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Mathiesen, K. L., Lindberg, E., Nässén, K., Cowdell, F. & Palmér, L. (2023). “A becoming in the meeting”: the interpretations of competence in home care from the perspectives of older people and registered nurses – a meta-ethnography. International Journal of Qualitative Studies on Health and Well-being, 18, Article ID 2262170.
Open this publication in new window or tab >>“A becoming in the meeting”: the interpretations of competence in home care from the perspectives of older people and registered nurses – a meta-ethnography
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2023 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, article id 2262170Article in journal (Refereed) Published
Abstract [en]

Aim

The aim of this meta-ethnography was to identify and synthesize qualitative studies focusing on older people’s and registered nurses’ interpretations of competence in home care. 

Methods

The meta-ethnography followed the six phases developed by Noblit and Hare (1988). 

Results

In Phase 6, the translation process of the included studies, three themes were identified: i) temporality—the feeling of being of value; ii) dignity—a person, not just a patient; and iii) mutuality of being—togetherness. A synthesis was developed, and the phrase “a becoming in the meeting” emerged. 

Conclusion

The sense of becoming includes progress, which means becoming something other than before in relation with others and refers to what constitutes the meeting between the older person and the registered nurse working in home care. Competence originates from becoming in the meeting, and registered nurses should therefore value what they do and hold on to this aspect of caring competence that centres on a caring relationship. It is important for registered nurses working in home care to be able to cultivate a caring relationship.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Competence, care, caring, relationship, dignity, home care, meta-ethnography, older people, registered nurses, temporality, togetherness
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30983 (URN)10.1080/17482631.2023.2262170 (DOI)001073146400001 ()2-s2.0-85173465701 (Scopus ID)
Funder
EU, Horizon 2020, 813,928
Note

INNOVATEDIGNITY The European Union’s Horizon 2020 Research and Innovation Programme (MSCA-ITN-2018 under grant agreement number 813,928)

Available from: 2023-12-12 Created: 2023-12-12 Last updated: 2024-02-01Bibliographically approved
Palmér, L. (2023). A Theoretical Model on Caring for Mothers with Initial Breastfeeding Difficulties: The Breastfeeding Story as a Hub for Caring Practice. In: : . Paper presented at Nordic Breastfeeding Conference, Helsingfors, Finland, 21-22 September, 2023.
Open this publication in new window or tab >>A Theoretical Model on Caring for Mothers with Initial Breastfeeding Difficulties: The Breastfeeding Story as a Hub for Caring Practice
2023 (English)Conference paper, Oral presentation only (Refereed)
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30986 (URN)
Conference
Nordic Breastfeeding Conference, Helsingfors, Finland, 21-22 September, 2023
Available from: 2023-12-12 Created: 2023-12-12 Last updated: 2023-12-13Bibliographically approved
Xiarchi, L., Palmér, L., Nässén, K., Cowdell, F. & Lindberg, E. (2023). Balancing between familiarity and professionalism in caring for older persons: A phenomenological study from the perspective of nursing students. Nurse Education in Practice, 71, Article ID 103695.
Open this publication in new window or tab >>Balancing between familiarity and professionalism in caring for older persons: A phenomenological study from the perspective of nursing students
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2023 (English)In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 71, article id 103695Article in journal (Refereed) Published
Abstract [en]

Aim: To describe the meaning of caring for older persons based on the experiences of nursing students in Greece. Background: The present study is conducted based on a caring science perspective derived from a holistic viewpoint of human beings, aiming to support the well-being of older persons. In Greece, informal caregivers play an important role in caring for older people; however, as the population ages, the need for registered nurses specialising in caring for older people is also increasing. Previous research in other countries has reported a relative lack of interest in this field, which is a threat to the quality of care. To ensure an adequate number of new-generation nurses caring for older people, nursing students’ perceptions of the phenomenon of caring for older persons should be well understood and explored in a context where the number of long-term care beds and residential care facilities are low and where informal caregiving is common. Design: Based on Descriptive Phenomenology, in line with the Reflective Lifeworld Research (RLR) approach. Methods: A total of 12 nursing students at a university in Greece underwent in-depth lifeworld interviews online during June and July 2021 and March 2022; Interviews were transcribed verbatim and were analysed according to the principles of RLR that approaches the phenomena with openness and constant reflection. The participants were students in their fourth or fifth year of nursing education; they had previous experience in older person care and were not acquainted with the authors. Results: The results show the essential structure of the meaning of caring for older persons, where otherness consists of intertwined demanding and rewarding elements. The essence is further conveyed by three constituents: otherness of the older person: witnessing someone's vulnerability; trustful caring: struggling with normative structures; and closeness and distance: balancing between familiarity and professionalism. Conclusion: To ensure quality of care for older persons in the future, an understanding of how nursing students describe their experiences of caring for older persons during education is important. Balancing between familiarity and professionalism highlights the need for further reflection on professionalism and dignity and identifying the norms and values helps to highlight particularities of the context and national healthcare system. Curricula focusing on cultivating students’ preunderstanding, regarding caring for older persons are required to promote a higher quality of care in the future. Caring science can contribute to a focus on a holistic perspective in caring for older people. Tweetable abstract: There is an ever-increasing need for educated nurses in the field of caring for older people. With the lack of interest in this field of nursing, the overall quality of care is impacted. This study describes the meaning of caring for older persons based on the experiences of nursing students in the Greek health care system. 

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Education, Greece, Health care, Informal caregivers, Nurses, Nursing care, Nursing students, Older adults, Qualitative research methods, aged, article, care behavior, caregiver, clinical article, female, genetic transcription, health care system, human, human dignity, human experiment, interview, intimacy, long term care, male, nurse, nursing education, nursing student, perception, phenomenology, professionalism, qualitative research, registered nurse, residential care, vulnerability, wellbeing
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30251 (URN)10.1016/j.nepr.2023.103695 (DOI)001037472500001 ()2-s2.0-85164317659 (Scopus ID)
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2024-02-01Bibliographically approved
Gustafsson, I., Carlsson, G., Karlsson, K., Jarling, A. & Palmér, L. (2023). Breastfeeding and experienced exposedness in partner relationshiop. In: Abstract Book The Nordic Breastfeeding Conference 2023: . Paper presented at The 10th Nordic Breastfeeding Conference, Hanasaari, Espoo, Finland, September 21-22 2023..
Open this publication in new window or tab >>Breastfeeding and experienced exposedness in partner relationshiop
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2023 (English)In: Abstract Book The Nordic Breastfeeding Conference 2023, 2023Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

BREASTFEEDING AND EXPERIENCED EXPOSEDNESS IN PARTNER RELATIONSHIP

Ida Gustafsson RN, RM, Lecturer, PhD-student

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

Gunilla Carlsson RN, PhD, Professor

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

Katarina Karlsson RN, PhD

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

Aleksandra Jarling RN, PhD, Lecturer

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

Lina Palmér RN, RM, PhD, Associate Professor, Docent

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

 

Background: About 110 000 children are born in Sweden annually. The vast majority of their mothers wish to breastfeed, and also initiate breastfeeding. An important factor for continued breastfeeding is support, especially from the partner. It is likely that lack of support can lead to perceived vulnerability in the partner relationship. Intimate partner violence (IPV) during pregnancy is in Sweden nearly as common as gestational diabetes and the frequency seems to rise postpartum. IPV is multifaceted and encompasses many types and degrees of violence. In a caring science perspective the experience of vulnerability and/or exposedness in partner relationship during breastfeeding (or breastfeeding desire) risks negatively affecting womens health and well-being, regardless of the reason or degree of exposedness. For care to be caring - that is, support health and well-being - knowledge is needed from the perspective of the exposed women. Previous lifeworld theoretical research has shown that breastfeeding may be experienced as an existential challenge and that exposedness to violence during the childbearing period means a long-lasting embodied experience. In this project, these two phenomena are intertwined into a common phenomenon - Breastfeeding in case of experienced exposedness in a partner relationship.

 

Aim: The purpose of the PhD-project is to develop in-depth knowledge of existential meanings of breastfeeding in case of experienced exposedness in a partner relationship (Study 1-2), and what it means to be cared for (Study 3), as well as to give care and support in this context (Study 4).

 

Methods: The project has a reflective lifeworld approach. Data has been collected through lifeworld interviews and written lifeworld stories and will be analyzed using a phenomenological or hermeneutical approach.

 

Results & Conclusion: The results and conclusions of the first study are expected to be completed in the summer of 2023 and will be presented at the conference.

Keywords
Breastfeeding, Exposedness, Intimate partner violence, Existential meaning, Lifeworld, Reflective Lifeworld Research, Phenomenology, Hermeneutics
National Category
Other Medical Sciences not elsewhere specified
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30977 (URN)
Conference
The 10th Nordic Breastfeeding Conference, Hanasaari, Espoo, Finland, September 21-22 2023.
Projects
Vårdforskning angående utbildande/vårdande vid amning
Available from: 2023-12-08 Created: 2023-12-08 Last updated: 2023-12-12Bibliographically approved
Mehtola, E., Golsäter, M. & Palmér, L. (2023). Child Healthcare Nurses` Experiences of Caring for Mothers with Oversupply of Breastmilk. In: : . Paper presented at Nordic Breastfeeding Conference, Helsingfors, Finland, 21-22 September, 2023.
Open this publication in new window or tab >>Child Healthcare Nurses` Experiences of Caring for Mothers with Oversupply of Breastmilk
2023 (English)Conference paper, Oral presentation only (Refereed)
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30987 (URN)
Conference
Nordic Breastfeeding Conference, Helsingfors, Finland, 21-22 September, 2023
Available from: 2023-12-12 Created: 2023-12-12 Last updated: 2023-12-13Bibliographically approved
Gustafsson, I., Spångby, M., Arvidsdal, A., Golsäter, M. & Palmér, L. (2023). Clinical introduction and evaluation of the Existential Breastfeeding Difficulty Scale (ExBreastS) in the context of child health care. In: Abstract Book: The Nordic Breastfeeding Conference 2023. Paper presented at The 10th Nordic Breastfeeding Conference (Efficient breastfeeding promotion, education and support), Hanasaari, Espoo, Finland, September 21-22, 2023..
Open this publication in new window or tab >>Clinical introduction and evaluation of the Existential Breastfeeding Difficulty Scale (ExBreastS) in the context of child health care
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2023 (English)In: Abstract Book: The Nordic Breastfeeding Conference 2023, 2023Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

CLINICAL INTRODUCTION AND EVALUATION OF THE EXISTENTIAL BREASTFEEDING DIFFICULTY SCALE (EXBREASTS) IN THE CONTEXT OF CHILD HEALTH CARE

Ida Gustafsson RN, RM, Lecturer, PhD-student

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

Malin Spångby RN, MNSc

Child Health Services, Region Jönköping County, Jönköping, Sweden

Ann Arvidsdal RN, MNSc

Child Health Services, Region Jönköping County, Jönköping, Sweden

Marie Golsäter RN, PhD, Docent

Child Health Services, Region Jönköping County, Jönköping, Sweden

CHILD Research Group, School of Health and Welfare, Jönköping University, Jönköping, Sweden

Department of Health, Medicine and Caring, Linköping University, Linköping, Sweden

Lina Palmér RN, RM, Associate Professor, Docent

Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

 

Background: Breastfeeding, both with and without perceived difficulties, can be experienced as an existential journey. Therefore, care needs to be based on the woman's breastfeeding story and carers need to be prepared to handle the existential questions that may arise. Previous research shows that healthcare professionals struggle with providing individually tailored care. The Existential Breastfeeding Difficulty Scale (ExBreastS) was developed based on lifeworld theoretical research on women's experiences of initiating breastfeeding with or without breastfeeding difficulties and was in this study introduced in child healthcare in a Swedish region. This was done to evaluate its ability to support child healthcare nurses to conduct existentially oriented caring dialogues with the breastfeeding story in focus. 

 

Aim: Describe child healthcare nurses’ lived experience of how ExBreastS influences the caring dialogue.

 

Methods: Lifeworld interviews were conducted with 17 child healthcare nurses about their experience of using ExBreastS to support caring dialogues with breastfeeding women. The interviews were conducted either individually, in pairs or in groups. The material was analyzed through thematic analysis based on descriptive phenomenology.

 

Results: The results show that ExBreastS contributes to the re-evaluation of the importance of the caring dialogue because the existential significance of breastfeeding is given more space. ExBreastS also makes new perspectives of the breastfeeding story visible for both woman and carer. However, if the instrument itself receives too much of the nurse’s focus, there is a risk that the caring dialogue will be overshadowed.

 

Conclusions: ExBreastS supports caring dialogues based on the breastfeeding story through its focus on the existential aspects of breastfeeding. However, this requires time, support from the organization and an awareness that caring dialogues can have no manual.

Keywords
Breastfeeding, Clinical Introduction, Evaluation, ExBreastS, Child Health Care, Caring Science, Life World, Existential
National Category
Other Medical Sciences not elsewhere specified
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30976 (URN)
Conference
The 10th Nordic Breastfeeding Conference (Efficient breastfeeding promotion, education and support), Hanasaari, Espoo, Finland, September 21-22, 2023.
Projects
Vårdforskning angående utbildande/vårdande vid amning
Available from: 2023-12-08 Created: 2023-12-08 Last updated: 2023-12-12Bibliographically approved
Xiarchi, L., Nässén, K., Palmér, L., Cowdell, F. & Lindberg, E. (2023). Gender influences on caring, dignity and well‐being in older person care: A systematic literature review and thematic synthesis. Nursing Philosophy
Open this publication in new window or tab >>Gender influences on caring, dignity and well‐being in older person care: A systematic literature review and thematic synthesis
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2023 (English)In: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Globally, healthcare has become dominated by women nurses. Gender is also known to impact the way people are cared for in various healthcare systems. Considering gender from the perspective of how lived bodies are positioned through the structural relations of institutions and processes, this systematic review aims to explore the meaning of gender in the caring relationship between the nurse and the older person through a synthesis of available empirical data published from 1993 to 2022. CINAHL, PUBMED, EMBASE and Web of Science were searched from the beginning of each database's temporal range, and PRISMA guidelines were used for the screening, reviewing and selection processes of available records. A thematic synthesis of the available data resulted in three analytical themes: (i) vulnerability of the gendered body, (ii) norms and values related to gender and sexuality and (iii) balancing closeness and distance in the nurse-patient relationship. These themes are intertwined and represent different aspects of gender meaning in the nurse–patient relationship. This research shows that gender, through its influence on the gendered body, its relationship with power dynamics in the caring process, and its intersection with dimensions of identity, has a significant meaning for the experienced vulnerability in the nurse–patient relationship. This has implications for the well-being and sense of dignity of the older person as well as the nurse. 

Keywords
gender, nurses, older people, patients, qualitative research methods, relationships
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30719 (URN)10.1111/nup.12467 (DOI)001089114800001 ()2-s2.0-85175373584 (Scopus ID)
Funder
EU, Horizon 2020, 813928
Available from: 2023-11-07 Created: 2023-11-07 Last updated: 2024-02-01Bibliographically approved
Mathiesen, K. L., Lindberg, E., Nässén, K., Cowdell, F. & Palmér, L. (2023). Home care nurses lived experiences of caring relationships with older adults: A phenomenological study. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Home care nurses lived experiences of caring relationships with older adults: A phenomenological study
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2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background: This paper describes registered nurses' lived experiences of caring relationships in the context of homecare provision for older adults living in Denmark. With the growing ageing population throughout Europe, more older adults will require complex care solutions within already overburdened care systems. This development places demands on the competencies and organisation of homecare nurses, as they become key players in healthcare systems. Fostering caring relationships in homecare is a rewarding and valuable process that enhances the holistic and humanising aspects of caring for older adults. For a caring relationship to be truly caring, we must understand not only the subjective experience of such a relationship but also how it is experienced in relation to and shared with others. Aim: This study aimed to describe the essential meaning of the phenomenon of caring relationships in homecare for older adults based on the lived experiences of homecare nurses. Approach and Methods: Registered nurses working in homecare for older adults were interviewed, and a phenomenological analysis was conducted according to the methodological principles of the reflective lifeworld research approach. Findings: The essential meaning of the phenomenon is described as creating an existential and embodied space in which each patient's world is the foundation of caring. The constituents are as follows: caring for the whole person, a sense of ‘at-homeness’ through trusting ‘the other’, experiencing continuity as caring and prioritising the time to care. Conclusion: Caring competence in homecare for older adults relies on a nurse's ability to intertwine physical and existential care needs and articulate them in their daily work. A focus on the phenomenon of caring relationships brings value to and adds an extra layer to the discussion on caring competence.

Keywords
caring competence, caring relationship, caring science, existential care, homecare, lifeworld, older adults, phenomenology, reflective lifeworld research, registered nurses
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30637 (URN)10.1111/scs.13217 (DOI)001070388100001 ()2-s2.0-85172278121 (Scopus ID)
Funder
European Commission, 813928University of Borås
Available from: 2023-10-19 Created: 2023-10-19 Last updated: 2024-02-01Bibliographically approved
Lindberg, E., Hörberg, U. & Palmér, L. (2023). How do we approach the essence of what matters to human beings in vulnerable situations?. Scandinavian Journal of Caring Sciences, 37(4), 881-883
Open this publication in new window or tab >>How do we approach the essence of what matters to human beings in vulnerable situations?
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 37, no 4, p. 881-883Article in journal, Editorial material (Other (popular science, discussion, etc.)) Published
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30984 (URN)10.1111/scs.13218 (DOI)001079968700001 ()2-s2.0-85173438336 (Scopus ID)
Available from: 2023-12-12 Created: 2023-12-12 Last updated: 2024-02-01Bibliographically approved
Palmér, L., Nyström, M. & Karlsson, K. (2023). Lifeworld hermeneutics: An approach and a method for research on existential issues in caring science. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Lifeworld hermeneutics: An approach and a method for research on existential issues in caring science
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Epub ahead of print
Abstract [en]

Background and aim

The aim of the present article was to elaborate on a research approach and method called ‘lifeworld hermeneutics’. Significant to lifeworld hermeneutics is that interpretation is the main methodological instrument for explaining and understanding existential research questions and lived experiences. From a caring science perspective, this often refers to research that aims to gain a deeper understanding of existential phenomena and issues, such as existential meaning of health, well-being, homelessness, lostness, suffering and ageing, as well as what it means to experience unhealthiness and illness, the need for care, and caring that responds to such needs.

Design

Theoretical paper.

Result

The article briefly covers ontology and epistemology that clarifies the meaning and importance of a lifeworld hermeneutic attitude. This is followed by suggestions for how to perform a lifeworld hermeneutic study, expressed in relation to methodological principles for the interpretation, validation and structuring of interpretations. Thereafter, follow reflections on how to use theoretical or philosophical support to develop and deepen existential interpretations. The findings of lifeworld hermeneutic research consist of existential interpretations where the researcher, with an open and pliable attitude towards the phenomenon and the aim of the study, clarifies, explains and suggests new ways of understanding participants’ lived experiences; the researcher should maintain such an attitude towards their understanding of the phenomenon as well.

Conclusion

The lifeworld hermeneutical approach and method described in this article makes it possible to further deepen the understanding and knowledge about existential issues that is relevant for caring and caring science. 

Keywords
caring science, existential issues, interpretation, lifeworld hermeneutics, lived experiences, meaning
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30523 (URN)10.1111/scs.13201 (DOI)001059649400001 ()2-s2.0-85169450281 (Scopus ID)
Available from: 2023-09-18 Created: 2023-09-18 Last updated: 2024-02-01Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-4319-4584

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