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37383940 1951 - 1963 of 1963
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  • 1951.
    Åslev, Helena
    Sophiahemmet University.
    Hälsorelaterad livskvalitet före och efter laparoskopisk tarmresektion vid koloncancer2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
  • 1952.
    Åslund, Christian
    Sophiahemmet University.
    Larynxmasken som hjälpmedel för ambulanssjuksköterskan vid omvårdnaden av patienten med luftvägs- och andningsproblematik: en litteraturöversikt2014Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1953.
    Öberg, Helena
    et al.
    Sophiahemmet University College.
    Eriksson-Roxfur, Charlotte
    Sophiahemmet University College.
    Musikens betydelse i omvårdnaden av personer med demenshandikapp2005Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
  • 1954.
    Öhlen, Jenny
    Sophiahemmet University.
    Sjuksköterskestudenters förväntningar av att ge palliativ vård: hur förbereder en kurs inom palliativ vård sjuksköterskestudenter, en kvalitativ deskriptiv studie2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    ABSTRACT

    Background: To train as a nurse is not just an education that is completed and when done there is a nurse ready for everything. There is a process for many students and things might happen that changes the student as a person. Caring for the dying patient changes student's attitude towards nursing. Students wish that education in palliative care should be included in the foundation of nursing. Students should be able to understand both the patient and the nursing process which is the goal of clinical training (CT). Unless the student is well prepared for meeting with the dying patient, there is a risk that the student avoids these meetings. Students describes that they have feelings such as anxiety and frustration associated with palliative care. To raise students' experience of palliative care, it is important to share their feelings, thoughts and experience. Aim: The aim of this study was to illuminate nursing students' expectations of giving palliative care and how dose a course in palliative care prepare the student for their first CT in hospitals and their future role as a nurse Method: Data has been collected through qualitative method with an inductive approach. Data were collected during December 2014 from a university in Sweden through a focus group discussion and through selected parts from the nursing students' reflection data. Descriptive study design was used. The collected data were analysed by qualitative content analysis. Results: The own experience, both personal and professional, affecting nursing student's expectations of palliative care. It was considered important to gather experience in palliative care. The nursing student's expected new knowledge. However, they did not expect to be affected as they were. Feelings and thoughts were raised during the course that moved from sadness and despair to joy and love. Preparatory face of death was described in which death is something beautiful where worry and anxiety do not exist. It was considered important as the foundation of care balance between compassion and professionalism and that the nurse must be able to communicate. The nurse working in palliative care should not be afraid of death. Death should be seen as a normal process where life is affirmed. Everyone have the same right to palliative care regardless of diagnosis or culture. A course in palliative care prepares the student for future CT and the future role as a nurse and is considered as an important part of education. The course in palliative care caught some of the student's interest and strengthened an already existing interest. Different forms of education should be mixed for a good result and most importantly in the education is time for reflection and to share experiences. Students reflected about their own death, and also family member's eventual death, this was considered as important and part of the process and the maturity of the students. Conclusions: Nursing students in the present study discloses that palliative care is important and interesting topic where life is affirmed and death is seen as a normal process. Nursing students get the opportunity to reflect on feelings. Given opportunity to reflect on their own or family members' possible death is what emerges strongly in the results. The students describe the importance of varying forms of training where reflection and shared experience is highlighted as the main components of the program. The expectation of palliative care is about curiosity to meet with the dying patient and his relatives.

  • 1955. Öhlén, Joakim
    et al.
    Reimer-Kirkham, Sheryl
    Astle, Barbara
    Håkanson, Cecilia
    Sophiahemmet University.
    Lee, Joyce
    Eriksson, Marjukka
    Sawatzky, Richard
    Person-centred care dialectics-Inquired in the context of palliative care2017In: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769X, Vol. 18, no 4Article in journal (Refereed)
    Abstract [en]

    Although a widely used concept in health care, person-centred care remains somewhat ambiguous. In the field of palliative care, person-centred care is considered a historically distinct ideal and yet there continues to be a dearth of conceptual clarity. Person-centred care is also challenged by the pull of standardization that characterizes much of health service delivery. The conceptual ambiguity becomes especially problematic in contemporary pluralistic societies, particularly in the light of continued inequities in healthcare access and disparities in health outcomes. Our aim was to explicate premises and underlying assumptions regarding person-centred care in the context of palliative care with an attempt to bridge the apparently competing agendas of individualization versus standardization, and individuals versus populations. By positioning person-centredness in relation to the hermeneutics of the self according to Paul Ricœur, dialectics between individualization and standardization, and between individuals and populations were constructed. The competing agendas were related in a dialectic manner in the way that population health is of importance for the individual, and standardization is of importance for the population. The analysis suggests that person-centred care is an ethical stance, which gives prominence to both suffering and capability of the individual as a person. The dialectic analysis points towards the importance of extending person-centred care to encompass population and societal perspectives and thereby avoiding a problematic tendency of affiliating person-centred care with exclusively individualistic perspectives. Considerations for person-centred palliative care on micro-, meso- and macrolevels conclude the paper.

  • 1956. Österlund Efraimsson, Eva
    et al.
    Fossum, Bjöörn
    Sophiahemmet University.
    Ehrenberg, Anna
    Larsson, Kjell
    Klang, Birgitta
    Use of motivational interviewing in smoking cessation at nurse-led chronic obstructive pulmonary disease clinics2012In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, no 4, 767-782 p.Article in journal (Refereed)
    Abstract [en]

    efraimsson e.ö., fossum b., ehrenberg a., larsson k. & klang b. (2011) Use of motivational interviewing in smoking cessation at nurse-led chronic obstructive pulmonary disease clinics. Journal of Advanced Nursing. ABSTRACT: Aim.  This paper is a report of a study to describe to what extent Registered Nurses, with a few days of education in motivational interviewing based communication, used motivational interviewing in smoking cessation communication at nurse-led chronic obstructive pulmonary disease clinics in primary health care. Background.  For smokers with chronic obstructive pulmonary disease the most crucial and evidence-based intervention is smoking cessation. Motivational interviewing is often used in healthcare to support patients to quit smoking. Method.  The study included two videotaped consultations, the first and third of three at the clinic, with each of 13 smokers. Data were collected from March 2006 to April 2007. The nurses' smoking cessation communication was analysed using the Motivational Interviewing Treatment Integrity scale. To get an impression of the consultation, five parameters were judged on a five-point Likert-scale, with five indicating best adherence to Motivational Interviewing. Results.  Evocation', 'collaboration', 'autonomy-support' and 'empathy' averaged between 1·31 and 2·23 whereas 'direction' scored five in all consultations. Of communication behaviours, giving information was the most frequently used, followed by 'closed questions', 'motivational interviewing non-adherent' and 'simple reflections'. 'Motivational interviewing adherent', 'open questions' and 'complex reflections' occurred rarely. There were no important individual or group-level differences in any of the ratings between the first and the third consultations. Conclusion.  In smoking cessation communication the nurses did not employ behaviours that are important in motivational interviewing.

  • 1957. Österlund Efraimsson, Eva
    et al.
    Klang, Birgitta
    Ehrenberg, Anna
    Larsson, Kjell
    Fossum, Bjöörn
    Sophiahemmet University.
    Olai, Lena
    Nurses' and patients' communication in smoking cessation at nurse-led COPD clinics in primary health care2015In: European Clinical Respiratory Journal, ISSN 2001-8525 (Electronic), Vol. 2, 27915- p.Article in journal (Refereed)
    Abstract [en]

    Background: Smokers with chronic obstructive pulmonary disease (COPD) have high nicotine dependence making it difficult to quit smoking. Motivational interviewing (MI) is a method that is used in stimulating motivation and behavioral changes.

    Objective: To describe smoking cessation communication between patients and registered nurses trained in MI in COPD nurse-led clinics in Swedish primary health care.

    Methods: A prospective observational study with structured quantitative content analyses of the communication between six nurses with basic education in MI and 13 patients in non-smoking consultations.

    Results: Only to a small extent did nurses’ evoke patients’ reasons for change, stimulate collaboration, and support patients’ autonomy. Nurses provided information, asked closed questions, and made simple reflections. Patients’ communication was mainly neutral and focusing on reasons for and against smoking. It was uncommon for patients to be committed and take steps toward smoking cessation.

    Conclusion: The nurses did not adhere to the principles of MI in smoking cessation, and the patients focused to a limited extent on how to quit smoking.

    Practice implications: To make patients more active, the nurses need more education and continuous training in motivational communication.

  • 1958. Österlund Efraimsson, Eva
    et al.
    Klang, Birgitta
    Larsson, Kjell
    Ehrenberg, Anna
    Fossum, Bjöörn
    Sophiahemmet University.
    Communication and self-management education at nurse-led COPD clinics in primary health care2009In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 77, no 2, 209-17 p.Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: The aim of the study was to explore the structure, content in communication and self-management education in patients' first consultations at nurse-led chronic obstructive pulmonary disease (COPD) clinics in primary healthcare. METHOD: Thirty consultations performed by seven registered nurses were videotaped; structure and content in the consultation was analyzed using Pendleton's Consultation Map. Nurses' self-management education was assessed from the content of the conversation: whether important and relevant information and self-management education was given, and how investigations were performed. RESULTS: Each consultation lasted for a mean time of 37.53 min. Communication about reasons for consultations concerned mainly medical and physical problems and to a certain extent patients' perceptions. Teaching about self-management and smoking cessation was of an informative nature. Two consultations ended with shared understanding, and none of the patients received an individual treatment-plan. CONCLUSION: Nurses rarely planned the consultations on an individual basis and rarely used motivational dialogue in self-management education and in smoking cessation. PRACTICE IMPLICATIONS: The findings could be used to help nurses to reflect on how to improve the structure of the visit, self-management education, smoking cessation and patient communication.

  • 1959.
    Östlinder, Sophia
    Sophiahemmet University College.
    Sjuksköterskans stöd till anhöriga som vårdar demenssjuka personer i hemmet2004Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
  • 1960.
    Östlund, Caritha
    Sophiahemmet University College.
    Omvårdnadsplanering av muslimsk patient utifrån VIPS dokumentationsmodell2003Independent thesis Basic level (degree of Bachelor), 5 credits / 7,5 HE creditsStudent thesis
  • 1961.
    Östlund, Petra
    Sophiahemmet University.
    Patienters upplevelser av delaktighet i vården: en intervjustudie på en akutvårdsavdelning2015Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Sammanfattning

    Patienter har enligt lag rätt att vara delaktiga i hälso- och sjukvården. Akutsjukvården är en speciell del av vårdkedjan där det är viktigt med snabba beslut och interventioner för att åtgärda akuta sjukdomar och skador. När en person blir patient hamnar personen i en viss beroendeställning till personalen. Sjuksköterskan och övrig personal i vården har möjligheten att stärka eller försvaga patientens roll genom sitt agerande. I jämförelse med andra likvärdiga länder är svenska patienters möjlighet till delaktighet i vården eftersatt.

    Syftet med studien var att beskriva patienters upplevelser av delaktighet i vården på en akutvårdsavdelning.

    Studien bygger på tio intervjuer med patienter på en akutvårdsavdelning. En intervjuguide med semistrukturerade frågor användes och det insamlade materialet analyserades med kvalitativ innehållsanalys.

    Respondenterna beskrev att ett vänligt bemötande, dialog och information var handlingar och attityder som möjliggjorde delaktighet i vården. Stress, nonchalans och bristande empati från personalens sida beskrevs som hinder för delaktighet. Respondenterna beskrev även två helt olika strategier för hur de själva kunde påverka sin delaktighet i vården.

    Patienters delaktighet inom akutsjukvården är ingen självklarhet. För att delaktighet ska uppstå krävs vilja från båda parter och en förutsättning för medbestämmande är möten och samtal. Ansvaret för att skapa dialog ligger hos hälso- och sjukvårdspersonalen men långt ifrån alla patienter vill eller orkar vara aktivt delaktiga i beslut om sjukvården, vilket också måste respekteras. Stress och tidsbrist är reella hinder i vården idag, men det finns fortfarande mycket personalen kan göra för att möjliggöra delaktighet för patienterna. Även inom akutsjukvården finns hela tiden möjligheter till delaktighet både i stora beslut och i små dagliga val, det gäller bara att se dem.

  • 1962. Östlund, Petra
    et al.
    Rüter, Anders
    Sophiahemmet University.
    Franklin Larsson, Lise-Lotte
    Sophiahemmet University.
    Patienters upplevelser av delaktighet i vården: En intervjustudie på en akutvårdsavdelning2016Conference paper (Other academic)
  • 1963.
    Överby, Ida
    et al.
    Sophiahemmet University College.
    Lundin, Åsa
    Sophiahemmet University College.
    Allmänsjuksköterskans undervisning vid osteoporos: en jämförelse av tre modeller utifrån patient empowerment2002Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
37383940 1951 - 1963 of 1963
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