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  • 1.
    Ehnfors, Margareta
    et al.
    Örebro University, Department of Nursing and Caring Sciences. Department of Social Medicine, Uppsala University, Uppsala.
    Thorell-Ekstrand, Ingrid
    Department of Nursing Research, Karolinska Hospital; College of Health and Caring Sciences, Stockholm.
    Ehrenberg, Anna
    Department of Planning and Development, Falun Hospital, Falun.
    Towards basic nursing information in patient records1991In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 11, no 3-4, p. 12-31Article, review/survey (Refereed)
    Abstract [en]

    Four key concepts for good nursing care and a list of key words for nursing documentation in patient records were established and to some extent tried in clinical practice in Sweden. The method consisted of the following steps: extensive literature review, review of nursing records, development of a list of key words on two levels, a first level corresponding to the nursing process, and a second level consisting of subdivisions for possible use in practice, use and assessment in clinical practice by nurses and students, expert panel judgement and refinement of the key words including an examination of semantic accuracy of the Swedish key words by an expert in Nordic languages. The proposed key words are presented both in English and Swedish and explanations, comments and references are given. The version of key words presented here is subject to further testing for possible modifications.

  • 2.
    Hägglund, Doris
    et al.
    Örebro University, School of Health and Medical Sciences.
    Wadensten, Barbro
    Örebro University, School of Health and Medical Sciences.
    Andersson, Catarina
    Aflarenko, Margareta
    Örebro University, School of Health and Medical Sciences.
    Effekten av tranbärsjuice och personalutbildning i vårdhygien för att förebygga urinvägsinfektioner inom särskilt boende2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 29, no 2, p. 28-32Article in journal (Refereed)
    Abstract [en]

    Cranberry juice is often given to elderly persons in nursing homes to prevent urinary tract infections; still there is little evidence to support its use. Basic hygiene routines are important for preventing urinary tract infections. The aim of this study was to investigate whether cranberry juice and staff education in hygiene care can prevent symptomatic urinary tract infections among elderly persons living in nursing homes. A quasiexperimental study with three intervention groups and one control group was conducted involving 257 elderly women and men. A total of 48 symptomatic urinary tract infections were documented over the six months of the study: 21 (43.7%) in the cranberry group, 11 (22.9%) in the control group, 9 (18.7%) in the cranberry/hygiene care group and 7 (14.5%) in the hygiene care group. These between-group differences were not statistic significant. Hence, our study showed no preventive effect from cranberry juice, alone or in combination with staff education in hygiene care, on the incidence of symptomatic urinary tract infections. However, more and better research with larger randomised trials or cranberry capsules is needed to study its potential use to prevent urinary tract infections in elderly persons.

  • 3.
    Isaksson, Ann-Kristin
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Wenneberg, Stig
    School of Health and Caring sciences, Linnaeus University, Växjö, Sweden.
    Living with multiple sclerosis: The impact of chronic illness2014In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, ISSN 0107-4083, Vol. 34, no 3, p. 23-27Article in journal (Refereed)
    Abstract [en]

    Background: Some patients having multiple sclerosis (MS) still report gains from the adversity o f suffering from a chronic and debilitating illness.

    Aim: To explore the subjective experiences o f quality o f life in patients with MS, focusing on possible positive aspects o f having to come to terms with MS.

    Method: An inductive approach in the form o f latent content analysis was used to analyze the data from 61 MS-patient interviews.

    Findings: Fighting a losing battle but also gradually conquering oneself was the underlying theme that emerged from the following four main categories: Experience o f ill-health, Experience o f health in spite o f illness, Psychosocial consequences o f having MS, and Different ways o f managing MS. Patients with MS were forced to re-evaluate their life during the course o f illness, gaining hard-earned knowledge that became the basis for continually managing their illness.

    Conclusion: Nurses and other health care personnel need to be aware o f the impact living with MS has on patients as revealed by the present study in order to be able to help these patients come to terms with and adapt to the deleterious effects o f this illness.

  • 4.
    Johansson [Tinnfält], Agneta
    et al.
    Örebro University, Department of Health Sciences.
    Ehnfors, Margareta
    Örebro University, Department of Health Sciences.
    Mental health-promoting dialogue of school nurses from the perspective of adolescent pupils2006In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 26, no 4, p. 10-13, 19Article in journal (Refereed)
    Abstract [en]

    Mental health is a major public health issue in Sweden, especially concerning children and adolescents. School plays a primary role as a health-promoting arena, where school nurses use the health dialogue to promote mental health. The aim of this study was to describe the prerequisites of a mental health-promoting dialogue with the school nurse from the perspective of young people. A further aim was to explore what adolescents believe are important dimensions for achieving such a desired dialogue. Twenty-six 15-year-olds in Sweden were interviewed after being assigned to five focus groups. Inductive qualitative content analysis was used. The findings show that the prerequisites for a mental health-promoting dialogue with the school nurse include what issues to discuss in the dialogue and where the dialogue should take place. The dimensions of the dialogue include what the adolescents think is most important in the dialogue with the school nurse: trustiness, attentiveness, respectfulness, authencity, accessibility during school hours and continuity.

  • 5.
    Lund, Carina
    et al.
    Örebro University, School of Health and Medical Sciences. Department of Cardiology, Örebro University Hospital, Örebro, Sweden.
    Nilsson, Ulrica
    Örebro University, School of Health and Medical Sciences. Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden.
    Patients’ perceived health and anxiety pre and post implantable cardioverter defibrillator insertion2010In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 30, no 1, p. 43-44Article in journal (Refereed)
    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.

  • 6.
    NIlsson, Ulrica
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Föräldrars uppfattning av vården vid barnets narkos och uppvakning: en studie av personalens bemötande, föräldrars oro och behovet av preoperativ och postoperativ information1999In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 19, no 4, p. 20-25Article in journal (Refereed)
    Abstract [sv]

    SyfteMot bakgrund av mina erfarenheter som narkossköterska samt studier av litteratur rörande barn och föräldrars upplevelser vid narkos och uppvakning var syftet med denna studie: – att beskriva och förstå hur en grupp föräldrars uppfattar vården och bemötandet i samband med att deras barn sövts och vårdats postoperativt. – att beskriva deras uppfattning om den preoperativa informationen jämfört med deras egna behov av information. – att beskriva och få en förståelse för den eventuella oro som finns kring att vara med sitt barn då det sövs och opereras.

    Målsättningen är att utifrån dessa kunskaper förbättra omhändertagandet, förståelsen, den preoperativa informationen samt den postoperativa uppföljningen av föräldrar och barn framförallt då det gäller polikliniska operationer. Det är angeläget att få svar på dessa frågor då den polikliniska verksamheten inom alla kirurgiska specialitéer ökar. Man måste se till helheten, d.v.s. till hela familjen, och ge både barn och föräldrar stöd, förståelse och information. Att förbättra rutinerna kring denna helhet är ett mål att stäva mot.

    Material och metodUndersökningsgrupp Utgångspunkt för inklusion i studien var föräldrar till barn som sövts och opererats polikliniskt. Valet av polikliniska operationer föll på ÖNH-kliniken, Regionssjukhuset i Örebro. Denna grupp valdes p.g.a. sitt stora antal då ÖNH-kliniken är den klinik som gör flest polikliniska operationer på barn. Barnen har opererats för paracentes, plaströrsinläggning i trumhinnan och abrasio. Barnens ålder var mellan 1-13 år. 104 föräldrar fick en enkät hemskickad till sig 1-3 månader efter barnets operation. Antalet (104) föll på att dessa barn opererades under en viss tidsperiod och det var ett rimligt urval att bygga studien på. Studien var retrospektiv.

  • 7.
    Sahlberg-Blom, Eva
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Hårsmar, Anna-Lena
    Örebro County Council, Örebro, Sweden.
    Österlind, Jane
    Ersta Sköndal högskola, Stockholm, Sweden.
    Assistant nurses’ descriptions of signs of dying among older people in nursing homes2013In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 33, no 3, p. 20-24Article in journal (Refereed)
    Abstract [en]

    Background: In Sweden, assistant nurses are the group of professionals who have a great deal of contact with older, dying persons in nursing homes. They have substantial experience in this area. It is therefore important that their voices are heard about their experience of how they identify that an older person is dying.

    Aim: The purpose was to describe assistant nurses’ experiences of signs of dying among older people in nursing homes.

    Method: A qualitative manifest content analysis was used. Four interviews were performed with eight experienced assistant nurses, individually or in groups, from two nursing homes.

    Findings: The result is characterized by the assistant nurses’ descriptions of both subtle and manifest signs that an older person is dying. The analysis led to two categories: “the older person expresses insight” and “the older person’s body changes”. The first of these mainly involved observations of psychosocial changes, while the second mainly contained observations of bodily changes.

    Conclusion: The clinical experiences as the assistant nurses achieve give valuable incitements for creating good palliative care. The assistant nurses must be seen as a significant part of the care team. They should be offered continuous education and support regarding palliative care in order to develop their skills and practical knowledge.

  • 8.
    Strandberg, Thomas
    Örebro University, Department of Health Sciences.
    Traumatisk hjärnskada hos kvinnor: perspektiv på kön, sexualitet och funktionshinder: en litteraturstudie med feministisk ansats2004In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 24, no 1, p. 47-50Article in journal (Other academic)
    Abstract [en]

    The article is built upon tree topics: feminism, sexuality and disability. The purpose is to illuminate traumatic brain injury (TBI) among women in perspectives of gender, role and sexuality. On the basis of literature studies the article summarize (i) gender specific onsequences for women (ii) sexual consequences for women (iii) women role changes.

    The article brings up sexual consequences with TBI as increased and decreased sexual lust and problem with orgasms. Role changes are illuminated as working role, hobbyist and role as a family member. Even gender specific differences between cognition and emotion are mentioned.

    The article set focus on TBI as a hidden less recognised consequence for battered women. Gender perspectives are problemized and discussed in connection to TBI. Thinking in processes is described in purpose to give a more holistic perspective on mankind and its sexuality. Violence against women having TBI and frequents of injuries seen in a gender perspective is mentioned.

  • 9.
    Söderman, Annika
    et al.
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Jackson, Karin
    Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.
    Barn som far illa i sin hemmiljö: BVC-sjuksköterskors upplevelser av att möta och hjälpa barnen.2011In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 31, no 4, p. 38-42Article in journal (Refereed)
    Abstract [en]

    ABSTRACT

    Aim: The aim of this study was to describe child health nurses (CHN´s) experiences of meeting and helping the children exposed to child abuse in the home environment.

    Background: CHN´s have the opportunity to come close to families and support them. This support may strengthen the parental role which can improve the child's environment and provide help to children exposed to child abuse.

    Methods: A descriptive design with a qualitative approach (content analysis) was used. Six CHN´s were interviewed.

    Findings: The experience of to obtain an insight into the child maltreatment was described. The CHN´s experienced their meeting with child abuse as a difficult task e.g. to take a decision to notify the social services and the CHN as the child´ s agent. The CHN´s also had experiences of both providing and receiving support.

    Conclusions: CHN´s have a number of difficult tasks like meeting abused children. Through experience and support from colleges the CHN´s can reach a higher confidence in their own capacity of helping the children. This can affect how fast the CHN take the necessary decision to report to social services when a child is abused.

    KEYWORDS: Child abuse, Care failure, Child health care, Child health nurse, Failure to thrive.

  • 10. Wallenius, Elisabeth
    et al.
    Möller, Kerstin
    Örebro University, School of Health and Medical Sciences.
    Berglund, Britta
    Karolinska institutet.
    Everyday impact of having a rare diagnosis: a questionnaire study2009In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, no 3, p. 13-17Article in journal (Refereed)
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