hig.sePublications
Change search
Link to record
Permanent link

Direct link
BETA
Wadensten, Barbro
Publications (10 of 15) Show all publications
Häggström, E., Engström, M. & Wadensten, B. (2009). A nine-month intervention programme focusing on empowerment; caregivers' descriptions of changed behaviour and increased room for acting. Journal of Clinical Nursing, 18(6), 866-873
Open this publication in new window or tab >>A nine-month intervention programme focusing on empowerment; caregivers' descriptions of changed behaviour and increased room for acting
2009 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 6, p. 866-873Article in journal (Refereed) Published
Abstract [en]

AIMS AND OBJECTIVES: To describe public nursing home Enrolled Nurses' and Nurses Aides' view of their work and their perceptions of themselves in their professional role while they were receiving a serious of role awareness sessions focusing on empowerment for nine months. BACKGROUND: According to several studies, it is typical that women may experience problems and injustices at work. The main focus of the intervention was to help enrolled nurses' and nurses aides' in developing their self-image and professional role. DESIGN: This study was descriptive and qualitative in design. METHODS: The present study comprises semi-structured interviews conducted with enrolled nurses and nurses aides (n = 14) from public nursing homes at start of the intervention and again nine months following the intervention. The text from the interviews was analysed using latent content analysis. RESULTS: The main findings primarily show an improved professional role for the caregivers, as described in the following themes: the move from passivity to activity, the move from complaining to understanding, the move from expectations to frustration and the move from being silent to speaking loud. CONCLUSIONS: For caregivers working with older people within public nursing home care, it seems to be a good form of clinical supervision to implement a serious of role awareness sessions in order to improve their professional role. RELEVANCE TO CLINICAL PRACTICE: The findings showed that an intervention providing opportunities with focus on empowerment improved the enrolled nurses' and nurses aides' professional role in working with older people. This can be useful information for managers and educators and they may want to adapt it when working in a public nursing home.

Keywords
Caregivers; Empowerment; Public nursing home
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-5287 (URN)10.1111/j.1365-2702.2008.02595.x (DOI)000263338200011 ()19239665 (PubMedID)2-s2.0-60249091070 (Scopus ID)
Available from: 2009-09-06 Created: 2009-09-06 Last updated: 2018-03-13Bibliographically approved
Häggström, E., Kihlgren, M. & Wadensten, B. (2009). Caregivers working with older people experience work dissatisfaction and low self-esteem orginating from power relations in municipal care organization. Tidsskrift for Sygeplejeforskning, 25(2), 27-33
Open this publication in new window or tab >>Caregivers working with older people experience work dissatisfaction and low self-esteem orginating from power relations in municipal care organization
2009 (English)In: Tidsskrift for Sygeplejeforskning, ISSN 0900-3002, Vol. 25, no 2, p. 27-33Article in journal (Refereed) Published
Abstract [en]

This study explores how a combined gender and power perspective might explain and help us understand caregivers´ expressions of low self-esteem and dissatisfaction in their work with older people. The aim of the study was to discover whether caregivers’ experiences in the nursing home can be understood on the basis of Ås´ framework of the Five Master Techniques. The study was conducted within the municipal gerontological care system in Sweden and has an explorative, qualitative design. Twenty caregivers were interviewed, and the interviews were analysed using a qualitative content approach. Based on Ås´ theory of Five Master Techniques, the caregivers’ experiences of being made to feel invisible, ridiculed, deprived of information, receiving double punishment and feelings of guilt and shame emerged from the analyses. The study shows that the caregivers’ experiences, listed above, were all obvious at the nursing home and that these experiences also affected their feelings of work dissatisfaction and low self-esteem. The findings show the importance of using a gender perspective in caring, so that power relations in the organization can be explored, understood and combated.

Keywords
feminist theory, nursing home, work dissatisfaction, work satisfaction
Identifiers
urn:nbn:se:hig:diva-4993 (URN)
Available from: 2009-08-04 Created: 2009-08-04 Last updated: 2018-03-28Bibliographically approved
Häggström, E., Hofsten, A. & Wadensten, B. (2009). Nurses’ opinions about a web-based distance course in a  specialist education programme for the care of older people: a questionnaire study. International Journal of Older People Nursing, 4(3), 177-184
Open this publication in new window or tab >>Nurses’ opinions about a web-based distance course in a  specialist education programme for the care of older people: a questionnaire study
2009 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 4, no 3, p. 177-184Article in journal (Refereed) Published
Abstract [en]

Aim. The aim of the present study was to investigate students’ opinions about a web-based distance learning course that was part of a specialist education programme.

Design.  Survey.

Method. The study was a descriptive survey with both qualitative and quantitative questions.

Results. The students found the web-based course very useful for their theoretical and professional development. New perspectives on ageing, increased knowledge about analysing and describing theories as well as practising interviews and qualitative analysis as methods were appreciated by the students.

Conclusions. One way for RNs in Sweden to get a university specialist education in the care of older people is to have a distance web-based course, as it allows flexibility and improves the students’ theoretical and professional knowledge and communication skills.

Relevance for clinical practice. Managers working in care for older people settings and educators will be interested in this study’s finding that distance learning is a useful strategy for providing education for RNs who work with older people.

Keywords
web-based learning, distance learning, registered nurses, specialist education, care of older people
Identifiers
urn:nbn:se:hig:diva-5091 (URN)10.1111/j.1748-3743.2008.00161.x (DOI)20925774 (PubMedID)
Available from: 2009-08-24 Created: 2009-08-24 Last updated: 2018-03-13Bibliographically approved
Wadensten, B., Engström, M. & Häggström, E. (2009). Public nursing home staff's experience of participating in an intervention aimed at enhancing their self-esteem. Journal of Nursing Management, 17(7), 833-842
Open this publication in new window or tab >>Public nursing home staff's experience of participating in an intervention aimed at enhancing their self-esteem
2009 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 17, no 7, p. 833-842Article in journal (Refereed) Published
Abstract [en]

Aim The aim of the present study was to gain an understanding of how nursing staff experienced participating in a training programme aimed at strengthening their self-esteem and empowering them, to determine whether participation benefited them in any way, and to describe their opinions about possible benefits or disadvantages. Background Staff working in institutions such as nursing homes have a low status in society. A training programme was introduced to staff in a public nursing home. It focused on helping them understand factors in the work situation that influence them and on empowering them. Method The study was explorative and qualitative in design. Findings The participants in the programme were generally satisfied with it. Their opinions about the benefits they received from the programme can be described using three themes: 'improved communication skills', 'enhanced self-esteem' and 'sees work in a different light'. Conclusions The most important finding of the present study is that it was possible to strengthen and empower staff. Staff members were generally pleased and satisfied with the content/organization of the training programme. They felt the programme had been of value to them by improving their communication skills and increasing their self-esteem. Implications for nursing management The present result could be of value to managers and educators working in the area of nursing home care when planning education and development activities for staff. Learning to communicate better and understand the social structure at the workplace could improve staff members' self-esteem, thereby enhancing the work situation and atmosphere as well as empowering the individuals.

Keywords
Communication; Empowerment; Feminist theory; Nursing home staff; Self-esteem
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-4377 (URN)10.1111/j.1365-2384.2009.00968.x (DOI)000283228400009 ()19793240 (PubMedID)2-s2.0-70349683016 (Scopus ID)
Available from: 2009-04-24 Created: 2009-04-24 Last updated: 2018-03-13Bibliographically approved
Häggström, E., Mbusa, E. & Wadensten, B. (2008). Nurses' workplace distress and ethical dilemmas in Tanzanian health care. Nursing Ethics, 15(4), 478-491
Open this publication in new window or tab >>Nurses' workplace distress and ethical dilemmas in Tanzanian health care
2008 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 15, no 4, p. 478-491Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to describe Tanzanian nurses’ meaning of and experiences with ethical dilemmas and workplace distress in different care settings. An open question guide was used and the study focused on the answers the 29 registered nurses’ supplied. The written answers were analysed with a phenomenological-hermeneutic method inspired by the philosophy of Ricoeur. From the findings the theme, ‘Tanzanian registered nurses’ invisible and visible expressions about existential conditions in care’, emerged from the interpretation of the following sub-themes, which appeared from the structural analysis: (1) ‘Suffering from workplace distress’; (2) ‘Suffering from ethical dilemmas’; (3) ‘Suffering from maintaining a good quality of nursing’; (4) ‘Suffering from the lack of respect, appreciation, and influence’; (5) ‘Suffering from a heavy workload does not prevent the registered nurses from struggling for better care for their patients’. In this study, the deep analysis of the Tanzanian nurses’ work situations shows that on a daily basis, they find themselves working on the edge of life and death, while they have few opportunities for doing anything about this situation. One of the conclusions is that the nurses need professional guidance so they can get insight into and also be able to reflect on the situations they are in, while also being made conscious of the fact that they do not have to overload themselves with ethical dilemmas and workplace distress.

Keywords
ethical dilemma; phenomenological-hermeneutic; tanzanian nurses; workplace stress
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-2154 (URN)10.1177/0969733008090519 (DOI)000257202300009 ()18515437 (PubMedID)2-s2.0-46249122600 (Scopus ID)
Available from: 2008-06-24 Created: 2008-06-24 Last updated: 2018-03-13Bibliographically approved
Silén, M., Tang, P. F., Wadensten, B. & Ahlström, G. (2008). Workplace distress and ethical dilemmas in neuroscience nursing. Journal of Neuroscience Nursing, 40(4), 222-231
Open this publication in new window or tab >>Workplace distress and ethical dilemmas in neuroscience nursing
2008 (English)In: Journal of Neuroscience Nursing, ISSN 0888-0395, E-ISSN 1945-2810, Vol. 40, no 4, p. 222-231Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-5355 (URN)000271577200006 ()18727338 (PubMedID)2-s2.0-54049091936 (Scopus ID)
Available from: 2009-09-08 Created: 2009-09-08 Last updated: 2018-03-13Bibliographically approved
Wadensten, B. & Carlsson, M. (2007). Adoption of an innovation based on the theory of gerotranscendence by staff in a nursing home - part III. International Journal of Older People Nursing, 2(4), 302-314
Open this publication in new window or tab >>Adoption of an innovation based on the theory of gerotranscendence by staff in a nursing home - part III
2007 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 302-314Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-1234 (URN)10.1111/j.1748-3743.2007.00087.x (DOI)20925846 (PubMedID)
Available from: 2008-05-19 Created: 2008-05-19 Last updated: 2018-03-28Bibliographically approved
Fen Tang, P., Johansson, C., Wadensten, B., Stig, W. & Gerd, A. (2007). Chinese nurses' ethical concerns in a neurological ward. Nursing Ethics, 14(6), 810-824
Open this publication in new window or tab >>Chinese nurses' ethical concerns in a neurological ward
Show others...
2007 (English)In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 14, no 6, p. 810-824Article in journal (Refereed) Published
Abstract [en]

Our aim was to describe Chinese nurses' experiences of workplace distress and ethical dilemmas on a neurological ward. Qualitative interviews were performed with 20 nurses. On using latent content analysis, themes emerged in four content areas: ethical dilemmas, workplace distress, quality of nursing and managing distress. The ethical dilemmas were: (1) conflicting views on optimal treatment and nursing; (2) treatment choice meeting with financial constraints; and (3) misalignment of nursing responsibilities, competence and available resources. The patients' relatives lacked respect for the nurses' skills. Other dilemmas could be traced to the transition from a planned to a market economy, resulting in an excessive workload and treatment withdrawal for financial reasons. Lack of resources was perceived as an obstacle to proper patient care in addition to hospital organization, decreasing the quality of nursing, and increasing moral and workplace distress. The nurses managed mainly by striving for competence, which gave them hope for the future.

Keywords
Chinese nurses; Content analysis; Ethical dilemma; Moral distress; Neuroscience nursing; Work stress
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-1294 (URN)10.1177/0969733007082140 (DOI)000250961600011 ()17901190 (PubMedID)2-s2.0-38949157849 (Scopus ID)
Available from: 2008-01-31 Created: 2008-01-31 Last updated: 2018-03-28Bibliographically approved
Hägglund, D. & Wadensten, B. (2007). Fear of humiliation inhibits women's care-seeking behaviour for long-term urinary incontinence. Scandinavian Journal of Caring Sciences, 21(3), 305-312
Open this publication in new window or tab >>Fear of humiliation inhibits women's care-seeking behaviour for long-term urinary incontinence
2007 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 21, no 3, p. 305-312Article in journal (Refereed) Published
Abstract [en]

Most women with urinary incontinence (UI) do not seek professional help. Women's experiences of their behaviour when seeking care for incontinence are important to improve understanding by nurses and encourage as well as enable women to seek help. The aim of this study was to illuminate the meaning of women's lived experiences of their behaviour when seeking care for long-term UI. Thirteen women were interviewed (range 37-52 years) who had not sought professional help for incontinence. A phenomenological hermeneutic method was used to analyse and interpret the interview texts. Three themes evolved from data: being in an affected situation, having personal beliefs about seeking care and having desired expectations about care. Being in an affected situation, means that the women were negatively affected by their long-term incontinence. Living with shame, altered sexual relationships and a need for distancing have negatively influenced their care-seeking behaviour (CSB). Having personal beliefs about seeking care means that the women had their own beliefs regarding morally acceptable behaviour for seeking care because of incontinence. This led to a toning down of their problem and a minimization of the problem associated with incontinence as it was considered to be a normal consequence of pregnancy and childbirth. Having desired expectations about care means that the women had opinions relevant to the care and felt being asked about incontinence and an understanding atmosphere should be included. The conclusion is that fear of humiliation inhibited women from seeking care for long-term UI. The findings suggest that nurses should be precise when asking about women's experiences of UI because otherwise they do not bring it up. Additionally, CSB can help nurses to explain the experience and enable women to seek help for this manageable condition.

Keywords
care-seeking behaviour, interviews, lived experience, phenomenological hermeneutic, nursing, urinary incontinence, women
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-5354 (URN)10.1111/j.1471-6712.2007.00481.x (DOI)000249423800005 ()17727542 (PubMedID)2-s2.0-34548291933 (Scopus ID)
Available from: 2009-09-08 Created: 2009-09-08 Last updated: 2018-03-13Bibliographically approved
Wadensten, B., Conden, E. & Wahlund, L. (2007). How nursing home staff deal with residents who talk about death. International Journal of Older People Nursing, 2(4), 241-249
Open this publication in new window or tab >>How nursing home staff deal with residents who talk about death
2007 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 2, no 4, p. 241-249Article in journal (Refereed) Published
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-1235 (URN)10.1111/j.1748-3743.2007.00095.x (DOI)20925838 (PubMedID)
Available from: 2008-05-19 Created: 2008-05-19 Last updated: 2018-03-28Bibliographically approved
Organisations

Search in DiVA

Show all publications