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  • 1. Barremo, Ann-Sofi
    et al.
    Bruce, Elisabeth
    Västernorrlands läns landsting, Örnsköldsvik (Västernorrland County Council).
    Salander, Monica
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Sundin, Karin
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Personers upplevelse av att leva med kronisk hjärtsvikt: Systematisk litteraturstudie2008Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 28, nr 3, s. 34-38Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Heart failure is a clinical syndrome where the heart is no longer able to maintain adequate blood circulation to the tissue. Many suffer from symptoms difficult to handle such as dyspnoea, fatigue, and physical weakness.

    Aim: The purpose of the study was to investigate peoples’ experiences of living with congestive heart failure.

    Method: A systematic literature review was used. Relevant articles were found in the Medline and Cinahl databases. The articles were examined, classified and critically appraised. Twenty articles were included. A qualitative content analysis was used to organize the results.

    Results: The results are described in three main categories: losses, protecting independences and readjustment. The category ‘losses’ details physical, emotional and social changes that people experience as losses caused by the debilitating symptoms of heart failure. The category ‘protecting independences’ shows the different ways in which people try to keep control over their lives. The category ‘readjustment’ presents how people try to seek a new ‘wholeness’ in life after the changes heart failure have caused by using acceptance, adaptation and finding new meanings.

    Conclusion: Living with congestive heart failure can be experienced as a synopsis of the «suffering human being» on a continuum, a time axle; from falling ill to seeking a new meaning in life.

  • 2.
    Burström, Marianne
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Boman, Kurt
    Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
    Strandberg, Gunilla
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Brulin, Christine
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Manliga patienter med hjärtsvikt och deras erfarenheter av att vara trygga och otrygga2007Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 3, nr 27, s. 24-28Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    To be safe is a basic human need. Although feelings of being unsafe has been identified as a common problem among persons who live with heart failure there are few qualitative studies focusing on the problem. The aim of this study was to describe what it means to be safe or unsafe for men with heart failure. Seven men with heart failure, functional class NYHA II-III, were interviewed in focus groups. The interviews were analysed with content analysis. Threat of sudden death was described as both a source of safety and unsafety, and living with a fear of drowning in their own body fluid was seen as a source of unsafety for the men. In meetings with caregivers and relatives it was of importance to be received as a unique and valuable person. The confidence to the heart specialist was almost supernatural and the specialist nurse was spoken about as valuable for the feeling of being safe. In conclusion, to be seen with respect by physicians and nurses who have good ability to listen to the men's experience of living with heart failure can probably increase the men's feelings of safety. Further, it is important that physicians and nurses have good knowledge about heart failure.

  • 3. Fjelltun, Aud-Mari Sohini
    et al.
    Henriksen, Nils
    Norberg, Astrid
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Gilje, Fredricka
    Normann, Hans Ketil
    Carers' experiences with overnight respitecare: a qualitative study2009Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, nr 3, s. 23-27Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim The aim of this study was to explore experiences with overnight respite care (ORC) of Norwegian carers who provided care to frail elderly awaiting nursing home placement.

    Background In many Western countries respite care has become part of health care service provision, and various types of respite care are available. The intent with respite care can be twofold; caring for the care receiver and supporting the carer.

    Methods This was a descriptive qualitative study. Interviews were conducted with 15 carers, transcribed and analysed by qualitative content analysis.

    Findings The carers described various experiences with ORC. If ORC supported the family unit, it was welcomed by carers and experienced as supportive. If ORC did not support the family unit, many carers rejected ORC, and it was experienced as non-supportive. Two categories were constructed: 'experiencing ORC as supportive for the family as a unit' and 'not experiencing ORC as supportive for the family as a unit'.

    Conclusion To support more carers, nurses have to listen to carers’ experiences about ORC. Nurses need to take responsibility for the family as a unit and provide more flexible ORC services based on both carers’ and elderly’s needs.

  • 4. Johansson, Pauline
    et al.
    Petersson, Göran
    Saveman, Britt-Inger
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Nilsson, Gunilla
    Experience of mobile devices in nursing practice2012Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, nr 4, s. 50-54Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In nursing care, the steady increase of healthrelated information implies that there is need for useful tools thateasily provide mobile access to accurate information.Aim: This study is aimed at exploring nurses’ and nursingstudents’ experience of using a mobile device in nursing practice,with the emphasis on usefulness, information retrieval, savingtime, patient safety, the quality of care, and confidence in thework performed.Methods: In this descriptive intervention study, registered nurses(RN) (n=14) and nursing students (NS) (n=7) used mobiledevices in nursing practice during a period of 15 weeks, andreplied to questionnaires prior to and after the intervention.Results and conclusion: We found that the mobile device wasperceived as useful and was presumed to imply increased confidenceand time savings, and to contribute to improved patientsafety and quality of care by enhancing access to necessaryinformation. To facilitate nursing practice, mobile devicesadjusted for technical, statutory, cultural, and language countryspecificconditions, should be further developed and implementedfor RNs and NSs. Furthermore, future research shouldinclude the end-users’ views.

  • 5. Johansson, Stina
    Makrostruktur och moral: Några forskningsetiska inlägg om forskningens roll i sjuksköterskeyrket1991Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, ISSN 0107-4083, Vol. 11, nr 2, s. 21-26Artikel i tidskrift (Övrigt vetenskapligt)
  • 6.
    Johansson, Stina
    et al.
    Umeå universitet, Samhällsvetenskapliga fakulteten, Institutionen för socialt arbete.
    Fahlström, Gunilla
    Uppsala universitet, Institutionen för socialmedicin.
    I nöd och lust: En studie av kvinnor som vårdar en närstående.1993Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 13, nr 2, s. 15-22Artikel i tidskrift (Övrigt vetenskapligt)
  • 7.
    Johansson, Stina
    et al.
    Institutionen för socialmedicin, Uppsala universitet.
    Fahlström, Gunilla
    Institutionen för socialmedicin, Uppsala universitet.
    Ericsson, Kjell
    Institutionen för socialmedicin, Uppsala universitet.
    Funktionsförmåga, tillsynsbehov och familjebaserade insatser för vårdtagare med stora hjälpbehov i hemvård [Functional level, care needs and family-based care for home-care recipients with extended care needs]1993Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 13, nr 1, s. 11-17Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A study of home care and home health services was undertaken in three Swedish municipalities. Persons who received extended home care and home health care were interviewed. The interviews covered different themes such as impairments, care needs, functions and activities in the horizontal social network (the informal network), and opinions concerning how care is and should be provided. A modified ADL-index was used to assess the functional level of daily living. Care needs were measured by the judgement of the care recipient, and by the interviewer's judgement. The correspondence between these measures was high, with some exceptions. Lower correspondence between the measures was obtained for three categories of care recipients: individuals with communicative dysfunctions, younger individuals with reduced ability to move and, thirdly, individuals with psychosocial problems. Problems concerning measurement of care given by family members were also identified and discussed.

  • 8.
    Lund, Carina
    et al.
    Hälsoakademin Örebro Universitet.
    Nilsson, Ulrica
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Patients’ perceived health and anxiety pre and post implantable cardioverter defibrillator insertion2010Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 30, nr 1, s. 43-44Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Previous research has shown that implantable cardioverter defibrillators (ICD) can improve patient’s quality of life and life-satisfaction.

    Aim: This small-scale study aimed to compare patients’ self-assessed health and anxiety before and one month after ICD insertion and measure whether or not ICD patients suffer from depression.

    Methods: Eighteen consecutive participants assessed health, anxiety and depression at two occasions: (i) the day of ICD implantation; and (ii) one month post ICD insertion. Health was assessed by EuroQol visual analogue scale (EQ VAS) and Hospital Anxiety and Depression Scale (HADS) was used to assess depression and anxiety.

    Results: The results showed a statistically significant increase in post ICD insertion values of health and decrease in values of anxiety compared to pre ICD insertion values. No difference was found regarding depression.

    Conclusion: The findings indicate that patients’ perceived health increase and anxiety decrease after an ICD insertion. However, more and larger studies are needed.

  • 9.
    Nilsson, Ulrica
    Umeå universitet, Medicinska fakulteten. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Parents’ opinion of the child’s anaesthesia care1999Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 4, s. 20-25Artikel i tidskrift (Refereegranskat)
  • 10.
    Sandvik, Ann-Helen
    et al.
    Åbo Akademi, Enheten för vårdvetenskap, Vasa, Finland and Yrkeshögskolan Novia, Enheten för hälsovård och det sociala området, Vasa, Finland.
    Melender, Hanna-Leena
    Vasa Yrkeshögskola, Enheten för social- och vårdarbete, Finland.
    Jonsén, Elisabeth
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Jönsson, Gunilla
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Salmu, Marita
    Vasa Yrkeshögskola, Enheten för social- och vårdarbete, Finland.
    Hilli, Yvonne
    Yrkeshögskolan Novia, Enheten för hälsovård och det sociala området, Vasa, Finland.
    Sjuksköterskestudenters erfarenheter av sin första kliniska utbildningsperiod: en nordisk kvantitativ studie2012Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, nr 1, s. 20-25Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Differences in quality of clinical education and support to students occur and there are demands for a unification of higher education in Europe.

    Aim: The aim of the study was to describe the nursing students’ experiences of their first clinical education period in relation to learning and professional development.

    Methods: The sample consisted of 139 nursing students from Finland and Sweden. The data was collected by questionnaire and analyzed statistically.

    Findings: Students’ experiences of clinical competence were examined from four perspectives: clinical preception, learning, learning objectives and reflection. Overall, students rated highly, however there were statistically significant differences among the students concerning nationality and length of clinical education. Students did not always get a clear picture of what was expected of them in clinical education and there were deficits in continuing feedback. Students’ clinical learning was associated with the length of clinical education.

    Conclusions: Clinical preceptoring as a catalyst in student's understanding and learning is central. Students rated learning of tasks and skills higher than abilities that require more reflection and consideration, which may indicate a more task-centered preception. A conscious didactic approach would help students to reflect and develop into professionals in nursing and caring science.

  • 11.
    Wijk, Helle
    et al.
    Göteborgs universitet.
    Öhlén, Joakim
    Göteborgs universitet.
    Lidén, Eva
    Göteborgs universitet.
    German Millberg, Lena
    Karlstads universitet.
    Jacobsson, Catrine
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Söderberg, Siv
    Luleå Tekniska Universitet.
    Berg, Linda
    Göteborgs universitet.
    Engström, Åsa
    Luleå Tekniska Universitet.
    Höglund, Ingela
    Borås Högskola.
    Lepp, Margret
    Göteborgs universitet och Borås Högskola.
    Lindström, Irma
    Göteborgs universitet.
    Nygren, Björn
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Persson, Cathrin
    Umeå universitet.
    Petzäll, Kerstin
    Karlstads universitet.
    Skär, Lisa
    Luleå Tekniska Universitet.
    Suserud, Björn-Ove
    Borås Högskola.
    Söderlund, Maud
    Luleå Tekniska Universitet.
    Verksamhetsförlagd utbildning på avancerad nivå: ny utmaning för specialistutbildningar för sjuksköterskor2009Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, nr 4, s. 41-43Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [en]

    The aim of this article is to discuss challenges in the development of Specialist Nursing Educations as a result of the 2007 Swedish Higher EducationReform: the implementation of the so-called Bologna process. Certain challenges follow this reform, particularly since the specialist nursingprogrammes will be part of the second cycle of the higher education system, and it will be possible to combine the professional degree witha masters degree (one year). Possible strategies in four areas related to the Specialist Nursing Education are discussed: integration of researchbasedknowledge, experienced-based knowledge, improvement knowledge, and strategies for collaboration between university institutions andclinics. Specific didactical issues are raised.

  • 12.
    Ångström Brännström, Charlotte
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Dahlqvist, Vera
    Strandberg, Gunilla
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Norberg, Astrid
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Descriptions of comfort in the social networks surrounding a dying child2014Ingår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, nr 113, s. 4-8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this study was to describe how comforters of one dying child were comforted, described by the child's mother and nurse.

    Background: The death of a child is one of the greatest losses parents can sustain and a stressful experience for nurses. Those who provide comfort may also need comfort, yet little is known about how comforters are comforted.

    Method: The interviews with mother and nurse were analysed using content analysis. Persons and activities mentioned as comforting were outlined in a sociogram.

    Findings: The findings show that the mother received comfort from her child and family, the nurse, extended family and others close to the family. She found comfort in being involved in the care and sharing worries with the nurse and in self-comfort. She described that siblings found comfort in each other, in living everyday life, in music and in expressing their feelings in drawings. The nurse gained comfort from sharing hardships with colleagues and a relative and from making a difference to the child.

    Conclusion: The findings provide a picture of interacting comforting social networks surrounding one dying child.

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