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  • 1.
    Andreassen Devik, Siri
    et al.
    Centre for Care Research Mid-Norway, Norway; Nord University, Norway.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Hellzén, Ove
    Mid Sweden University, Sweden.
    Nurses’ experiences of compassion when giving palliative care at home2019In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989Article in journal (Refereed)
    Abstract [en]

    Background: Compassion is seen as a core professional value in nursing and as essential in the effort of relieving suffering and promoting well-being in palliative care patients. Despite the advances in modern healthcare systems, there is a growing clinical and scientific concern that the value of compassion in palliative care is being less emphasised. Objective: This study aimed to explore nurses’ experiences of compassion when caring for palliative patients in home nursing care. Design and participants: A secondary qualitative analysis inspired by hermeneutic circling was performed on narrative interviews with 10 registered nurses recruited from municipal home nursing care facilities in Mid-Norway. Ethical considerations: The Norwegian Social Science Data Services granted permission for the study (No. 34299) and the re-use of the data. Findings: The compassionate experience was illuminated by one overarching theme: valuing caring interactions as positive, negative or neutral, which entailed three themes: (1) perceiving the patient’s plea, (2) interpreting feelings and (3) reasoning about accountability and action, with subsequent subthemes. Discussion: In contrast to most studies on compassion, our results highlight that a lack of compassion entails experiences of both negative and neutral content. Conclusion: The phenomenon of neutral caring interactions and lack of compassion demands further explorations from both a patient – and a nurse perspective. © The Author(s) 2019.

  • 2.
    Anjie, Nan
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Lu, Zhang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nursing interventions to glycemic control among patients with type 2 diabetes: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 3.
    Asylbekova, Gulmira
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Upplevelser av livskvalité hos patienter med bensår: Litteraturstudie2018Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Omkring 100 000 svenskar beräknas lida av bensår vilka kräver långa behandlingstider och medför ekonomiska kostnader för samhället. Olika sjukdomstillstånd såsom trauma och försämrad blodcirkulation anses som riskfaktorer. Att leva med bensår kan ha negativ inverkan på människors dagliga liv. Det är viktigt för sjuksköterskor att informera patienterna kring behandlingen, ge stöd samt ha förmågan att bemöta dem med respekt och empati. Syfte: Syftet med föreliggande studie var att beskriva hur patienter med bensår upplever sin livskvalitet samt att beskriva undersökningsgrupperna som ingick i de inkluderade artiklarna. Metod: Beskrivande litteratur studie som inkluderade tolv vetenskapliga artiklar som söktes fram i databasen Cinahl. Huvudresultat: Patienterna beskrev smärta som påverkade deras dagliga liv både fysiskt och psykiskt. Sömnproblem påverkade det psykiska måendet negativt. Rädslan för att skada sig begränsade patienterna fysiskt och man beskrev även känslan av skam, missmod, ensamhet, oro, ångest, depression och förlust av hopp. Bensår upplevdes tidssamt energikrävande och brister i kunskap hos sjukvårdpersonalen hade negativ påverkan på patienternas livskvalité. Undersökningsgrupperna varierade i antal från 5 till 247 deltagare, majoriteten var kvinnor, åldern var mellan 18 till 99 år. De flesta deltagarna hade haft venösa bensår, vilka varade mellan 6 veckor till 43 år. Slutsats: Att leva med bensår påverkade livskvaliteten. Relationen mellan sjuksköterska – patient hade stort betydelse för sårläkningen och välbefinnande. Det är viktigt att sjuksköterskor har tillräcklig kunskap om denna patientgrupp samt att ge ett professionellt bemötande, stöd och information om en egenvård. 

  • 4.
    Bergström, Pernilla
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Öberg, Linda
    Anestesi- och intensivvårdssjuksköterskors erfarenhet av att perioperativt vårda patienter med långvarig smärta: En kvalitativ intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Patients with persistent pain is in need of a structured treatment. Studies showed insufficient postoperative pain treatment.

    Aim: This study aimed to describe nurse anesthetists and critical care nurses experience in caring perioperative nursing patients with long term pain.

    Methods: Semistructured interviews with 15 nurse anesthetists and critical care nurses, based on clinical vignettes. Data was analysed with qualitative content analysis.

    Findings: The study results revealed five categories being prepared, that healthcare is complex and knowledge-intensive, to have a professional collaboration, to feel inadequate and to respond to the patient. The nurse anesthetists and the critical care nurses experiences showed that a clear plan and clear pharmaceutical prescriptions gave the nurse anesthetists and the critical care nurses the opportunity to prepare. This together with a more informed and involved patient improved postoperative pain treatment. By giving extra time to patients with persistent pain, their experience of pain, worry and anxiety diminished. The nurse anesthetists and the critical care nurses asked for training in pain treatment and a better contact with the pain clinic. The nurse anesthetists and the critical care nurses argued that it was important to have a good collaboration with the doctors to optimize and start the pain treatment on time. Specialist nurses experienced that patients with long-term pain were at risk of being undertreated. In cases where pain relief failed, feelings of frustration and powerlessness were described.

    Conclusion: Throughout all the nurse anesthetists and the critical care nurses experiences of caring for patients with persistent pain, it was necessary to have a clear and detailed plan for the patient's pain treatment which would extend perioperative and further to the care department or home care. With planning and preparation, the conditions for a better care of patients with persistent pain increased.

     

     

     

     

    Keywords: nurse anesthetists, experience, critical care nurse, persistent pain, long lasting pain, postoperative care.

  • 5.
    Bergström, Sofia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Murén, Saana
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Distriktssköterskors reflektioner kring sin roll och förutsättningar att ge god omvårdnad vid palliativ hemsjukvård2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

     

    Bakgrund: Allt fler palliativt sjuka patienter vårdas i hemmen vilket leder till ett ökat behov av palliativ vård i hemsjukvården. Distriktssköterskan har ett övergripande ansvar över dessa svårt sjuka patienter och deras närstående.

    Syfte: Syftet med studien var att undersöka hur distriktssköterskor som arbetar i den kommunala hemsjukvården reflekterar kring sin roll och förutsättningar att ge god omvårdnad vid palliativ hemsjukvård.

    Metod: Semistrukturerade intervjuer med tio distriktssköterskor. En kvalitativ innehållsanalys användes.

    Huvudresultat: Distriktssköterskorna såg arbetet med palliativ vård som sin mest prioriterade arbetsuppgift och kände ett stort ansvar över dessa patienter. Att bygga upp en relation med patienten och närstående tidigt i vårdförloppet samt kontinuitet var en förutsättning för god vård. Distriktssköterskorna beskrev ett väl fungerande samarbete med palliativa teamet, något som ofta saknades från hälsocentralerna. Arbetet var tidskrävande och i kombination med kravet på tillgänglighet ledde detta till en känsla av stress och otillräcklighet. Stöd från kollegor ansågs värdefullt då regelbunden handledning saknades. Kunskapsbrist hos omsorgspersonal försämrade omvårdnaden och försvårade distriktssköterskans arbete. Samtliga distriktssköterskor såg behovet av förbättring inom den palliativa vården och en önskan om ett speciellt palliativt team samt ett hospice framkom.

    Slutsats: Slutsatsen av studien är att det ansvarsfyllda och tidskrävande arbetet ledde till en känsla av otillräcklighet hos deltagarna. Det framkom en stark önskan från samtliga deltagare om förbättring i den palliativa vården i form av special team och hospice.

     

  • 6.
    Birgisdóttir, Dröfn
    et al.
    Faculty of Medicine, Department of Clinical Sciences Lund, Oncology and Pathology, Institute for Palliative Care, Lunds University, Lund, Sweden.
    Bylund-Grenklo, Tove
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden.
    Nyberg, Tommy
    Clinical Cancer Epidemiology, Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden; Centre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK; Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
    Kreicbergs, Ulrika
    Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden; Department of Caring Sciences, Palliative Research Center, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
    Steineck, Gunnar
    The Sahlgrenska Academy, Department of Oncology, Division of Clinical Cancer Epidemiology, University of Gothenburg Institute of Clinical Sciences, Gothenburg, Sweden.
    Fürst, Carl J.
    Faculty of Medicine, Department of Clinical Sciences Lund, Oncology and Pathology, Institute for Palliative Care, Lunds University, Lund, Sweden.
    Losing a parent to cancer as a teenager: Family cohesion in childhood, teenage, and young adulthood as perceived by bereaved and non-bereaved youths2019In: Psycho-Oncology, ISSN 1057-9249, E-ISSN 1099-1611Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of this study was to investigate levels of perceived family cohesion during childhood, teenage years, and young adulthood in cancer-bereaved youths compared with non-bereaved peers.

    METHODS: In this nationwide, population-based study, 622 (73%) young adults (aged 18-26) who had lost a parent to cancer 6 to 9 years previously, when they were teenagers (aged 13-16), and 330 (78%) non-bereaved peers from a matched random sample answered a study-specific questionnaire. Associations were assessed using multivariable logistic regression.

    RESULTS: Compared with non-bereaved youths, the cancer-bereaved participants were more likely to report poor family cohesion during teenage years (odds ratio [OR] 1.6, 95% CI, 1.0-2.4, and 2.3, 95% CI, 1.5-3.5, for paternally and maternally bereaved youths, respectively). This was also seen in young adulthood among maternally bereaved participants (OR 2.5; 95% CI, 1.6-4.1), while there was no difference between paternally bereaved and non-bereaved youths. After controlling for a number of covariates (eg, year of birth, number of siblings, and depression), the adjusted ORs for poor family cohesion remained statistically significant. In a further analysis stratified for gender, this difference in perceived poor family cohesion was only noted in females.

    CONCLUSION: Teenage loss of a parent to cancer was associated with perceived poor family cohesion during teenage years. This was also noted in young adulthood among the maternally bereaved. Females were more likely to report poor family cohesion. Our results indicate a need for increased awareness of family cohesion in bereaved-to-be families with teenage offspring, with special attention to gender roles.

  • 7.
    Bjurbo, Charlotte
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Eriksson, Ulrika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Att befinna sig i ett ingenmansland på en akutmottagning och ändå känna tillit till akutsjukvården: En kvalitativ intervjustudie med sköra äldre patienter2019Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    The full text will be freely available from 2020-12-31 18:25
  • 8.
    Bjurlefält, Peter
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Erfarenhet av debriefing inom akutsjukvården.2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background:

    In our everyday lives worldwide, people are affected regardless of gender and age by accidents, deaths and other traumatic events. Some professions involve a greater risk of being exposed to traumatic events. Examples of these are ambulance, emergency personnel, police and health care personnel, primarily in emergency care. These events can sometimes become overpowering. One way to counteract burnout and post-traumatic stress symptom (PTSD) in healthcare professionals is to carry out debriefing talks. This is done with the healthcare staff who has participated in a traumatic event.

     

    Aim:

    The purpose of this study was to describe the experience of debriefing in healthcare professionals in emergency care in connection with traumatic events in their professional practice.

     

    Method:

    Literature study that contains a total of 10 scientific articles, five of which are qualitative and five are quantitative.

     

    Results:

    The study results show that debriefing is perceived as a positive tool when it comes to unloading after a traumatic event for the healthcare staff in emergency care. The main factors raised in the study are time and place for debriefing, debriefing impact on the communication between the healthcare staff, the choice of debriefing leader and the need for well-designed guidelines for debriefing.

     

    Conclusion:

    The present study demonstrates that debriefing should be regarded as an effective tool for counteracting mental illness in the healthcare staff and that debriefing also reinforces communication between the various professional occupational groups in emergency care. The study also shows that well-designed guidelines are important for achieving the purpose of the debriefing.

  • 9.
    Björkman, Annica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Giving advice to callers with mental illness: adaptation among telenurses at Swedish Healthcare Direct2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1633174Article in journal (Refereed)
    Abstract [en]

    Purpose: Our aim was to describe Swedish Healthcare Direct (SHD) and its features as a complex system. Methods: Qualitative interviews were conducted with 20 SHD telenurses, covering their experiences and skills when encountering and advising callers with mental illness. Complexity science was used as an a priori theoretical framework to enhance understanding of the complex nature of telenursing. Results: SHD was described as a complex system as nurses were constantly interacting with other agents and agencies. During these interactions, dynamic processes were found between the agents in which the nurses adapted to every new situation. They were constantly aware of their impact on the care-seekers, and perceived their encounters with callers with psychiatric illness as "balancing on a thin line". SHD was also described as both an authority and a dumping ground. The openness of the system did not give the nurses possibility to control the number of incoming calls and the callers' intentions. Conclusions: These new insights into SHD have important implications for organization developers and nursing management in terms of overcoming linear thinking.

  • 10.
    Blad, Linda
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Forslin, Daniel
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Intensivvårds- och anestesisjuksköterskors upplevelser av sin arbetsmiljö vid ett sjukhus som saknar akutkirurgi - en intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: Hospital care is changing and the requirements for specialist nurses are changing. The amount of patient transports from smaller hospitals are increasing and the routes are longer. The experience of the nurses work environment has proved to be important, not least with regard to the experience of patient safety. 

    Aim: To describe how intensive care and anesthesia nurses experience working in a hospital without emergency surgery, from a work environment perspective. 

    Method: The study had a qualitative approach with descriptive design. 11 semi-structured interviews were conducted with intensive care nurses (n = 6) and anesthetic nurses (n = 5). The interviews were analyzed with qualitative content analysis. 

    Main results: Through the analysis six categories emerged. 1. To experience the importance of following guidelines 2. That collaboration and personal knowledge within the hospital facilitates the workload 3. Experience of the current assignment 4. To see the importance of nearby care 5. The cooperation with other hospitals and 6. Experience of access to resources and competence. The anesthetic and intensive care nurses experienced that it was important to follow guidelines. The fact that collaboration and personal knowledge within the hospital can facilitate the workload was another experience that was described. They experienced a satisfaction with the current assignment, although a desire to get extended assignments was described. The importance of having nearby care was described and the distance to the nearest emergency hospital was described as a problem. The collaboration with other hospitals was sometimes described to work well and sometimes a struggle preceded the collaboration. The experience of access to resources and skills was described and it emerged that the lack of resources could create frustration. 

    Conclusion: Positive experience of current assignments. In emergency situations where severely injured or sick patients entered the hospital, frustration was experienced with the lack of resources that existed.

    Keywords: Intensive Care Nurse, Nurse anesthetist, Work Environment

  • 11.
    Bylund-Grenklo, Tove
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Oncology Pathology, Karolinska Institutet, Stockholm, Sweden.
    Werkander-Harstäde, Carina
    Department of Health and Caring Sciences, Linnaeus University, Växjö; Center for Collaborative Palliative Care, Växjö, Sweden; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Sandgren, Anna
    Department of Health and Caring Sciences, Linnaeus University, Växjö; Center for Collaborative Palliative Care, Växjö, Sweden; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Benzein, Eva
    Department of Health and Caring Sciences, Linnaeus University, Kalmar; Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden .
    Östlund, Ulrika
    Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle; Faculty of Medicine and Health, School of Health Sciences, Örebro University; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden .
    Dignity in life and care: The perspectives of Swedish patients in a palliative care context2019In: International Journal of Palliative Nursing, ISSN 1357-6321, E-ISSN 2052-286X, Vol. 25, no 4, p. 193-201Article in journal (Refereed)
    Abstract [en]

    Background: How patients preserve their sense of dignity in life is an important area of palliative care that remains to be explored. Aims: To describe patients' perspectives of what constitutes a dignified life within a palliative care context. Methods: Twelve palliative care patients were interviewed about their views on living with dignity. Data were analysed using qualitative content analysis. Results: What constitutes a dignified life during end-of-life care was captured by the theme 'I may be ill but I am still a human being' and presented under the categories 'preserving my everyday life and personhood', 'having my human value maintained by others through 'coherence' and 'being supported by society at large'. Conclusion: Patients' sense of dignity can be preserved by their own attitudes and behaviours, by others and through public support. Health professionals need to adopt a dignity-conserving approach, for which awareness of their own attitudes and behaviours is crucial. 

  • 12.
    Chen, Chen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Ning, Zhou
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The effect of patient education interventions on stoma patients: - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 13.
    Chen, Jian Hua
    et al.
    Department of Nursing, Medicine and Health College, Lishui University, Lishui, Zhejiang Province, China.
    Björkman, Annica
    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.
    Zou, Ji Hua
    Department of Nursing, Medicine and Health College, Lishui University, Lishui, Zhejiang Province, China.
    Engström, Maria
    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.
    Self–regulated learning ability, metacognitive ability, and general selfefficacy in a sample of nursing students: A cross-sectional and correlational study2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 37, p. 15-21Article in journal (Refereed)
    Abstract [en]

    The healthcare sector is fast-growing and knowledge-intensive, and to meet the demands associated with it, nursing students must have high levels of self-regulated learning (SRL), metacognition, and general self-efficacy (GSE). In this cross-sectional, correlational study, data were collected from 216 nursing students through a questionnaire. The aims were: 1) to describe the levels of SRL ability, metacognitive ability and GSE among second- and third-year nursing students; 2) to explore the relationships between the SRL ability, metacognitive ability and GSE of second- and third-year nursing students; 3) and to compare SRL ability, metacognitive ability and GSE between second- and third-year nursing students. Nursing students had moderate levels of SRL ability and metacognitive ability, but lower levels of GSE. Positive relationships between SRL ability, metacognitive ability, and GSE were observed. Third-year nursing students had a higher level of SRL ability but lower levels of GSE, compared to second-year students. In terms of metacognitive ability, no significant differences were observed between the student batches. Interventions are required for the improvement of nursing students’ SRL ability, metacognitive ability, and GSE.

  • 14.
    Chi, Cheng
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Wenbo, Tang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    The effect of physical activity on the quality of life in patients with type-2 diabetesThe effect of physical activity on the quality of life in patients with type-2 diabetes: – A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 15.
    Chunyi, Tang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Qiongwei, Wang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Quality of life among nursing home residents: – A questionnaire study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 16.
    Ciping, Zhang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Enhui, Huang
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nurses’ experience of workplace violence: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 17.
    Eivergård, Kristina
    et al.
    Department of Nursing Sciences, Mid-Sweden University, Östersund, Sweden; Department of Health Care Science, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
    Enmarker, Ingela
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Livholts, Mona
    Department of Social and Welfare Studies, Linköping University, Linköping, Sweden.
    Aléx, Lena
    Department of Nursing, Umeå University, Umeå, Sweden.
    Hellzén, Ove
    Department of Nursing Sciences, Mid-Sweden University, Östersund, Sweden.
    The Importance of Being Acceptable - Psychiatric Staffs' Talk about Women Patients in Forensic Care2019In: Issues in Mental Health Nursing, ISSN 0161-2840, E-ISSN 1096-4673, Vol. 40, no 2, p. 124-132Article in journal (Refereed)
    Abstract [en]

    Currently, women comprise about ten percent of those sentenced to psychiatric forensic clinics in Sweden. Those who are sentenced to forensic care because of offending and violent behaviour have already taken a step away from the usually expected female behaviour. On the other hand, there are many women in forensic care who have not committed crimes, but who instead self-harm. Studies have identified a gender bias in diagnosing and care in psychiatric settings, but there are few studies conducted on women in forensic care. The present study therefore examined how the situation of women patients and female norms are expressed in the staff's talk about these women during verbal handovers and ward rounds at a forensic clinic in Sweden. The aim was to explore how psychiatric staff, in a context of verbal handovers and ward rounds, talk about women who have been committed to forensic psychiatric care, and what consequences this might have for the care of the patients. The content of speech was examined using audio recordings and a method of analysis that was inspired by thematic analysis. The analysis identified that the staff talked about the women in a way that indicates that they expected the women to follow the rules and take responsibility for their bodies in order to be regarded as acceptable patients.

  • 18.
    Elin, Carlsson
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Sofia, Frank
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Kvinnor med endometrios erfarenheter av möten med vården: En beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Endometrios är en vanlig sjukdom som drabbar 1 av 10 menstruerande kvinnor. Smärta i nedre buken är ett vanligt symtom som ofta leder till minskad livskvalitet och minskat välbefinnande hos de drabbade kvinnorna. Trots detta finns relativt lite kunskap inom området och forskning kring drabbade kvinnors erfarenheter av möten med vården. Syfte: Att beskriva vilka erfarenheter kvinnor med endometrios har av möten med vården. Metod: En beskrivande litteraturstudie baserad på 11 vetenskapliga artiklar varav tio med en kvalitativ ansats och en med en kvantitativ ansats. Artiklarna hämtades i databaserna MedLine via PubMed och CINAHL. Huvudresultat: Kvinnor med endometrios beskrev erfarenheter av att de inte blev tagna på allvar och att deras symtom normaliserades i möten med vården. Det framkom att kvinnor hade erfarenheter av att vårdpersonal hanterade fertilitetsfrågor på ett okänsligt sätt. Kvinnor med endometrios beskrev erfarenheter av både positiv och negativ kommunikation i möten med vården beroende på vårdpersonalens kommunikationsförmåga. Erfarenheter av kunskapsbrist hos vårdpersonal och vag eller komplicerad information ledde till oro hos kvinnor och gjorde att de tappade förtroende för vården och sökte information på egen hand. Slutsats: De erfarenheter som kvinnor med endometrios har av möten med vården är av avgörande betydelse för hur deras livskvalitet ser ut, hur de mår psykiskt, deras självkänsla och hur de klarar av att hantera sjukdomen. Kunskapsbrist och normativa föreställningar om kvinnor från vårdpersonalens sida leder till negativa erfarenheter av vårdmötet för de drabbade kvinnorna. Det är därför viktigt att öka kunskapen förståelsen om endometrios hos vårdpersonal

  • 19.
    Engström, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Wallström, Madelene
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science.
    Patienters upplevelser av hälsosamtal för 40-åringar: En intervjustudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Forskning har visat att risken för livsstilsrelaterade sjukdomar påverkas av en persons levnadsvanor. Folkhälsan i Sverige är globalt sett god, trots det insjuknar tiotusentals människor varje år i sjukdomar som hade kunnat förhindras med förebyggande hälso- och sjukvård. Ohälsan rapporteras vara som allra störst i Gävleborgs län. I Gävleborgs län blir alla som fyllt 40 år erbjudna ett kostnadsfritt hälsosamtal via sin hälsocentral. Samtalet kan hållas av en distriktsköterska och huvudfokus i hälsosamtalet är patientens levnadsvanor. Syfte: Syftet med denna studie var att beskriva patienters upplevelser av hälsosamtal för 40-åringar på hälsocentraler i Gävleborgs län. Metod: Tio deltagare som uppfyllde inklusionskriterierna deltog i studien. Datainsamlingen skedde genom semistrukturerade telefonintervjuer. Materialet analyserades med kvalitativ innehållsanalys. Huvudresultat: Resultatet presenteras utifrån tre huvudkategorier: Tydlig struktur på hälsosamtalet, nytändning och motivation efter hälsosamtalet och brister i hälsosamtalet. Deltagarna upplevde en tydlig struktur på hälsosamtalet då stjärnprofilen visualiserade patienternas totala hälsostatus på ett tydligt sätt. Flertalet deltagare hade blivit mer motiverade till att göra en livsstilsförändring efter hälsosamtalet, hälsosamtalet hade startat en reflektion angående deras hälsa. De hade också en förhoppning om att hälsosamtalet skulle ge de en nytändning. Majoriteten av deltagarna uppgav att det fanns brister i hälsosamtalet, de saknade erbjudande om uppföljning och de önskade även mer individanpassad rådgivning. Slutsats: Patienters upplevelser av hälsosamtal för 40-åringar sågs som en positiv ”hälsocheck-up”. Samtalsledarens roll har betydelse för upplevelsen av hälsosamtalet. Det framkom att hälsosamtalet har brister gällande uppföljning. Deltagarna saknade individanpassad rådgivning. 40-årssamtalet levde inte upp till patientens förväntningar och förhoppningar.

  • 20.
    Eriksson, Elisabet
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Wejåker, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Danhard, Anna
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Nilsson, Annika
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Kristofferzon, Marja-Leena
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Living with a spouse with chronic illness – the challenge of balancing demands and resources2019In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, no 1, article id 422Article in journal (Refereed)
    Abstract [en]

    Aims and objectives. To describe the partners’ experiences of living with a person with chronic illness and how they manage everyday life.

    Background. The number of partners providing informal care for their chronically ill spouse is rising, and they describe their daily life as demanding.

    Design. A descriptive design with a qualitative approach was used.   

    Methods. A purposive sample of 16 partners with a chronically ill spouse were interviewed. The interviews were recorded, transcribed, and analyzed using qualitative content analysis.

    Results Four main themes were identified: ‘Living with challenges caused by the spouse's disease,’ ‘Seeking support for living with the spouse’s illness,’ ‘Appreciating the good parts of life’ and ‘Adapting to constant changes and an uncertain future.’ The participants rated their health as rather good and had great confidence in their own ability to cope with daily life. Their experiences of support from formal care providers varied; they expressed the need for more assistance from the health care sector.

    Conclusions. The partners experienced many challenges in everyday life when providing informal care for their chronically ill spouse. This affected both their physical and psychological health, as they had limited time for themselves. The partners seemed to receive more support from their informal network than from formal care providers. In handling daily life, the partners balanced demands and resources to identify possibilities to move forward and find meaning in life.

    Relevance to clinical practice. Formal care providers must acknowledge partners' needs, develop evidence-based assessment guidelines, and provide efficient support to partners with a chronically ill spouse. 

  • 21.
    Eriksson, Helena
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jonsson, Ann-Sofi
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Intensivvårdssjuksköterskors upplevelser av patientbedömning i samband med MIG-uppdrag2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract

    Background: The intensive care nurse, together with an anesthetist, is included in a Medical emergency team (MET). If a patient in a ward demonstrates deterioration in vital parameters and is suspected having organ failure, MET is consulted, which together with the patient-responsible doctor and nurse evaluates and assesses the patient. Thereafter MET recommends treatment or move the patient to intensive care unit.

    Aim: The aim of this study was to describe intensive care nurses experiences of assessing patients and what they consider in connection with the MET assessments.

    Method: The study was performed with a qualitative approach and descriptive design. Eleven intensive care nurses were interviewed with semi-structured interviews.

    Result: Six main categories appeared in the result: To be prepared and have information is important for assessment, To use senses and experience when assessing, To cooperate with other staff categories is important, To use assessment tools, To have experiences of the environment around the patient in connection with the assessment, and that limitations affect the assessment and further care. The intensive care nurses described that structured patient-information, good teamwork, using assessment tools, clinical judgement and experience made the assessment easier. The result also showed that there appeared to be individual differences in how the assessment was carried out and on what grounds the decisions were taken. High workload, stress, lack of resource, limitations in care and distraction in the environment could have an impact on assessment.

    Conclusion: The results have contributed to increasing the understanding of the intensive care nurses experiences of assessing patients in connection with MET assignments. The results have also drawn attention to the fact that high workload, stress, environment, limitations in care and lack of resource can have an impact on patient assessment.

    Key words: Intensive care nurse, Medical emergency team, Nursing assessment

  • 22.
    Forsström, Diana
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Wigzell, Ingeborg
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    HBTQ-personers erfarenheter av bemötande i hälso- och sjukvården2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Homo-, bi-, trans- och queerpersoner (HBTQ-personer) är en grupp människor som inte är heterosexuella eller identifierar sig med det kön de fötts med. HBTQ-personer är således människor som har en sexuell läggning eller könsidentitet annat än heteronormen. Denna norm beskriver att utgångspunkten för människors sexualitet och könsidentitet är att alla förväntas vara heterosexuella. Det är konstaterat att HBTQ-personer i större omfattning riskerar att drabbas av ohälsa. Att uppmärksamma HBTQ-personers erfarenheter inom hälso-och sjukvården är viktigt för att se till att kunskapen, medvetenheten och slutligen omvårdnaden av HBTQ-personer blir bättre. Syfte: Syftet med litteraturstudien var att beskriva HBTQ-personers erfarenheter av bemötande i hälso-och sjukvården. Metod: Litteraturstudie med beskrivande design. Litteraturstudien omfattar 11 artiklar om HBTQ-personers erfarenheter av bemötande i hälso- och sjukvården. Av dessa använde en mixed method, av resterande hade åtta en kvalitativ ansats och två hade en kvantitativ ansats. Huvudresultat: Resultatet av föreliggande litteraturstudie visade att HBTQ-personer har både positiva och negativa erfarenheter kring sjukvårdspersonalens bemötande, kunskap och förståelse samt kommunikation. Slutsats: I föreliggande litteraturstudie framkom det att HBTQ-personer har både positiva och negativa erfarenheter av bemötande inom hälso-och sjukvården. En ökad kunskap och medvetenheten hos sjuksköterskor och sjukvårdspersonal behövs kring HBTQ-frågor, för att HBTQ-personer ska uppleva ett positivt bemötande.

  • 23.
    Gunnarsson, Cajsa
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Norin, Sofie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Postoperativ smärta hos patienter som genomgått laparoskopisk kolecystektomi: En jämförande registerstudie2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Att förebygga och behandla postoperativ smärta är anestesisjuksköterskans ansvar genom det perioperativa förloppet. Tidigare studier har visat att förekomsten av postoperativ smärta efter laparoskopisk kolecystektomi är hög.

    Syfte: Syftet med studien var att beskriva postoperativ smärtskattning hos patienter som genomgått laparoskopisk kolecystektomi på en sluten operationsavdelning och en dagkirurgisk operationsavdelning. Syftet var också att undersöka skillnader i förekomst av postoperativ smärta mellan män och kvinnor, yngre och äldre patienter samt mellan patienter som opererats på sluten- respektive dagkirurgisk operationsavdelning.

    Metod: Studien var en retrospektiv registerstudie med kvantitativ ansats. Registerdata innehållande data från 338 patienter inhämtades från kvalitetsregistret Svenskt Perioperativt Register från år 2016–2018. Materialet analyserades med beskrivande och jämförande statistik.

    Resultat: Resultatet visade att 70 % av patienterna skattade måttlig till svår postoperativ smärta (NRS 4-10). Det framkom även att kvinnor samt yngre patienter (<50 år) på den dagkirurgiska operationsavdelningen skattade signifikant högre postoperativ smärta jämfört med män och äldre patienter.

    Slutsatser: Även om inga generella slutsatser kan dras tyder resultaten på att kvinnor samt patienter 50 år och yngre är särskilt utsatta för otillräcklig smärtbehandling i samband med laparoskopisk kolecystektomi. Eftersom alla människor har rätt till god smärtlindring behöver omvårdnaden således anpassas efter patientens individuella förutsättningar och behov. När anestesisjuksköterskan når en förtrolig relation till patienten finns goda förutsättningar för en tillfredställande postoperativ omvårdnad.

  • 24.
    Hagerman, Heidi
    et al.
    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.
    Engström, Maria
    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; Nursing Department, Medicine and Health College, Lishui University, Lishui, China .
    Wadensten, Barbro
    Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Skytt, Bernice
    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.
    How do first-line managers in elderly care experience their work situation from a structural and psychological empowerment perspective?: An interview study2019In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834Article in journal (Refereed)
    Abstract [en]

    BACKGROUND:

    The work situation for first-line managers in elderly care is complex and challenging. Little is known about these managers' work situation from a structural and psychological empowerment perspective.

    AIM:

    To describe first-line managers' experiences of their work situation in elderly care from a structural and psychological empowerment perspective.

    METHOD:

    Interviews from 14 female first-line managers were analysed using qualitative content analysis.

    RESULTS:

    The theme described the managers' work situation as "It's not easy, but it's worth it." In the four subthemes, the managers described their work in terms of "Enjoying a meaningful job," "A complex and demanding responsibility that allows great authority within set boundaries," "Supported by other persons, organisational preconditions and confidence in their own abilities" and "Lacking organisational preconditions, but developing strategies for dealing with the situations."

    CONCLUSION:

    The managers described having various amounts of access to structural empowerment and experienced a feeling of meaning, competence, self-determination and impact, that is, psychological empowerment in their work.

    IMPLICATIONS FOR NURSING MANAGEMENT:

    It is vital that first-line managers have access to organisational support. Therefore, upper management and first-line managers need to engage in continuous dialogue to customize the support given to each first-line manager.

  • 25.
    Hamad, Arazo
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Rasoul, Louzan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hur vuxna personer upplever att det är att leva med en obotlig cancersjukdom och hur det påverkar deras livskvalitet2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: I Sverige diagnostiserades ca 60 000 personer med cancer under år 2016 och många av dessa erhåller palliativ vård eftersom cancersjukdomen för vissa förblir obotlig. En person som insjuknar i en obotlig cancersjukdom får en förändrad livskvalitet och upplevelsen av sjukdomen varierar beroende på sjukdomsstadiet. Syfte: Syftet med den här litteraturstudie var att beskriva hur vuxna personer upplevde att det var att leva med en obotlig cancersjukdom och hur det påverkade deras livskvalitet. Metod: En beskrivande litteraturstudie som grundar resultatet på elva vetenskapliga artiklar framtagna via databasen MedLine via PubMed. Resultat: Resultatet visar att cancerdrabbade personer upplever förändringar i det psykiska och fysiska måendet, vilket ledde till att de socialt isolerade sig på grund av problemen och symtomen sjukdomen medför. Stöd från anhöriga samt sjukvården var betydelsefullt och viktigt. Livskvaliteten påverkades negativt hos majoriteten av personerna med en obotlig cancersjukdom. Slutsats: Personers upplever förändringar och påverkan på livskvaliteten olika under sjukdomens olika stadier och därför är det viktigt att rätt individanpassad vård bedrivs.

  • 26.
    Hansson, Erica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Forselius, Jenny
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Upplevelser av att utföra egenvård hos personer som har Diabetes typ 2: Beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Diabetes typ 2 är en vanlig kronisk sjukdom som ökar över hela världenoch kan ge svåra komplikationer vid brist på egenvård. Med hjälp av goda levnadsvanoroch fysisk aktivitet kan sena komplikationer förebyggas.Syfte: Att beskriva personers upplevelser av att utföra egenvård vid diabetes typ 2.Metod: En beskrivande litteraturstudie som har baserats på 13 stycken vetenskapligaartiklar. Artiklarna hittades i databaserna PubMed och Cinahl och var av kvalitativansats och skulle besvara studiens syfte och frågeställning.Resultat: Kunskap, förståelse, motivation och stöd ansåg som viktiga faktorer vidutförandet av egenvårdsrutiner vid diabetes typ 2, dock ansåg många det vara svårt attupprätthålla dem. Med en större förståelse var det lättare att reglera sinablodsockervärden med hjälp av diet och fysisk aktivitet. Det är av stor betydelse hursjuksköterskan förmedlar sin information till patienten.Slutsats: För att kunna göra en livsstilsförändring gällande egenvårdsrutiner var detviktigt att acceptera sin sjukdom diabetes typ 2. Personer med diabetes typ 2 har behovav stöd och motivation från sjuksköterskan för att upprätthålla utförandet avegenvårdsrutiner. Kunskap var viktigt för att kunna hantera sin sjukdom och förebyggasena komplikationer. Det är viktig som sjuksköterska att vara lyhörd och visa individenrespekt samt låta hen vara självbestämmande.

  • 27.
    Hanyi, Yang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Yu, Xu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences. Lishui University, China.
    Registered nurses’ Work to Promote Mother’s Self-efficacy of Breastfeeding2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 28.
    Hedlund, Emily
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Lindgren, Carolin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Samband mellan arbetsrelaterad livskvalitet, psykologisk empowerment och akademisk examen hos intensivvårdssjuksköterskor.2019Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Det råder brist på intensivvårdssjuksköterskor i Sverige. Personalbrist, stress och arbetsbelastning kan påverka intensivvårdssjuksköterskornas arbetsrelaterade livskvalitet och känsla av psykologisk empowerment negativt. Detta kan leda till bland annat utbrändhet och depression. Långvarig stress kan leda till att sjuksköterskor väljer att lämna sitt arbete.

    Syfte: Att beskriva hur intensivvårdssjuksköterskor skattar arbetsrelaterad livskvalitet och psykologisk empowerment, samt att undersöka om det finns ett samband mellan intensivvårdssjuksköterskors arbetsrelaterade livskvalitet, psykologiska empowerment och akademiska examen.

    Metod: Studien var en enkätstudie med en kvantitativ ansats, och använde sig av ett bekvämlighetsurval gällande val av de fyra inkluderade sjukhusen. Undersökningsgruppen bestod av totalt 51 deltagare. Två validerade enkäter, Van Laar och Eastons enkät om Work Related Quality of Life (WRQoL) och Spreitzers skala för psykologisk empowerment, användes och kompletterades med bakgrundsfrågor om bland annat. kön, ålder och högsta akademiska examen. Enkäten om arbetsrelaterad livskvalitet översattes från engelska till svenska i en tvåstegsprocess. Studiens data analyserades med korrelationsanalyser och multipel linjär regression.

    Huvudresultat: Inget signifikant samband fanns mellan akademisk examen och WRQoL eller psykologisk empowerment. Däremot sågs ett positivt samband mellan psykologisk empowerment och WRQoL. Studiedeltagarna skattade lägst på delskalorna gällande stress (WRQoL) och självbestämmande (psykologisk empowerment), och högst gällande generellt välmående (WRQoL) och kompetens (psykologisk empowerment).

    Slutsats: Genom att stärka arbetsrelaterade livskvalitet och psykologisk empowerment hos intensivvårdssjuksköterskor kan eventuellt upplevelsen av deras arbetssituation och arbetsmiljö förbättras, vilket i förlängningen kan leda till att fler väljer att stanna i yrket.

    Nyckelord: Arbetsmiljö, arbetsrelaterad livskvalitet, intensivvårdssjuksköterska, omvårdnad, Psykologisk Empowerment.

  • 29.
    Hedman, Maria
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Uppsala University, Sweden.
    Häggström, Elisabeth
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Uppsala University, Sweden.
    Mamhidir, Anna-Greta
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Uppsala University, Sweden.
    Pöder, Ulrika
    Uppsala University, Sweden.
    Caring in nursing homes to promote autonomy and participation2019In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 26, no 1, p. 280-292, article id 969733017703698Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Autonomy and participation are threatened within the group of older people living in nursing homes. Evidence suggests that healthcare personnel act on behalf of older people but are still excluding them from decision-making in everyday care.

    OBJECTIVE: The purpose was to describe registered nurses' experience of caring for older people in nursing homes to promote autonomy and participation.

    RESEARCH DESIGN: A descriptive design with a phenomenological approach was used. Data were collected by semi-structured individual interviews. Analysis was inspired by Giorgi's method. Participants and research context: A total of 13 registered nurses from 10 nursing homes participated. Ethical considerations: Ethical approval was obtained from the Regional Research Ethics Committee. Informed consent was achieved and confidentiality guaranteed.

    FINDINGS: The essence of caring for older people in nursing homes to promote autonomy and participation consisted of registered nurses' awareness of older people's frailty and the impact of illness to support health and well-being, and awareness of acknowledgement in everyday life and trusting relationships. Paying attention to older people by being open to the persons' wishes were aspects that relied on registered nurses' trusting relationships with older people, their relatives and surrounding healthcare personnel. The awareness reflected challenges in caring to promote older people's right to autonomy and participation in nursing homes. Registered nurses' strategies, hopes for and/or concerns about development of everyday life in nursing homes were revealed and mirrored their engagement in caring for older people.

    DISCUSSION AND CONCLUSION: Awareness of older people's frailty in nursing homes and the importance of maintained health and well-being were described as the main source for promoting autonomy and participation. Everyday life and care in nursing homes needs to be addressed from both older people's and healthcare personnel's perspectives, to promote autonomy and participation for residents in nursing homes.

  • 30.
    Huaiyu, Shen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Yue, Li
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Health-related Quality of Life among elderly with Cardiovascular Disease in Lishui: - A cross-sectional study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 31.
    Jarnulf, Therese
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Skytt, Bernice
    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.
    Mårtensson, Gunilla
    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.
    Engström, Maria
    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; Nursing Department, Medicine and Health College, Lishui University, Lishui, Zhejiang, China.
    District nurses experiences of precepting district nurse students at the postgraduate level2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 37, p. 75-80Article in journal (Refereed)
    Abstract [en]

    District nurses are preceptors of district nurse students at the postgraduate level. These district nurse students are already registered nurses who have graduated and are now studying to become district nurses; this training is at the postgraduate level. As preceptors at the postgraduate level, district nurses play an important role in helping these students to achieve the learning outcomes of the clinical practice part of their education. However, there is a lack of studies on precepting at this level. Thus, the aim was to describe district nurses' experiences of precepting district nurse students at the postgraduate level. The study was descriptive in design and used a qualitative approach. Purposive sampling was used and nine district nurses from seven primary health care units in Sweden were interviewed. Data were analysed using qualitative content analysis. An overall theme ”Fluctuating between transferring knowledge and striving for reflective learning” and two subthemes emerged. The preceptors’ views on precepting and performance varied depending on the situation. The conclusions is that given the current learning outcomes for clinical practice education at the postgraduate level, district nurses need to bemore influenced by preception focused on reflective learning.

  • 32.
    Jiang, Qianqian
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Qiu, Junyin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nursing Students' Learning Experience Under Cross-cultural Background: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 33.
    Jiawei, Yu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Mengyang, Jin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nurses’ experience of caring for adults with chronic pain: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 34.
    Jie, Chen
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hongxia, Wu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Career maturity of the second year nursing undergraduates: A quantitative study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 35.
    Jinli, Bu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jialing, Zhou
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Relationship between health behavior and quality of life among the middle aged and elderly patients with cardiovascular disease2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 36.
    Jinyan, Hong
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Tingting, Yu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Nursing students’ professional identity: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 37.
    Kaltenbrunner, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Bengtsson, Lars
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Management, Industrial Design and Mechanical Engineering, Industrial Management. University of Gävle, Center for Logistics and Innovative Production.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Lean maturity and quality in primary care2019In: Journal of Health Organisation & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 32, no 2, p. 141-154Article in journal (Refereed)
    Abstract [en]

    Purpose - The purpose of this paper is to 1) describe Lean maturity in primary care using a questionnaire based on Liker’s description of Lean, complemented with observations, and 2) determine the extent to which Lean maturity is associated with quality of care measured as staff-rated satisfaction with care and adherence to national guidelines. High Lean maturity indicates adoption of all Lean principles throughout the organization and by all staff.

    Design/methodology/approach - Data were collected using a survey based on Liker’s four principles, divided into 16 items (n = 298 staff in 45 units). Complementary observations (n = 28 staff) were carried out at four units.

    Findings - Lean maturity varied both between and within units. The highest Lean maturity was found for ‘adhering to routines’ and the lowest for ‘having a change agent at the unit’. Lean maturity was positively associated with satisfaction with care and with adherence to national guidelines to improve healthcare quality. 

    Practical implications - Quality of primary care may benefit from increasing Lean maturity. When implementing Lean, managers could benefit from measuring and adopting Lean maturity repeatedly, addressing all Liker’s principles and using the results as guidance for further development.

    Originality/value - This is one of the first studies to evaluate Lean maturity in primary care, addressing all Liker’s principles from the perspective of quality of care. The results suggest that repeated actions based on evaluations of Lean maturity may help to improve quality of care.

  • 38.
    Kaltenbrunner Nykvist, Monica
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Bengtsson, Lars
    University of Gävle, Faculty of Engineering and Sustainable Development, Department of Industrial Management, Industrial Design and Mechanical Engineering, Industrial Management. University of Gävle, Center for Logistics and Innovative Production.
    Mathiassen, Svend Erik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Occupational and Public Health Sciences, Occupational Health Science. University of Gävle, Centre for Musculoskeletal Research.
    Högberg, Hans
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science.
    Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care2019In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963Article in journal (Other academic)
  • 39.
    Karlsson, Emilia
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Christensen, Henrik
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hur information och bemötande upplevs av föräldrar inom barncancervården - en beskrivande litteraturstudie2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Barncancer är starkt förknippat med sorg och lidande. Föräldrar till barn med cancer drabbas ofta av psykologisk stress i samband med barnets cancerdiagnos. Forskning visar att föräldrar till barn som är i behov av annan typ vård än cancervård upplever att de får ett fint bemötande av vårdpersonal genom stöttning och information. Syfte: Syftet med föreliggande litteraturstudie var att beskriva hur föräldrar till barn med cancer upplever bemötande och information de erhåller av vårdpersonal. Metod: En litteraturstudie med en beskrivande design baserad på tolv vetenskapliga artiklar. Nio artiklar var av kvalitativ ansats, två artiklar var av kvantitativ ansats och en artikel var av både kvalitativ och kvantitativ ansats. Huvudresultat: Föräldrar till barn med cancer upplevde ofta att de fick tillräcklig och relevant information av vårdpersonal. Däremot upplevde ett flertal att de fick för mycket information i samband med barnets diagnostisering och att denna information var svår att tillgodogöra sig på grund av emotionell påverkan. Föräldrar upplevde också att de fick för lite information gällande praktiska detaljer och att vårdpersonalens tillgänglighet blev sämre med tiden. Enligt föräldrar till barn med cancer är de i behov av stöttning från vårdpersonal vilket också kräver att de känner ett förtroende för vården. Slutsats: En kontinuerlig kommunikation mellan familjer och vårdpersonal anses av föräldrar vara av stor vikt. För att tillgodose föräldrars behov krävs det att vårdpersonal har de förutsättningar som krävs, i form av tid och bemanning, för att kunna ge en god omvårdnad.

  • 40.
    Kerpershoek, Liselot
    et al.
    Alzheimer Centre Limburg, Maastricht University, Maastricht, Netherlands.
    Wolfs, Claire
    Alzheimer Centre Limburg, Maastricht University, Maastricht, Netherlands.
    Verhey, Frans
    Alzheimer Centre Limburg, Maastricht University, Maastricht, Netherlands.
    Jelley, Hannah
    Bangor University, Bangor, UK.
    Woods, Bob
    Bangor University, Bangor, UK.
    Bieber, Anja
    Martin-Luther University Halle-Wittenberg, Halle, Germany.
    Bartoszek, Gabriele
    Martin-Luther University Halle-Wittenberg, Halle, Germany.
    Stephan, Astrid
    Martin-Luther University Halle-Wittenberg, Halle, Germany.
    Selbaek, Geir
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital, Tonsberg, Norway; Centre for Old Age Psychiatry Research, Innlandet Hospital Trust, Ottestad, Norway;Faculty of Medicine, University of Oslo, Oslo, Norway.
    Eriksen, Siren
    Norwegian National Advisory Unit on Ageing and Health, Vestfold Hospital, Tonsberg, Norway.
    Sjölund, Britt-Marie
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Aging Research Center (ARC), Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
    Hopper, Louise
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Irving, Kate
    School of Nursing and Human Sciences, Dublin City University, Dublin, Ireland.
    Marques, Maria J.
    CEDOC, Nova Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Goncalves-Pereira, Manuel
    CEDOC, Nova Medical School, Faculdade de Ciências Médicas, Universidade Nova de Lisboa, Lisbon, Portugal.
    Portolani, Daniel
    Zanetti, Orazio
    IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
    Vugt, Marjolein
    Alzheimer Centre Limburg, Maastricht University, Maastricht, Netherlands.
    Optimizing access to and use of formal dementia care: Qualitative findings from the European Actifcare study2019In: Health & Social Care in the Community, ISSN 0966-0410, E-ISSN 1365-2524Article in journal (Refereed)
    Abstract [en]

    This paper reports on qualitative data from the Actifcare study investigating experiences, attitudes, barriers and facilitators concerning access to and use of formal care. A total of 85 semi-structured in-depth interviews were conducted in eight European countries. Results were analysed with a deductive content analysis, first within country and then integrated in a cross-national analysis. Overall, analysis of the in-depth interviews revealed two major themes with five subcategories. The results can be summarised in an optimal pathway for access to dementia care. This pathway includes fixed factors such as disease-related factors and system-related factors. In addition there are personal factors that are subject to change such as attitudes towards care. An important finding consisted of the necessity of having sufficient information about the disease and available care and having a key contact person to guide you through the process of finding suitable care while monitoring your needs. In addition, it is important to involve your social network as they can take on care-giving tasks. It is helpful to have a diagnosis (in most countries). Concerning decision-making, the person closest to the person with dementia is in the majority of cases the one who makes the ultimate decision to access and use services and he/she should therefore be supported in this process. These results provide insight into the factors that influence the pathway to formal care use and help professionals to enhance access to formal dementia care by focusing on factors that can be modified.

  • 41.
    Källquist, A.
    et al.
    Löwenströmska Hospital, Section North, Forensic Psychiatry Care, Upplands Väsby, Sweden.
    Salzmann-Erikson, Martin
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science.
    Experiences of Having a Parent with Serious Mental Illness: An Interpretive Meta-Synthesis of Qualitative Literature2019In: Journal of Child and Family Studies, ISSN 1062-1024, E-ISSN 1573-2843, Vol. 28, no 8, p. 2056-2068Article, review/survey (Refereed)
    Abstract [en]

    Objectives: Previous research found that burdens are put on relatives to patients with serious mental illness. A majority of the studies have described the situation of being a husband/wife or parent of someone who is mentally ill. However, little is known about the perspective of childhood experiences and the effect on adult life from having a parent with mental illness. Hence, the purpose of this review was to investigate experiences of having a parent with serious mental illness. Methods: We used a qualitative interpretive meta-synthesis. Five relevant databases were chosen: Cumulative Index to Nursing and Allied Health Literature, MEDLINE, PsycINFO, PubMed and Psychology and Behavioral Sciences Collection. We found 4302 studies in our initial search. Fourteen met the inclusion criteria and the quality assessment. Results: The findings are presented in four themes: (1) Growing up in a dysfunctional home environment; (2) The child’s feelings and thoughts; (3) The need of support; and (4) The lingering effects in adult life. Conclusions: We found that experiences of growing up in a dysfunctional home can result in relational issues later in life and that the need for support can persist into adult life. This has implications for clinical practice when encountering these patients. 

  • 42.
    Lian, Zhengmei
    et al.
    Department of Nursing Sciences, Faculty of Medicine and Health, Lishui University, China.
    Skytt, Bernice
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Science, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Li, Caifu
    Department of Nursing Sciences, Faculty of Medicine and Health, Lishui University, China.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Health and Caring Sciences, Caring science. Department of Nursing Sciences, Faculty of Medicine and Health, Lishui Universiity, China; Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Nursing students’ reflections on caring for end-of-life patients in a youth volunteer association2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 34, p. 204-209Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to describe nursing students' reflections on caring for end-of-life patients in a youth volunteer service. A purposive sample of 11 nursing students in one province in China were interviewed and diaries were collected. The data were analysed using qualitative content analysis. The students described the service as “an empowering care that makes a difference – but not without challenges on different levels”. The service was said to provide devoted caring adjusted to the person's need, condition and wishes. According to the students, the service had an impact on them; the internal and/or external support was stimulating and rewarding, whereas deficient support was frustrating and made them feel helpless. They emphasized the need for improvements at different levels. In conclusions, the youth volunteer service empowers both patients and students and can be seen as person-centred care. The students' professional knowledge, skills and ability improved, while these aspects were still perceived as deficient. Appropriate curriculum and training for nursing students are necessary and should be tailored to improving students' caring ability and confidence. Expanding the service was emphasized and suggestions for improvements were identified.

  • 43.
    Liangqian, Yan
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Liejiao, Yan
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Learning adaptability of the second year undergraduate nursing students: a comparative study2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 44.
    Lin, Hang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jiayin, Gu
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Persons’ experiences of having type 2 diabetes: - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 45.
    Lindberg, Magnus
    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.
    Single-case experimental designs: a clinical research opportunity in renal care2019In: Journal of Renal Care, ISSN 1755-6678, E-ISSN 1755-6686, Vol. 45, no 2, p. 72-73Article in journal (Other academic)
  • 46.
    Lindgren, Suzanne
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Att beskriva föräldrars erfarenheter av att ha sitt barn inneliggande på sjukhus.: En litteraturstudie.2019Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Bakgrund: Föräldrarna är en viktig del i dagens barnsjukvård, därför är det viktigt att sjuksköterskor och annan vårdpersonal vet och förstår hur de kan hjälpa och stötta föräldrarna när deras barn vårdas på sjukhus. Syfte: Att beskriva föräldrars erfarenheter när deras barn vårdas på sjukhus. Metod: En beskrivande litteraturstudie med tretton vetenskapliga artiklar, sex artiklar med kvalitativ ansats och sju artiklar med kvantitativ ansats. Huvudresultat :Huvudresultatet har visat att föräldrar som är på sjukhus med sitt sjuka barn ofta känner en stress över många saker. De behöver hjälp och stöttning av sjuksköterskorna och annan vårdpersonal. För att kunna hantera situationen och för att i sin tur som förälder i sin nya föräldraroll kunna stötta och trösta sitt sjuka barn. Det är viktigt att föräldrarna får information och är delaktiga i vården samt att de är en del i teamet för att aktivt kunna ta del i vård och planering. På så sätt är föräldrarna förberedda på vad som kommer att ske med deras barn och vad som kan förväntas bli resultatet. Det är även viktigt att sjuksköterskorna kan bemöta föräldrar som är i chock och befinner sig i en kris som det kan vara att ha sitt barn på sjukhus. Slutsats: Det framkommer i den föreliggande litteraturstudien att föräldrarna har ett stort behov av stöttning av sjuksköterskorna som vårdar deras sjuka barn och att föräldrarna får vara delaktig i vården av deras barn .Sjuksköterskor i barnsjukvården behöver kunskap och förståelse för föräldrarnas situation samt deras behov .För att föräldrarna på bästa sätt ska kunna och orka stötta sina sjuka barn på bästa sätt.

  • 47.
    Ling, Xu
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Hua, Shen
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Self-management intervention among adult patients with Chronic Obstructive Pulmonary Disease: A descriptive literature review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 48.
    Lishui,
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Lishui,
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 49.
    Liubin, Zhang
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    Jiafei, Zhao
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences.
    The psychological experiences of adults living with epilepsy: - A descriptive review2019Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 50.
    Löfmark, Anna
    et al.
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Norway.
    Mårtensson, Gunilla
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Sweden.
    Ugland Vae, Karen Johanne
    Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Norway.
    Engström, Maria
    University of Gävle, Faculty of Health and Occupational Studies, Department of Caring Sciences, Caring Science. Department of Public Health and Caring Sciences, Uppsala University, Sweden; Nursing Department, Medicine and Health College, Lishui University, China.
    Lecturers' reflection on the three-part assessment discussions with students and preceptors during clinical practice education: A repeated group discussion study2019In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 36, p. 1-6Article in journal (Refereed)
    Abstract [en]

    Assessment of students' learning and achievement requires active involvement of participating students, preceptors and lecturers. The lecturers have overall responsibility for both the content of the assessment and students' learning. The aim of the present study was to investigate lecturers' reflections on the mid-course discussion and final assessment that are part of nursing students' clinical practice education. The design was descriptive and had a qualitative approach. Repeated group discussions were undertaken with 14 lecturers at two university campuses in Norway. Five categories were identified: preparing for the three-part discussion, creating a collaborative atmosphere, facilitating student learning, verifying student learning, using the assessment tool to create the assessment discussion; one theme emerged: ‘being able to see and justify students’ learning processes'. Lecturers' reflections on both assessment discussions and students' learning proceeded from a clear pedagogical viewpoint.

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