a basis for quality improvement and research purposes and to ensure patient safety, accurate clinical data need to be easily accessible in patient records. Several studies have concluded that the relation between performed care and what is documented in patient records is poor.

    Design. Before and after study.

    Method. The study took place at a large paediatric university hospital in Sweden. Inclusion criteria were patients who were admitted to one of the included wards, had one or several peripheral venous catheters and were available at the ward at the time for data collection. Data were collected by observations and record audits before and then four and 10 months after the introduction of a template for recording peripheral venous catheters in a structured and standardised way.

    Results. A significant increase in peripheral venous catheters with complete recording was observed after as compared with before the intervention. The percentage of peripheral venous catheters with recording of any kind was relatively stable (85-93%). The overall recording of peripheral venous catheters insertion did not improve, but there was an increase in the recording of side and size after the intervention. One of the 22 complications observed before the intervention was documented and none of the complications (n = 17 and n = 9) after.

    Conclusion. The electronic patient record did not provide accurate data on peripheral venous catheters in paediatric care neither before nor after the intervention. Relevance to clinical practice. Further efforts to increase the documentation of catheter-related complications are needed. Integrated decision support systems in electronic patient records that remind nurses to inspect peripheral venous catheters regularly could be one solution.

  • 306.
    Forslund, Sofia
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Ljungberg, Linnéa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Patienters erfarenhet av perifert insatt central kateter: En litteraturöversikt2014Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Syfte: Syftet med studien var att beskriva patienters erfarenheter av perifert insatt central kateter (PICC-line). Metod: Examensarbetet genomfördes som en litteraturöversikt och baserades på nio vetenskapliga originalartiklar med kvantitativ ansats och kvalitativ ansats. Litteratursökningen utfördes i databaserna CINAHL och PubMed. Resultat: Tre teman konstruerades: information och undervisning, patienters upplevelse av insättningsproceduren och erfarenheter av att leva med PICC-line. Studierna visade att patienterna generellt var nöjda med PICC-line och att de uppskattade den enkla insättningen. Eventuell oro minskade genom att patienterna fick individanpassad information. Beslutet att låta sätta in en PICC-line påverkades till stor del av att patienten kunde få behandling utanför sjukhus, att antalet venpunktioner minskade samt bekvämligheten av att ha PICC-line. Bekymmer som patienterna initialt upplevde minskade med tiden i takt med att de anpassade sig och accepterade sin PICC-line. Majoriteten av patienterna kunde fortsätta med de dagliga aktiviteterna och en del kunde fortsätta arbeta. Slutsats: Trots att PICC-line påverkar patientens dagliga liv anpassar majoriteten sig väl och är nöjda. För att insättningen ska bli en så behaglig upplevelse som möjligt för patienten krävs att hon får vara delaktig, får individuellt anpassad information och att det finns utrymme för frågor. Hur information ges, såväl muntligt som skriftligt, bör förbättras så att patienten förstår och förmår ta in. För att PICC-line ska fortsätta vara ett populärt alternativ hos de som behöver långvarig venös tillgång måste sjuksköterskan ha en helhetssyn och förebygga att bekymmersamma situationer uppstår, som till exempel vid dusch. Patienten måste känna att hon har ett gott stöd från sjukvårdspersonal och att hon har självförtroendet att klara sig hemma med PICC-line. Vården som ges ska vara evidensbaserad och då är det viktigt att vara kritisk vid användandet av metoder som inte är evidensbaserade, som exempelvis PICC-line.

  • 307.
    Forsman, Henrietta
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nyutbildade sjuksköterskors användning av forskningsresultat2012Conference paper (Other academic)
  • 308.
    Forsman, Henrietta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Gustavsson, Petter
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rudman, Ann
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Research use in clinical practice: extent and patterns among nurses one and three years postgraduation2009In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 65, no 6, p. 1195-1206Article in journal (Refereed)
    Abstract [en]

    Aim.  This paper is a report of a study of nurses’ research use in clinical practice one and three years postgraduation in Sweden.

    Background.  Internationally, learning to critically appraise and use research is an educational objective within nursing training, with the aim of promoting research use in nursing practice. The extent to which these skills is acquired and used among relatively newly graduated nurses is largely unexplored, however.

    Method.  A descriptive study was conducted in 2006 using a national longitudinal survey of two nursing cohorts one (n = 1,365) and three (n = 933) years postgraduation. The self-reported extent of instrumental, conceptual and persuasive research use was measured. Data were analysed using both variable- and pattern-oriented approaches based on cluster analysis.

    Results.  Research use was reported to occur in about half or fewer of the working shifts. In both samples, seven clusters of nurses with different research use profiles were identified. Clusters representing overall low and very low users in all three types of research use were predominant both at one (45·6%) and three (51·6%) years postgraduation, whereas clusters of nurses reporting overall high research use were uncommon. The proportion of very low users was larger 3 years after graduation than 1 year after graduation.

    Conclusions.  The low extent of reported research use, raises the question of whether scientific perspectives included in nursing education are translated into clinical application. The pattern-oriented approach illustrates the complexity of research use and identification of typical research use profiles in specific contexts may have potential to guide interventions aimed at supporting evidence-based practice.

  • 309.
    Forsman, Henrietta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rudman, Ann
    Gustavsson, Petter
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska institutet.
    Nurses' research utilization two years after graduation: a national survey ofassociated individual, organizational, and educational factors2012In: Implementation Science, ISSN 1748-5908, E-ISSN 1748-5908, Vol. 7, article id 46Article in journal (Refereed)
    Abstract [en]

    Background. Nurses' research utilization (RU) as part of evidence-based practice is strongly emphasized in today's nursing education and clinical practice. The primary aim of RU is to provide high-quality nursing care to patients. Data on newly graduated nurses' RU are scarce, but a predominance of low use has been reported in recent studies. Factors associated with nurses' RU have previously been identified among individual and organizational/contextual factors, but there is a lack of knowledge about how these factors, including educational ones, interact with each other and with RU, particularly in nurses during the first years after graduation. The purpose of this study was therefore to identify factors that predict the probability for low RU among registered nurses two years after graduation.

    Methods. Data were collected as part of the LANE study (Longitudinal Analysis of Nursing Education), a Swedish national survey of nursing students and registered nurses. Data on nurses' instrumental, conceptual, and persuasive RU were collected two years after graduation (2007, n = 845), together with data on work contextual factors. Data on individual and educational factors were collected in the first year (2002) and last term of education (2004). Guided by an analytic schedule, bivariate analyses, followed by logistic regression modeling, were applied.

    Results. Of the variables associated with RU in the bivariate analyses, six were found to be significantly related to low RU in the final logistic regression model: work in the psychiatric setting, role ambiguity, sufficient staffing, low work challenge, being male, and low student activity.

    Conclusions. A number of factors associated with nurses' low extent of RU two years postgraduation were found, most of them potentially modifiable. These findings illustrate the multitude of factors related to low RU extent and take their interrelationships into account. This knowledge might serve as useful input in planning future studies aiming to improve nurses', specifically newly graduated nurses', RU.

  • 310.
    Forsman, Henrietta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Rudman, Ann
    Gustavsson, Petter
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Use of research by nurses during their first two years after graduating2010In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 66, no 4, p. 878-890Article in journal (Refereed)
    Abstract [en]

    Aim. This paper reports on a study of research use among nurses two years after graduation, as well as changes over time in research use in relation to changes in working conditions. 

    Background. The demand for evidence-based practice is widely expressed, and newly graduated nurses should possess the skills to provide high-quality care based on the best knowledge available. The way in which nurses use research during the first few years after graduating is, however, largely unknown. 

    Method. As part of a national longitudinal survey, nurses reported their extent of instrumental, conceptual and persuasive research use in 2006 (n = 1365) and 2007 (n = 1256). Data were analysed cross-sectionally and prospectively, using variable- and pattern-oriented methods. 

    Results. Instrumental research was reported most frequently, on about half of the working shifts. Seven profiles of research use were found, showing structural stability over time when compared with results from year 1. Most typically, nurses maintained the same profile over time; moreover, low users tended to become even lower users. Two years after graduation, 54 center dot 9% reported overall low use. Changes in working conditions did not explain the decrease in research use. 

    Conclusion. The results support previous claims of a gap between research and clinical practice. The predominance of overall low users is alarming and requires further research, including investigation of individual and organizational factors, to study their impact on nurses' research use.

  • 311.
    Forsner, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Omvårdnad vid procedurer2015In: Pediatrisk omvårdnad / [ed] Inger Hallström och Tor Lindberg, Stockholm: Liber , 2015, 2Chapter in book (Other academic)
  • 312.
    Forsner, Maria
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Smärta hos barn2013In: Kvalitetsindikatorer inom omvårdnad / [ed] Ewa Idvall, Stockholm: Gothia Förlag AB, 2013, 6, p. 24-27Chapter in book (Other academic)
  • 313.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Berggren, Jenny
    Masaba, Jennipher
    Ekbladh, Annelie
    Children's and Youths' Clinic, Central Lasarettet, Växjö, Sweden.
    Lindholm Olinder, Anna
    Department of Clinical Science and Education, Karolinska Institute, Södersjukhuset, Stockholm, Sweden; Uppsala University, Department of Medical Sciences, Akademiska Sjukhuset, Uppsala, Sweden.
    Parents’ experiences of caring for a child younger than two years of age treated with continuous subcutaneous insulin infusion2014In: European Diabetes Nursing, ISSN 1551-7853, E-ISSN 1551-7861, Vol. 11, no 1, p. 7-12Article in journal (Refereed)
    Abstract [en]

    Diabetes during infancy is uncommon and continuous subcutaneous insulin infusion (CSII) is the recommended treatment with such young children. However, this form of treatment has not been investigated previously from the perspective of the parents.

    The aim of this study was to determine parents' experiences of caring for a child less than two years old who had diabetes mellitus and was being treated with CSII therapy.

    Three pairs of parents were interviewed twice to elucidate their views on the initial period and on daily living. Data were submitted to qualitative content analysis and resulted in seven categories and one theme, the latter being: ‘The diabetes disease was threatening our baby's life, but then the insulin pump came as a rescuing, though challenging, angel’. Parents initially felt life had been turned upside down, but later they felt in control nearly all the time.

    It was concluded that parents of infants with diabetes are in great need of support in order to manage the disease and CSII technology. The fear of losing control and the lack of relief lead to social isolation. Educating someone close to the family could be a valuable intervention.

  • 314.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elvhage, Gudrun
    Stockholm Universitet.
    Narratives about concerns for child maltreatment.2016Conference paper (Refereed)
  • 315.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Eriksson, Katarina
    Svedberg, Marianne
    Furingsten, Lovisa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    When children die: a survey in Sweden about hospital guidelines related to care after death2014Conference paper (Refereed)
  • 316.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Goodholm, Marie
    Andersson, Malin
    Karlsson, Pernilla
    Umeå Universitet.
    Lindh, Viveca
    Umeå Universitet.
    Nordyke, Katrina
    Umeå Universitet.
    Ivarsson, Anneli
    Umeå Universitet.
    Guided Imagery during venipuncture in twelve year old school children Guided Imagery during venipuncture, 12-year old children’s experiences from a CD screening: An intervention evaluated with FAS, VAS and written narratives2010Conference paper (Refereed)
  • 317.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Heimdal, Sara
    Jacobsson, Marlene
    Furingsten, Lovisa
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Lûtzén, Kim
    Karolinska Institutet.
    Health care professionals’ experiences of moral stress when children are dying2014Conference paper (Refereed)
  • 318.
    Forsner, Maria
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Mörelius, Evalotte
    Linköpings universitet.
    Läkemedelshantering för barn2013In: Kvalitetsindikatorer inom omvårdnad / [ed] Idvall, Ewa, Stockholm: Gothia Förlag AB, 2013, 6, p. 62-64Chapter in book (Other academic)
  • 319.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mörelius, Evalotte
    Linköpings universitet.
    Hanberger, Lena
    Linköpings universitet.
    Kvalitetsindikatorer inom omvårdnad i barnsjukvården: en pilottest2013Conference paper (Refereed)
  • 320.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Mörelius, Evalotte
    Linköpings universitet.
    Hanberger, Lena
    Linköpings Universitet.
    Ygge, Britt-Marie
    Karolinska Universitetet.
    Nursing quality indicators in paediatric hospital care2013Conference paper (Refereed)
  • 321.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nilsson, S
    Finnström, B
    Mörelius, E
    Expectation prior to human papilloma virus vaccination: 11 to 12-year-old girls' written narratives2016In: Journal of Child Health Care, ISSN 1367-4935, E-ISSN 1741-2889, Vol. 20, no 3, p. 365-373Article in journal (Refereed)
    Abstract [en]

    Expectations prior to needle-related procedures can influence individuals’ decision making and compliance with immunization programmes. To protect from human papilloma virus (HPV) and cervical cancer, the immunization needs to be given before sexual debut raising interest for this study’s aim to investigate how 11 to 12-year-old girls narrate about their expectations prior to HPV vaccination. A total of 27 girls aged 11 to 12 years participated in this qualitative narrative study by writing short narratives describing their expectations. The requirement for inclusion was to have accepted HPV vaccination. Data were subjected to qualitative content analysis. Findings showed the following expectations: going to hurt, going to be scared and going to turn out fine. The expectations were based on the girls’ previous experiences, knowledge and self-image. The latent content revealed that the girls tried to transform uneasiness to confidence. The conclusion drawn from this study is that most girls of this age seem confident about their ability to cope with possible unpleasantness related to vaccinations. However, nurses need to find strategies to help those children who feel uneasy about needle-related procedures.

  • 322.
    Forsner, Maria
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Nilsson, Stefan
    Göteborgs universitet.
    Kommunikation om smärta2014In: Kommunikation med barn och unga i vården / [ed] Söderbäck, Maja, Stockholm: Liber, 2014Chapter in book (Other (popular science, discussion, etc.))
  • 323.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nilsson, Stefan
    Göteborgs Universitet.
    Finnström, Berit
    Högskolan Väst.
    Mörelius, Evalotte
    Linköpings Universitet.
    Pain, anxiety and hope to manage, girl´s expectations prior to HPV vaccination2015Conference paper (Refereed)
  • 324.
    Forsner, Maria
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Siljebo, Petra
    Umeå Universitet.
    Björklund, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Medical fear in chronically ill children2010Conference paper (Refereed)
  • 325.
    Forsner, Maria
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Ygge, Britt-Marie
    Karolinska Institutet.
    Venösa infarter hos barn2013In: Kvalitetsindikatorer inom omvårdnad / [ed] Idvall, Ewa, Gothia Förlag AB, 2013, 6, p. 118-121Chapter in book (Other academic)
  • 326.
    Forsström, Elin
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sitoe, Milton
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Palliativ vård – en litteraturöversikt om närståendes upplevelser2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Palliative care means that all forms of curative treatment are completed, and the focus is on preventing and relieving the patient's suffering and supporting relatives. During palliative care, the health of relatives is affected. They should be able to participate and make decisions about care and treatment. Aim: The purpose of this literature study was to clarify the experiences of relatives who are living with a family member who receives nursing care in end-of-life care. Method: A literature review was conducted. CINAHL and PsycINFO were used for data collection. The result includes 15 articles. Results: Being relatives and caregivers in palliative care at home was seen both as an opportunity and a challenge. Relatives were prepared to take on responsibility in the midst of grief. Relatives wanted information to be able to make such a good decision about nursing as possible. There may be a clear uncertainty among relatives when it comes to the actual death and how they should act. Conclusion: Relatives have a large part in palliative care. This literature review has shown how important it is for relatives to receive support and guidance during their perhaps most difficult period of life. Nurses have a great responsibility in ensuring that the difficult life situation is perceived as understandable by related persons. If this nursing is handled professionally, it can be managed and made meaningful for relatives both during the time that the relative is severely ill and after death.

  • 327. Fossum, Mariann
    et al.
    Ehnfors, Margareta
    Fruhling, Ann
    Ehrenberg, Anna
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    An evaluation of the usability of a computerized decision support system for nursing homes2011In: Applied Clinical Informatics, ISSN 1869-0327, Vol. 2, p. 420-436Article in journal (Refereed)
    Abstract [en]

    Background: Computerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices. Objective: This study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents. Methods: We employed a qualitative descriptive design using varied methods, including structured group interviews, cognitive walkthrough observations and a graphical user interface (GUI) usability evaluation. Group interviews were conducted with 25 nursing personnel from four nursing homes in southern Norway. Five nursing personnel participated in cognitive walkthrough observations and the GUI usability evaluation. Text transcripts were analyzed using qualitative content analysis. Results: Group interview participants reported that ease of use, usefulness and a supportive work environment were key facilitators of CDSS use. The barriers identified were lack of training, resistance to using computers and limited integration of the CDSS with the facility's electronic health record (EHR) system. Key findings from the usability evaluation also identified the difficulty of using the CDSS within the EHR and the poorly designed GUI integration as barriers. Conclusion: Overall, we found disconnect between two types of nursing personnel. Those who were comfortable with computer technology reported positive feedback about the CDSS, while others expressed resistance to using the CDSS for various reasons. This study revealed that organizations must invest more resources in educating nursing personnel on the seriousness of PUs and poor nutrition in the elderly, providing specialized CDSS training and ensuring that nursing personnel have time in the workday to use the CDSS.

  • 328.
    Frank, Kristofer
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nordgren, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Sjuksköterskors syn på att vårda patienter med övervikt och fetma – en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Overweight and obesity, increases throughout the world and is a major cause of death and burden for society. In society we meet with health campaigns that affect us. This consciously or unconsciously affects our view of what the norm is about weight. In hospital care, the equipment is not always adapted to patients with obesity, which may adversely affect the patient's experience negative.

    Purpose: The purpose is to illuminate the nurse attitudes / stigmatization of patients with obesity and how it can affect the patient's care.

    Method: Literature study. Pubmed, Chinahl, Psycinfo. 13 articles have been selected to answer the purpose of the literature review.

    Results: The results were divided into six categories. Nurses are not unaffected by these attitudes but can take part in the care of patients with overweight and obesity. Nurses perceived that they can not provide care of the same quality to patients with overweight and obesity as to other patients. Fear of injury during the work of the patient group occurs with the nurse in the care of patients with overweight and obesity. Nurses perceived that they can not provide care of the same quality to patients with overweight and obesity as to other patients and that the care of overweight and obese patients is time consuming

    Conclusion: Nurses have different views on obesity as a whole, as well as different experiences and perceptions about caring for overweight and obesity patients.

  • 329.
    Fransson, Erik
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Nyström, Michael
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Patienters upplevelser och livskvalitet vid behandling med urinkateter: En litteraturöversikt2013Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 330.
    Fransson, Helen
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Westin, Sara
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    ”Vi gör så gott vi kan”: Vårdpersonals upplevelser av amningsstöd till gravida ochnyblivna föräldrar2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Providing support and advice during lactation and breastfeeding complications are parts of the sexual and reproductive health.There are much research that describes new parents' experience of breastfeeding support, but not as much research that describes health professionals´ experiences of breastfeeding support that is given to pregnant and new parents. The purpose of this study was to investigate the health professionals´ experiences of breastfeeding support to pregnant and new parents.The study was conducted through a qualitative method based on an inductive approach.Data was collected from interviews with semi- structured questions in 11 focus groups. All data were processed by qualitative and inductive content analysis.The results of the study showed that healthcare professionals are experiencing breastfeeding support as an important part of their work.Breastfeeding support had flaws and a significant deficiency was reported to be continuity of breastfeeding support throughout the continuum of care.The informants felt that breastfeeding support should be improved and many suggestions were mentioned to promote breastfeeding among new parents and children.This study may highlight work professionals knowledge about their own and co-worker’s experiences of breastfeeding support which could lead to better cooperation and communication between units to promote and support breastfeeding.

  • 331.
    Fredborg, Elisabeth
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Raninen Jansson, Karin
    Dalarna University, School of Education, Health and Social Studies, Caring Science.
    Sjuksköterskestudenters skattade upplevelser av lärandemiljön före och efter inrättandet av Kompetenscentrum2014Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: In recent years, an increasing number of clinical training centers for skill

    training is available to allow for a safe and secure learning environment with simulation

    opportunities for students and staff. Clinical skill training is an important part of nursing at

    University College of Dalarna (HDa) where learning environment at the center of excellence

    (KC) can contribute to an improvement in this part of the training.

    Aim: The aim of this study was to investigate the nursing students ' experiences through the

    estimation of learning environment of clinical skill training before and after the establishment

    of center of excellence.

    Method: The study was conducted as a survey with quasiexperimental design.

    The questionnaire was based on Saarikoski and Leino-Kilpis gauges CLES where questions

    were modified with the help of Delphi method based on the three different dimensions:

    educational environment, relationship and the teacher's role. The measurement before the

    establishment was carried out during autumn 2010 and the measurement after establishment

    occurred in autumn of 2011. A total of 266 students were included in the study, of which 198

    (74%) responded to the questionnaire.

    Result: Nursing students estimated the experience of learning environment more favorable

    after the establishment of center of excellence where the results show a significantly higher

    estimate in 8 of the 16 questions. Nursing students´ believe that the training environment is

    more realistic, they are more satisfied with skill training and that inspires them to work as a

    nurse. The relationship between them and the teacher is based on respect and that opens up to

    a more positive atmosphere during skill training. On the other hand, no significant difference

    in the student’s experience of the clinical teacher's role was noticed.

    Conclusion: It is clear that the learning environment is important for nurse student's

    integration of theoretical as well as practical knowledge and skills improvement and provides

    a good basis for work as a nurse. Strategies should be taken to maintain and develop the

    learning environment at KC and focus more on the integration of theory and practice.

  • 332.
    Fredman, Robert
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Self-efficacys’ roll och påverkan vid drogberoende: En litteraturöversikt2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:  Drug dependent patients perceived ability to deal with where drug addiction, are assumed to influence the outcome of care. Self-efficacy is likely to play a prominent role, together with the nurse's attitude and support for this group of patients.  Purpose:  To describe the role of self-efficacy and its effects on patients with drug dependence.  Method:  Through literature overview create a knowledge overview of self-efficacy’s effect on drug dependent patients.  Results:  The result confirms self-efficacy as an important factor, but other factors seems to be autonomous and self-governing in its relationship with self-efficacy, in a complex context. Other important factors that emerge in the result set in addition to selfefficacy are social support and social context, cognitive factors and mental health, interventions and treatment.  Conclusion:  Self-efficacy is as a factor important and are included in a complex context with other factors. Self-efficacy is emerging as an important factor in his role for the impact on the drug dependent patients. In this context, the nurse's personcentered approach is important, because with an evidence informed work combine this with the necessary knowledge that the patient has about himself and in so support the patient in the best way. Nursing research should be done on various sequelae of drug dependent patients, early interventions and negative treatment outcome, with a focus on self-efficacy.

  • 333.
    Fredriksson, Marika
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Svedberg, Sara
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Motiverande samtal vid livsstilsförändringar: En litteraturstudie2017Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Diseases partly depending on lifestyle is a global problem. Lifestyle changes

    with in the areas of tobacco, physical activity, diet and alcohol can reduce the risk of developing

    this diseases. To change habits and lifestyle is often difficult and takes time. Strengthening a

    person's belief in their ability to change can facilitate change. Motivational Interviewing (MI)

    is a counseling method that aims to provide support for lifestyle change. The person's own

    perspective is in focus. The counselor is trying to explore and understand it through

    empathically listening, and find the person's own motivation.

    Aim: To compile research of the usability of Motivational Interviewing at lifestyle change in

    the areas of tobacco, physical activity, diet and alcohol.

    Method: A literature study based on 13 articles of quantitative and qualitative approaches.

    Result: MI was useful at lifestyle change related to the areas of tobacco, physical activity, diet

    and alcohol, the highest usability was found at smoking cessation. No effect was found for

    diabetes and physical activity. MI improved the belief to commit lifestyle change. Emphatically

    listening facilitated lifestyle change.

    Conclusion: MI was useful at lifestyle change related to the areas of tobacco, physical

    activity, diet and alcohol, the highest usability was found at smoking cessation. MI improved

    the belief to commit lifestyle change and made persons more ready to change. Follow up

    improved the outcome.

  • 334. Fredriksson, Mio
    et al.
    Halford, Christina
    Eldh, Ann Catrine
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Uppsala University.
    Dahlström, Tobias
    Vengberg, Sofie
    Wallin, Lars
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska Institutet; The Sahlgrenska Academy, University of Gothenburg.
    Winblad, Ulrika
    Are data from national quality registries used in quality improvement at Swedish hospital clinics?2017In: International Journal for Quality in Health Care, ISSN 1353-4505, E-ISSN 1464-3677, Vol. 29, no 7, p. 909-915Article in journal (Refereed)
    Abstract [en]

    Objective: To investigate the use of data from national quality registries (NQRs) in local quality improvement as well as purported key factors for effective clinical use in Sweden.

    Design: Comparative descriptive: a web survey of all Swedish hospitals participating in three NQRs with different levels of development (certification level).

    Setting and Participants: Heads of the clinics and physician(s) at clinics participating in the Swedish Stroke Register (Riksstroke), the Swedish National Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks) and the Swedish Lung Cancer Registry (NLCR).

    Main Outcome Measure(s): Individual and unit level use of NQRs in local quality improvement, and perceptions on data quality, organizational conditions and user motivation.

    Results: Riksstroke data were reported as most extensively used at individual and unit levels (x̅ 17.97 of 24 and x̅ 27.06 of 35). Data quality and usefulness was considered high for the two most developed NQRs (x̅ 19.86 for Riksstroke and x̅ 19.89 for GallRiks of 25). Organizational conditions were estimated at the same level for Riksstroke and GallRiks (x̅ 12.90 and x̅ 13.28 of 20) while the least developed registry, the NLCR, had lower estimates (x̅ 10.32). In Riksstroke, the managers requested registry data more often (x̅ 15.17 of 20).

    Conclusions: While there were significant differences between registries in key factors such as management interest, use of NQR data in local quality improvement seems rather prevalent, at least for Riksstroke. The link between the registry's level of development and factors important for routinization of innovations such as NQRs needs investigation.

  • 335.
    Frisk, Alexander
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Köpmans, Elias
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Förekomst av sekundär traumatisk stress hos sjuksköterskor och dess påverkan på personcentrerad vård: - En litteraturstudie2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background:

    The nurse has a large responsibility in the near patient care and is expected to be a

    good listener within the person-centered care. Events that are traumatic affects

    both the directly affected patient but also the nurse through their secondary

    exposure.

    Aim: The purpose of this study is to highlight the incidence of STS in nurses as

    well as to describe how it affects the quality of care and person-centered care.

    Method: Literature review of relevant articles in databases PubMed and

    CINAHL. The results of this literature study are based on 14 articles that met the

    inclusion and quality criteria.

    Results: The nurse is affected by STS on several levels, both professionally and

    personally. The quality of the fundamental person-centered care will be affected if

    STS is noted and the risk is imminent that the nurse affects to such an extent that

    they may choose to call in sick and/or change their jobs.

    Conclusion: STS is a relatively unknown concept. The nurse may face STS

    independent of workplace and the results can be showed in a lower quality of care

    and personal symptoms such as; irritability, fatigue, decreased empathy,

    depression, re- experiences of previously experienced traumatic events, and others.

    Leadership influence on identification of nurse’s STS development and handling.

  • 336.
    Frisk, Emma
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Åström, Rebecca
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Djurterapins inverkan på människor med demenssjukdom och andra kognitiva sjukdomar- en litteraturöversikt2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background: Each year about 25 000 people in Sweden get affected with

    dementia. The disease increases worldwide and is likely to double within the next

    20 years. Dementia affects the brain, which affects memory and cognitive ability

    and can cause behavioral and psychological symptoms (BPSD). Studies show that

    nine out of ten people at some time will show symptoms such as anxiety, agitation,

    wandering and aggressive behaviors.

    Drug administration to treat symptoms such as agitation, anxiety and agitating

    behavior is not unusual. Drugs are often likely to cause side effects in older

    people. If animal-assisted therapy can be used to treat the symptoms that can occur

    in dementia it can be seen as a positive alternative when studies have shown that

    animal therapy has a positive effect on people with dementia.

    Aim: The purpose of this study was to describe the impact of animal-assisted

    therapy on people with dementia and other cognitive diseases.

    Method: The study is a literature review based on articles with qualitative and

    quantitative approach (n = 15).

    Results: The results of this study show that animal therapy reduces stress levels,

    decreased production of aggressive behaviors, fewer delusions, decreased anxiety,

    depression, sadness, depression and apathetic behavior, and increase joy,

    happiness, commitment, alertness, awareness, verbal and increased memory.

    Conclusion: The results indicate that animal therapy can be advantageously used

    as an alternative or complementary therapy for people with dementia. However,

    the authors think that expanded research is needed to see long-term effects of

    animal therapy's effects.

  • 337.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Elderly people´s opinion on health and caring in community care2003Conference paper (Refereed)
  • 338.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper.
    Experiences of health and care, when being old and dependent on community care2007Licentiate thesis, comprehensive summary (Other academic)
  • 339.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karlstads universitet, Fakulteten för samhälls- och livsvetenskaper.
    Health and quality of care from older peoples' and formal caregivers' perspective2011Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Aim: The overall aim of this thesis was to gain a deeper understanding of older people's view of health and care while dependent on community care. Furthermore to describe and compare formal caregivers' perceptions of quality of care, working conditions, competence, general health, and factors associated with quality of care from the caregivers' perspective.

    Method: Qualitative interviews were conducted with 19 older people in community care who were asked to describe what health and ill health((I), good and bad care meant for them (II). Data were analyzed using content analysis (I) and a phenomenological analysis (II).

    The formal caregivers; 70 nursing assistants (NAs) 163 enrolled nurses (ENs) and 198 registered nurses (RNs), answered a questionnaire consisting of five instruments: quality of care from the patient's perspective modified to formal caregivers, creative climate questionnaire, stress of conscience, health index, sense of coherence and items on education and competence (III). Statistical analyses were performed containing descriptive statistics, and comparisons between the occupational groups were made using Kruskal-Wallis ANOVA, Mann-Whitney U-test and Pearson's Chi-square test (III). Pearson's  product moment correlation analysis and multiple regression analysis were performed studying the associations between organizational climate, stress of conscience, competence, general health and sense of coherence with quality of care (IV).

    Results: The older people's health and well-being were related to their own ability to adapt to and compensate for their disabilities and was described as negative and positive poles of autonomy vs. dependence, togetherness vs. being an onlooker, security vs. insecurity and tranquility vs. disturbance (I).  The meaning of good care (II) was that the formal caregivers respected the older people as unique individuals, having the opportunity to live their lives as usual and receiving a safe and secure care. Good care could be experienced when the formal caregivers had adequate knowledge and competence in caring for older people, adequate time and continuity in the care organization (II).

    Formal caregivers reported higher perceived quality of care in the dimensions medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere (III). In the organizational climate three of the dimensions were close to the value of a creative climate and in seven near a stagnant climate. The formal caregivers reported low rate of stress of conscience. The RNs reported to a higher degree than the NAs/ENs a need to gain more knowledge, but the NAs and the ENs more often received training during working hours. The RNs reported lower emotional well-being than the NAs/ENs (III). The formal caregivers' occupation, organizational climate and stress of conscience were associated with perceived quality of care (IV).

    Implications: The formal caregivers should have an awareness of the importance of kindness and respect, supporting the older people to retain control over their lives. The nursing managers should employ highly competent and adequate numbers of skilled formal caregivers, organize formal caregivers having round the clock continuity. Improvements of organizational climate and stress of conscience are of importance for good quality of care.

  • 340.
    From, Ingrid
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Äldre personers hälsa, omvårdnad och omsorg inom kommunal hälso- och sjukvård2003In: Äldre personers hälsa, omvårdnad och omsorg inom kommunal hälso- och sjukvård, 2003Conference paper (Refereed)
  • 341.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Forsner, Maria
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Portfolio in Nursing Education2014Conference paper (Refereed)
  • 342.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Johansson, Inger
    Athlin, Elsy
    Experiences of health and well-being, a question of adjustment and compensation - views of older people dependent on community care.2007In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 278-87Article in journal (Refereed)
    Abstract [en]

    Most studies concerning older people's health and well-being have focused on their ill health, disease and complaints and have mainly been conducted with a quantitative design. Hence, there is still a need for qualitative studies in which these peoples' own views on health and well-being are shown, especially when they are dependent on health care in a community setting. A qualitative approach was used in the study reported here and aimed at obtaining a deeper understanding of older peoples' own views about their health and well-being. Interviews were carried out on two occasions with 19 older people living in their own homes and in sheltered accommodation. The data were analysed using content analysis. The findings suggested that the possibility to feel healthy was dependent both on the older person's own ability to adjust or compensate to their situation, and on how their caregivers, relatives and friends could compensate for the obstacles the older person faced. The subcategories that captured the informants' experiences of health and ill health were described as positive and negative poles of autonomy, togetherness, tranquillity and security in daily life. The significance of the caregivers was clearly evident. Their competence, commitment and treatment were prerequisites for the older person's ability to experience health in spite of being dependent on care.

  • 343.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Johansson, Inger
    Athlin, Elsy
    The meaning of good and bad care in the community care: older people's lived experiences2009In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 4, no 3, p. 156-65Article in journal (Refereed)
    Abstract [en]

    In spite of a considerable body of research in the past decades on what does or does not constitute good care for older people, there are still few studies addressing this question in which older people narrate their experiences of being dependent on community care. This study was therefore carried out aiming to explore older people's lived experiences of what good and bad care meant to them, when it was offered by community care services. Nineteen older persons in three Swedish communities participated in the study, which used a phenomenological-hermeneutic approach. Data were collected through unstructured interviews and Colaizzi's framework was utilized in the analysis of the data. The key theme arising from the analysis was that of being encountered as a human being by caregivers who, through the provision of safe and secure care, provide opportunities for living life as usual. When any of these circumstances are lacking, bad care will be the consequence. As the general intention in society is to ensure good quality of care to older people as well as others, the findings in our study should have important implications for providers of community care for older people.

  • 344.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Leksell, Janeth
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Marusarz, Marika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Roeli, Kjell
    Sairanen, Raija
    Schröder, Margit
    Vabo, Grete
    Söderhamn, Olle
    Good nursing care for older nursing home clients in a Nordic context2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, no 4Article in journal (Refereed)
    Abstract [en]

    Introduction: In order to make nursing homes more attractive as work places in the Nordic countries, it should be important to identify possible issues that are central in good nursing care in this context. Aim: The aim of this study was to illuminate and interpret how good nursing care for older nursing home clients may be narrated by registered nurses in a Nordic context. Methods: Nine expert nurses from nursing homes in Denmark, Finland, Norway and Sweden narrated experiences of good nursing care for older people that were tape recorded, transcribed verbatim and analysed by means of qualitative content analysis. Results: Communication, creativity and community were the themes that constituted good nursing care for older people in the studied context. It was interpreted as a process of reciprocity between caregivers, clients and significant others, characterised by transcendence for the individuals that took part in the process. Discussion/Conclusion: Good nursing care in nursing homes demands mature individuals who are conscious and skilled professionals, able to create reciprocity in the care context. Such professional nurses could also serve as radiant role models to other registered nurses who are hesitant in entering nursing care of older people.

  • 345.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Marusarz, Marika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nurses experiences of palliative care for older people in municipal nursing homes2014In: Nurses experiences of palliative care for older people in municipal nursing homes, 2014Conference paper (Refereed)
  • 346.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Marusarz, Marika
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Specialistutbildning av sjuksköterskor i vård av äldre.2007Conference paper (Refereed)
  • 347.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Nordström, G.
    Wilde-Larsson, B.
    Johansson, I.
    Caregivers in older peoples’ care: perception of quality of care, working conditions, competence and personal health2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 3, p. 704-714Article in journal (Refereed)
    Abstract [en]

    The aim was to describe and compare nursing assistants’, enrolled nurses’ and registered nurses’ perceptions of quality of care, working conditions, competence and personal health in older peoples’ care. Altogether 70 nursing assistants, 163 enrolled nurses and 198 registered nurses completed a questionnaire comprising Quality from the Patient’s Perspective modified for caregivers, Creative Climate Questionnaire, Stress of Conscience Questionnaire, items on education and competence and Health Index. The caregivers reported higher perceived reality of quality of care in medical-technical competence and physical-technical conditions than in identity-oriented approach and socio-cultural atmosphere. In subjective importance, the highest rating was assessed in one of the physical-technical items. The organisational climate was for three of the dimensions rather close/reached the value for a creative climate, for seven dimensions close to a stagnant climate. In perceived stress of conscience, there were low values. Nursing assistants had lower values than enrolled nurses and registered nurses. The caregivers reported highest values regarding previous education making them feel safe at work and lowest value on the item about education increasing the ability for a scientific attitude. Registered nurses could use knowledge in practice and to a higher degree than nursing assistants/enrolled nurses reported a need to gain knowledge, but the latter more often received education during working hours. The health index among caregivers was high, but registered nurses scored lower on emotional well-being than nursing assistants/enrolled nurses. The caregivers’ different perceptions of quality of care and work climate need further attention. Although stress of conscience was low, it is important to acknowledge what affected the caregivers work in a negative way. Attention should be paid to the greater need for competence development among registered nurses during working hours. © 2012 Nordic College of Caring Science.

  • 348.
    From, Ingrid
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karlstads universitet, Avdelningen för omvårdnad.
    Wilde-Larsson, Bodil
    Karlstads universitet, Avdelningen för omvårdnad.
    Nordström, Gun
    Karlstads universitet, Avdelningen för omvårdnad.
    Johansson, Inger
    Karlstads universitet, Avdelningen för omvårdnad.
    Formal caregivers' perceptions of quality of care for older people: associating factors2015In: BMC Research Notes, ISSN 1756-0500, E-ISSN 1756-0500, Vol. 8, no 1, article id 623Article in journal (Refereed)
    Abstract [en]

    Background:

    Despite the growing number of studies concerning quality of care for older people, there is a lack of studies depicting factors associated with good quality of care from the formal caregivers' perspective. The aim was to describe formal caregivers' perceptions of quality of care for older people in the community and explore factors associated with these perceptions. In total, 70 nursing assistants, 163 enrolled nurses and 198 registered nurses from 14 communities in central Sweden participated in the study. They filled out the following questionnaires: a modified version of Quality from the Patient's Perspective, Creative Climate Questionnaire, Stress of Conscience Questionnaire, items regarding education and competence, Health Index and Sense of coherence questionnaire. The overall response rate was 57 % (n = 431).

    Results:

    In the perceived reality of quality of care respondents assessed the highest mean value in the dimension medical-technical competence and physical technical conditions and lower values in the dimensions; identity-oriented approach, socio-cultural atmosphere and in the context specific dimension. The caregivers estimated their competence and health rather high, had lower average values in sense of coherence and organizational climate and low values in stress of conscience.

    Conculsions:

    The PR of quality of care were estimated higher among NA/ENs compared to RNs. Occupation, organizational climate and stress of conscience were factors associated with quality of care that explained 42 % of the variance. Competence, general health and sense of coherence were not significantly associated to quality of care. The mentioned factors explaining quality of care might be intertwined and showed that formal caregivers' working conditions are of great importance for quality of care.

  • 349.
    Frostenson Brolund, Charlotta
    et al.
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Pedersen Draper, Sarah
    Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.
    Miljö- och klimatmässigt hållbara arbetssätt inom omvårdnad: – en litteraturöversikt2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Background

    . Environmental and climate changes caused by harmful emissions

    seriously threaten global health. Health care’s main function is to promote health

    but it contributes to harmful emissions itself. Nursing is directly connected to areas

    that causes emissions - the usage of materials and energy. Nurses are the largest

    group of healthcare staff and the profession includes promoting health and work

    towards improvement of health care. Therefore nurses play key roles in mitigating

    health care’s harmful emissions.

    Aim

    . To compile knowledge of areas and working methods for nurses to conduct

    environmental and climate sustainable nursing care in their daily clinical work.

    Method

    . A literature review in the form metasynthesis.

    Results

    . Sixteen studies were included which shows the areas where nursing can be

    performed in a more climate sustainable way. These are (1) food handling; (2) waste

    management and (3) the usage of resources. Education and further practical training

    is prerequisite improvements in order to achieve climate sustainable nursing. The

    outcomes are decreased greenhouse emissions and a more cost-effective and patientcentered

    healthcare.

    Conclusion

    . The nursing practice can become more environmental and climate

    sustainable without affecting the quality of patient care. By communicating and

    cooperating with patients and colleagues as well as collecting data, reducing the

    usage of energy and water, contributing to workplace improvements and advocating

    for environmental and climate sustainable nursing; improvements such as decreased

    food waste, correct waste handling and a more effective usage of resources can be

    achieved.

  • 350.
    Furingsten, Lovisa
    et al.
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Sjögren, Reet
    Mälardalen university, Sweden.
    Forsner, Maria
    Dalarna University, School of Health and Social Studies, Caring Science/Nursing.
    Caring for dying children in an acute paediatric ward2013Conference paper (Other academic)
    Abstract [en]

    Introduction

    Swedish acute paediatric wards usually focuses on children with urgent and short-time illnesses and the care is not always suited for a dying child. Caring for dying children in this context therefor faces special challenges and needs to be further investigated through research from the health care professionals´ (HCP) perspective.

     

    Purpose

    The aim was to describe caring as presented in professional caregivers’ experiences of caring for dying children in paediatric ward.

     

    Material

    Four HCP in a paediatric ward, which had been caring for at least one dying child during the last five years, participated.

     

    Methods

    A phenomenological approach was chosen using qualitative in-depth interviews, starting with one opening question, continuing with follow-up questions according to responsive listening. Data were analysed following four steps suggested by Giorgi: reading to capture the global sense, constitution of parts into ‘meaning units’, transformation from implicit meaning to explicit constituents and gaining structure.

     

    Results

    The findings are represented in five constituents. Presence is a prerequisite for caring when a child is dying. Self-knowledge and support from others are suggested to help when the HCP is suffering and struggling with the injustice in dying. The essence of caring for dying children is like a musical attuned composition. The moments are vulnerable and could easily be disrupted and turn into disharmony.

     

    Conclusions

    The HCP needs self-knowledge to be true and sensitive in the perceived situation of injustice when caring for dying children and their families. Caring assumes presence; however, caring for dying children is found to mean suffering to HCP and raises the need for support from others.

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