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  • 1.
    Eriksson, Annelie
    et al.
    Vestre Viken HF, Baerum, Norway.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Distriktssköterskors beskrivningar av sjukdomsförebyggande arbete i daglig verksamhet och strukturella förutsättningar för detta arbete: [District nurses’ perceptions of their preventive work and structural conditions for this work]2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 2, p. 77-84Article in journal (Refereed)
    Abstract [en]

    Background There is much research about district nurses’ preventive work, effects of it and their perceptions of the preventive work. Less is known about how district nurses perceive their preventive work in relation to structural conditions for this work.

    Aim The aim was to describe district nurses’ perceptions of their preventive work in daily practice; and structural conditions for this using Kanter’s theory of structural empowerment.

    Methods Interviews were conducted 2012 with nine Swedish district nurses. Data were analysed using qualitative content analysis.

    Findings The analysis resulted in one theme; ‘To experience stimulation versus frustration; a consistency versus a discrepancy between will and structural conditions’. District nurses who worked with specialized tasks felt that they mostly had the structural conditions required to work in a preventive manner and that they could prioritize which unhealthy living habits to discuss with their patients. District nurses without specialized tasks described that their structural conditions for preventive work was limited in the present streamlined organization. This in turn led to a feeling of frustration.

    Conclusion Preventive work is described as stimulating when district nurses have the conditions required, yet the conditions required are sometimes lacking and especially for district nurses without specialized tasks. There is a will to work in a preventive manner but structural conditions need to be improved.

  • 2.
    Gardulf, Ann
    et al.
    Unit for Clinical Nursing Research and Clinical Research in Immunotherapy, The Division of Clinical Immunology and The Clinical Research Centre (KFC), Department of Laboratory Medicine, Karolinska Institutet at Karolinska University Hospital, Stockholm, Sweden;The Japanese Red Cross Institute for Humanitarian Studies, Tokyo, Japan.
    Florin, Jan
    School of Education, Health and Social Studies, Dalarna University, Falun, Sweden;Department of NVS, Division of Nursing, Karolinska Institutet, Stockholm, Sweden.
    Carlsson, Marianne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Leksell, Janeth
    School of Education, Health and Social Studies, Dalarna University, Falun, Sweden;Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
    Lepp, Margret
    Institute of Health and Care Science, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Østfold University College, Halden, Norway;School of Nursing and Midwifery, Griffith University, Gold Coast, Queensland, Australia.
    Lindholm, Christina
    Department of Health Promotion Sciences, Sophiahemmet University, Stockholm, Sweden.
    Nordström, Gun
    Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden;Department of Nursing Inland, Norway University of Applied Sciencies, Elverum, Norway.
    Theander, Kersti
    Centre for Clinical Research, County Council of Värmland, Karlstad, Sweden.
    Wilde-Larsson, Bodil
    Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden;Department of Nursing Inland, Norway University of Applied Sciencies, Elverum, Norway.
    Nilsson, Jan
    The Japanese Red Cross Institute for Humanitarian Studies, Tokyo, Japan;Department of Health Promotion Sciences, Sophiahemmet University, Stockholm, Sweden;Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden.
    The Nurse Professional Competence (NPC) Scale: A tool that can be used in national and international assessments of nursing education programmes2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 39, no 3, p. 137-142Article in journal (Refereed)
    Abstract [en]

    The quality of basic nursing bachelor programmes nationally and internationally must regularly be assessed to ensure that they fulfil requirements and are appropriate in relation to developments and changes in societies and healthcare systems. There is a need for instruments in helping to assess this. The aim of this study was to investigate whether the Nurse Professional Competence (NPC) Scale could serve as a tool to measure and detect possible differences between universities/university colleges regarding nursing students’ self-reported competence. Totally, 543 nursing students who had just completed their academic three-year nursing bachelor programmes at 10 universities/university colleges in Sweden participated in the study (response rate 71%). The students answered the NPC Scale with its 88 items constituting eight competence areas (CAs) and two overarching themes. The results from using the NPC Scale by the students were then compared between the 10 universities/university colleges. Significant mean score differences were found between the universities/university colleges on all CAs and on both themes. The highest mean score differences were found for the CAs ‘Medical and technical care’ and ‘Documentation and information technology’. The lowest mean score differences were found for the CAs ‘Value-based nursing care’ and ‘Leadership in and development of nursing’. It is concluded that the NPC Scale can serve as a useful tool in national and international assessments of nursing bachelor programmes.

  • 3. Grimheden, Sofia
    et al.
    Lindqvist, Gunilla
    Bylund-Grenklo, Tove
    Karolinska institutet; Linnéuniversitetet.
    Sandgren, Anna
    An obligation to care for seriously ill children in their homes: a qualitative study of community nurses' perceptions2017In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 37, no 4, p. 201-208Article in journal (Refereed)
    Abstract [en]

    When children are seriously ill, being able to be cared for at home with the family is valuable, but community nurses are often not trained to care for children. The aim of this study was therefore to describe community nurses´perceptions of caring for serioulsy ill children at home. A content analysis was conducted of 11 semi-structed interviews with nurses. One theme, obligation to care, was found, followed by three categories: making an impact, feeling confident, and emotional processing. In conclusion, we found collaboration with paediatric staff in the hospital is important for community nurses in order to gain confidence, which would optimise care at home for seriously ill children and their families.

  • 4.
    Gunnarsdottir, Thora Jenny
    et al.
    Faculty of Nursing, University of Iceland, Reykjavik, Iceland.
    Henriksen, Jette
    School of Nursing, VIA University College, Denmark.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Slettebø, Åshild
    Faculty of Health and Sport Sciences, University of Agder, Norway.
    Levy-Malmberg, Rika
    Faculty of Nursing, Novia University of Applied Sciences, Vaasa, Finland.
    Customising clinical studies for the new nursing generation2021In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 42, no 1, p. 3-6Article in journal (Refereed)
    Abstract [en]

    Nursing education in the Nordic countries follows the European Union directive requirements, and clinical studies for nursing students in the Nordic countries have many similarities. Now a new generation of students with different needs and characteristics is entering the nursing profession. The faculty, teachers and nurses will face challenges in meeting this new generation’s needs. The primary aim of this discussion paper is to explore and compare the current clinical studies in the five Nordic countries. The secondary aim is to find means to address the future challenges with a focus on the new generation. The idea of Objective Structured Clinical Reflection creates the possibility to discuss a new form of evaluation that may enhance the clinical competencies of the new generation entering clinical studies during their nursing education.

  • 5.
    Henriksen, Jette
    et al.
    VIA University College, Denmark.
    Löfmark, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Wallinvirta, Eivor
    Arcada UAS, Finland.
    Gunnarsdóttir, Þóra Jenný
    Faculty of Nursing, Reykjavik.
    Slettebø, Åshild
    University of Agder, Norway.
    European Union directives and clinical practice in nursing education in the Nordic countries2020In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 40, no 1, p. 3-5Article in journal (Refereed)
    Abstract [en]

    Nursing education in countries belonging to the European Union (EU) must follow EU directive requirements. The aim of this opinion paper is to explore and discuss the challenges presented by EU requirements to clinical practice in nursing education. These requirements prescribe that clinical practice must be carried out in a variety of different and specialized areas that provide care in hospital units. This may offer students only a limited range of experience; thus, they may not be fully prepared to care for patients with common diseases, and only have a restricted knowledge about the ongoing development of caring for patients at home. EU directives require that half of a nursing education course be allocated to clinical practice. This is challenging, since the number of hours is laid down without considering such aspects as the need for pedagogical qualifications for preceptors, which in turn may affect the quality of the clinical practice.

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  • 6.
    Kristiansen, Lisbeth
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Häggström, Marie
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Hallin, Karin
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Andersson, Ingela
    Bäckström, Britt
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Svensk översättning, kvalitativ relevansvärdering och kvantitativ reliabilitetstestning av Lasater Clinical Judgment Rubric: Swedish translation, qualitative relevance evaluation and quantitative reliability test of Lasater Clinical Judgment Rubric 2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 2, p. 113-122Article in journal (Refereed)
    Abstract [en]

    Newly graduated nurses show lacking skills and competences regarding the ability to make appropriate clinical assessment of acute, complex care situations. There is also a lack of translated, qualitative relevance evaluated and reliability tested rubrics in the Swedish language. The purpose of this method article was to translate, conduct a relevance evaluation and reliability test of the identified Lasater Clinical Judgment Rubric (LCJR). In this article the Swedish translation LCJR (S) is presented. The results showed that the LCJR (S) was both  qualitatively relevant and quantitatively reliable. We claim that there are several advantages to systematic use LCJR (S) for assessment of nursing students' clinical judgment in laboratory simulation environments with acute patient situations

  • 7.
    Leo Swenne, Christine
    et al.
    Uppsala universitet, Vårdvetenskap.
    Hjelte, Louise
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Härdne, Emma
    Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap.
    Friberg, Carin
    Uppsala universitet, Institutionen för kirurgiska vetenskaper.
    Arakelian, Erebouni
    Uppsala universitet, Institutionen för kirurgiska vetenskaper.
    Perioperative dialogue on postoperative recovery measured by the use of pain medication, psychopharmaceutical agents and length of hospital stay2018In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 38, no 4, p. 212-219Article in journal (Refereed)
    Abstract [en]

    The effects of perioperative dialogue have been studied using qualitative methods, describing patient satisfaction with their care. However, they have not been studied in patients with peritoneal carcinomatosis who undergo major surgery, nor with quantitative variables. The aim was to study the use of pain medication and length of hospital stay following cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in patients who received, versus those who did not receive, perioperative dialogue. The study had a quantitative, retrospective and comparative design including 89 audits. Of these, 37 patients received perioperative dialogues, and 52 patients did not (the control group). The result showed that by postoperative day six, patients who received a perioperative dialogue experienced pain less frequently than patients in the control group. However, no differences between the groups were noted with regard to pain medication consumption and length of hospital stay. To ease their worries, all patients in both groups used benzodiazepines. The perioperative dialogue may be studied quantitatively, but it must involve the patient, who is an equal partner in the dialogue. Structured validated self-reporting measures may be used systematically before and after surgery in order to evaluate the perioperative dialogue using quantitative measures.

  • 8.
    Rising Holmström, Malin
    et al.
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Marie, Häggström
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Kristiansen, Lisbeth
    Avdelningen för omvårdnad, Mittuniversitetet, Sundsvall.
    Skolsköterskans rolltransformering till den nya hälsofrämjande positionen [The transformation of the school nurse’s role towards the new health-promoting position]2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 4, p. 210-217Article in journal (Refereed)
    Abstract [en]

    Aim The aim of this study was to describe the role transformation of school nurses towards primary health promotion, and secondary preventive and health treatment work.Background According to the Swedish educational act, the school nurse profession has changed towards being mainly health promotion and secondary preventive and health treatment work.Method The study consisted of a qualitative study design with content analysis inspired by Elo and Kyngäs. Sixteen individual interviews were conducted with school nurses from across one county.Findings The role transformation towards a more health promotion was described by school nurses' statements. The process of the transformation differed among the school nurses. Three categories illuminated their work; professional approach, student-centred and collaboration.Conclusion The role transformation process required enhanced relation and communicational skills. Structured collegial supervision might support the process.

  • 9.
    Salzmann-Erikson, Martin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Eriksson, Henrik
    Röda Korsets Högskola, Sweden.
    Forskningsdata från cyberrymden: analys och vägledning utifrån vårdvetenskaplig kunskapsteori [Research data from Cyberspace: Analyses and guidelines from caring science epistemology]2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 2, p. 91-97Article in journal (Refereed)
    Abstract [en]

    Aim: The aim was to identify how ethical issues have been handled in theses written by undergraduate students in the field.

    Background: The act of gathering information online to become an ‘‘expert’’ by locating useful advice for oneself – and others - is a fairly new phenomenon. How virtual caring and nursing can contribute to people’s health as a resource is growing as an area of interest within the field of caring sciences. 

    Methods: A qualitative content analysis of 21 bachelor theses in nursing science was conducted. The analysis focused on how ethical issues concerning gathering data in cyberspace werehandled.

    Findings: The results show that the students chose very complex health issues when gathering data in cyberspace. The results reveal asymmetries between the researcher and subjects behind the data (the bloggers), both in terms of knowledge as well as in relation to the resources available to them.

    Conclusions: There is a need to discuss cyberspace as a source of data, including ethical, ontological, and epistemological issues. Based on the findings we provide a tentative outline of how data from cyberspace can be used by nursing researchers and instructors at all levels in the field.

  • 10.
    Salzmann-Erikson, Martin
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science.
    Eriksson, Henrik
    Röda Korsets Högskola.
    The rise of the avatar: virtual dimensions of 'the human' in nursing science2015In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 35, no 3, p. 158-164Article in journal (Refereed)
    Abstract [en]

    In this theory article, we discuss the virtual dimensions of the human, the avatar, in relation to ontological assumptions within nursing science. Assumptions in nursing science promote a ‘wholistic’ perspective of the human in terms of body, mind and spirit in relation to the environment. However, due to the enhanced technological development and the invention of cyberspace, we pose the critical question of whether the virtual dimension of identity really implicates a ‘wholistic’ view of human kindness or if this has been neglected. Furthermore, we suggest an ontological understanding that grasps new dimensions of humanity. In the article, we discuss the virtual dimensions of the human in relation to ontological assumptions within nursing science under the three headings of The techno-self and virtual identitiesTechno-therapy and cyber nursing, and Becoming homo technicus. Due to these reflections, this article contributes to the debate on a postmodern understanding of human living conditions in society. We suggest further theoretical discussions to explore the conceptual and theoretical levels of nursing knowledge as new realities of human existence are introduced in the field. The transition into the digital age of the Internet, with the existence of cyborgs and avatars, is an ontological and epistemological challenge for nursing science that needs to be further investigated.

  • 11.
    Øfsti, Ruth
    et al.
    Centre of Care Research Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway.
    Devik, Siri Andreassen
    Centre of Care Research Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Olsen, Rose Mari
    Centre of Care Research Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.
    Compliance between registered nurses’ clinical judgment and documentation in homecare for older patients with COPD: A multiple case study2023In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 43, no 1, p. 1-8Article in journal (Refereed)
    Abstract [en]

    Registered nurses (RNs) play a crucial role in the clinical judgment (CJ) and documentation of the health conditions and the healthcare of patients diagnosed with chronic obstructive pulmonary disease (COPD). Using a multiple case study approach, the aim of the present study was to explore and describe RNs’ CJ in homecare visits for older patients with COPD as they appeared in the electronic patient records (EPRs) and how well the content corresponded to what the RNs explained verbally was important to report. Data were collected through observations of 16 homecare visits, interviews with RNs, and retrospective reviews of EPRs. The study is reported in accordance with COREQ. Quantitative and qualitative content analysis revealed that the RNs’ CJs in homecare visits were represented only to a small extent in the documentation in the EPRs. The documentation was mainly about procedures and tasks performed and did not correspond to what the RNs explained verbally was important to report. This knowledge contributes to improvements to ensure patient safety in this research field.

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  • 12.
    Øfsti, Ruth
    et al.
    Centre of Care Research Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway.
    Devik, Siri Andreassen
    Centre of Care Research Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Olsen, Rose Mari
    Centre of Care Research Mid-Norway, Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway.
    Perceptions and prioritisation of patient problems among home care nurses and older adults living with COPD: A multiple case study2024In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 44Article in journal (Refereed)
    Abstract [en]

    Registered nurses’ (RNs’) perceptions and understanding of the health problems and care needs of patients with chronic obstructive pulmonary disease (COPD) play a crucial role in the quality and continuity of care. This qualitative multiple-case study aimed to explore how RNs identify patients’ problems and care needs during home visits to older adults with COPD. In addition, the study explored the agreement and disagreement between RNs’ and patients’ perceptions and priorities regarding problems and needs. The study followed consolidated criteria for reporting qualitative research (COREQ). Data were collected through observations of five home care visits, interviews with RNs, and mapping forms administered to both RNs and patients. Deductive content analysis of five cases revealed that RNs identified the patients’ problems through observation, dialogue, and direct questions during home visits. RNs and patients had different perceptions of the patients’ problems and care needs, particularly regarding psychosocial and communication-related issues. This knowledge contributes to improvements in patient safety in COPD care.

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