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Björn, Catrine
Publications (2 of 2) Show all publications
Forsberg, M., Björn, C., Engström, M. & Nilsson, A. (2018). Nurse anesthetists' reflections on caring for patients with previous substance dependence: Balancing between professionalism and preconceptions. Journal of Perianesthesia Nursing, 33(1), 69-77
Open this publication in new window or tab >>Nurse anesthetists' reflections on caring for patients with previous substance dependence: Balancing between professionalism and preconceptions
2018 (English)In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 33, no 1, p. 69-77Article in journal (Refereed) Published
Abstract [en]

Purpose

The study aim was to describe nurse anaesthetists’ reflections on provision of perioperative care to patients with previous substance dependence.

Design

A qualitative approach with a descriptive design.

Methods

Semi-structured interviews based on clinical vignettes were conducted with ten nurse anaesthetists.

Findings

The perioperative care provided to patients with previous substance dependence was perceived as balancing between professionalism and preconceptions for this specific patient group. The nurse anaesthetists felt that anesthetizing this group of patients constituted an anaesthesiological challenge with regard to knowledge, experience and time. However, the nurses also had feelings of distrust and uncertainty due to lack of knowledge.

Conclusion

The nurse anaesthetists strove to uphold the principle that patients who are/have been substance dependent have the same right to adequate treatment and care as all patients. If guidelines were developed for this patient group, care could be made safer and nurses’ sense of uncertainty minimized.

 

Keywords
nurse anaesthetist, relapse, substance abuse, perioperative care
National Category
Nursing
Research subject
Health-Promoting Work
Identifiers
urn:nbn:se:hig:diva-21014 (URN)10.1016/j.jopan.2016.01.004 (DOI)000425223700010 ()2-s2.0-85015446147 (Scopus ID)
Available from: 2016-01-14 Created: 2016-01-14 Last updated: 2020-02-10Bibliographically approved
Björn, C., Lindberg, M. & Rissén, D. (2016). Significant factors for work attractiveness and how these differ from the current work situation among operating department nurses. Journal of Clinical Nursing, 25(1-2), 109-116
Open this publication in new window or tab >>Significant factors for work attractiveness and how these differ from the current work situation among operating department nurses
2016 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 25, no 1-2, p. 109-116Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: The aim was to examine significant factors for work attractiveness and how these differ from the current work situation among operating department nurses. A second objective was to examine the associations between age, gender, length of employment, work engagement, work ability, self-rated health indicators and attractiveness of the current work situation.

BACKGROUND: The attractiveness of work is rarely taken into account in research on nurse retention. To expand this knowledge, it is relevant to examine factors that make work attractive and their associations with related concepts.

DESIGN: Correlational, cross-sectional survey using a convenience sample.

METHODS: Questionnaires were answered by 147 nurses in four operating departments in Sweden. Correlation and regression analyses were conducted.

RESULTS: The nurses rated the significance of all factors of work attractiveness higher than they rated those factors in their current work situation; salary, organisation and physical work environment had the largest differences. The most significant attractive factors were relationships, leadership and status. A statistically significant positive correlation between work engagement and attractive work was found. In the multiple regression model, the independent variables work engagement and older age significantly predicted work attractiveness.

CONCLUSIONS: Several factors should be considered in the effort to increase work attractiveness in operating departments and thereby to encourage nurse retention. Positive aspects of work seem to unite work engagement and attractive work, while work ability and self-rated health indicators are other important dimensions in nurse retention.

RELEVANCE TO CLINICAL PRACTICE: The great discrepancies between the significance of attractive factors and the current work situation in salary, organisation and physical work environment suggest ways in which work attractiveness may be increased. To discover exactly what needs to be improved may require a deeper look into the construct of the examined factors.

Keywords
attractive work, cross-sectional survey, health manpower, perioperative care, personnel turnover, workplace
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-20370 (URN)10.1111/jocn.13003 (DOI)000368278200010 ()26419701 (PubMedID)2-s2.0-84955645341 (Scopus ID)
Available from: 2015-10-02 Created: 2015-10-02 Last updated: 2018-12-03Bibliographically approved

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