Change search
Link to record
Permanent link

Direct link
Alternative names
Publications (10 of 65) Show all publications
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
Show others...
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
Israelsson-Skogsberg, Å., Eriksson, T. & Lindberg, E. (2023). A scoping review of older patients' health‐related quality of life, recovery and well‐being after intensive care. Nursing Open
Open this publication in new window or tab >>A scoping review of older patients' health‐related quality of life, recovery and well‐being after intensive care
2023 (English)In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed) Published
Abstract [en]

Aims

In the present study, we aimed to determine how Health-Related Quality of Life (HRQoL), recovery (function and capacity in daily life) and well-being are followed up and characterised in persons ≥65 years of age who were being cared for in an intensive care unit (ICU).

Design

A scoping review.

Methods

CINAHL, MEDLINE (Ovid) and PsycINFO databases were searched in October 2021. 20 studies met the inclusion criteria. The scoping review followed the principles outlined by Arksey and O'Malley, and the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) checklist and Joanna Briggs Institute (JBI) framework were used.

Results

Results are presented under five subheadings: Study characteristics, Type of studies, Methods for follow-up, health-related quality of life, and Recovery. Time seems to be an important factor regarding HRQoL among older patients being cared for in an ICU, with most elderly survivors perceiving their HRQoL as acceptable after 1 year. Nevertheless, several studies showed patients' willingness to be readmitted to the ICU if necessary, indicating that life is worth fighting for.

Patient or Public Contribution

Due to the design of the study, this study involves no patient or public contribution.

 

National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-29912 (URN)10.1002/nop2.1873 (DOI)001003323100001 ()2-s2.0-85163130131 (Scopus ID)
Available from: 2023-06-16 Created: 2023-06-16 Last updated: 2024-02-01Bibliographically 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
Show others...
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, T., Sundler, A. J., Hedén, L., Lindberg, E. & Maurin Söderholm, H. (2023). Communication in home care—A feasibility study of an educational intervention in self‐efficacy and job satisfaction. Nursing Open, 10(3), 1375-1382
Open this publication in new window or tab >>Communication in home care—A feasibility study of an educational intervention in self‐efficacy and job satisfaction
Show others...
2023 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 10, no 3, p. 1375-1382Article in journal (Refereed) Published
Abstract [en]

Aim

To explore the feasibility of evaluating a novel educational intervention on person-centered communication for nursing assistants (NAs) in home care.

Design

A feasibility study with pre- and post-assessments.

Methods

Feasibility was assessed pre- and post-intervention, including evaluation of data collection procedures, completion rates and missing data in two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction, analysed descriptively and statistically.

Results

The questionnaires were feasible and acceptable for the NAs to complete and understand. The pre- and post-assessments showed 83% and 61% completion rates, respectively, and a low proportion of missing data. Barriers for not participating in data collection were stress caused by staff shortages and high workload. Preliminary analysis of the questionnaires showed no significant difference pre- and post-intervention, even though an overall tendency of increased communication self-efficacy was observed. The NAs' self-efficacy ratings also revealed a ceiling effect.

 

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
communication, evaluation, feasibility, home care, intervention, job satisfaction, self-efficacy
National Category
Didactics
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-28722 (URN)10.1002/nop2.1387 (DOI)000860296700001 ()2-s2.0-85138725712 (Scopus ID)
Funder
University of Borås
Note

Forskningsfinansering: Agneta Prytz-Folkes och Gösta Folkes Stiftelse

Available from: 2022-10-11 Created: 2022-10-11 Last updated: 2023-08-24Bibliographically 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
Show others...
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
Show others...
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
Höglander, J., Holmström, I. K., Gustafsson, T., Lindberg, E., Maurin Söderholm, H., Hedén, L., . . . Sundler, A. J. (2023). Implementing A person-centred CommunicaTION (ACTION) educational intervention for in-home nursing assistants – a study protocol. BMC Geriatrics, 23(1), Article ID 112.
Open this publication in new window or tab >>Implementing A person-centred CommunicaTION (ACTION) educational intervention for in-home nursing assistants – a study protocol
Show others...
2023 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 23, no 1, article id 112Article in journal (Refereed) Published
Abstract [en]

Background: In this study, the focus is on how to support the competence development needed for nursing assistants in home care. Home care services for older persons can be challenging concerning the nature of the interpersonal interaction and communication needed to care for and respond to the diverse needs of older people who seek to live well in our communities. This implies a need to offer more person-centred care (PCC) to older persons. However, there is a lack of knowledge on how to develop such competence. We, therefore, developed A Person-centred CommunicaTION (ACTION) programme, which is a web-based educational intervention aimed at supporting competence development for nursing assistants. The research objective is to evaluate the ACTION programme with respect to participants’ responses to and the effect of the intervention. Methods: A multicentre case–control study with pre- and post-assessments was designed. The ACTION programme will be implemented at home care units, in two different geographic areas in Sweden. A total of 300 nursing assistants will be recruited: 150 for the intervention group and 150 for the control group. We will evaluate the impact measures and the process. Pre- and post-assessments will be performed with data collected via a) audio recordings of communication, b) a questionnaire on self-efficacy communication skills, PCC, empathy and job satisfaction, c) user data, evaluation forms, field notes and observations, and d) interviews. The data will be analysed with descriptive and analytic statistics and/or qualitative methods for meanings. Discussion: This study has the potential to contribute to the evidence supporting competence development required to offer person-centred and quality home care to older persons and to meet upcoming needs for flexible and easily accessible competence development. Trial registration: ISRCTN64890826. Registered 10 January 2022, https://www.isrctn.com/ISRCTN64890826 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Competence development, Education intervention, Home care, Nursing assistants, Older persons, Person-centred communication, Study protocol, Aged, Aged, 80 and over, Case-Control Studies, Communication, Empathy, Home Care Services, Humans, article, audio recording, case control study, communication skill, controlled study, education, female, human, human experiment, interview, job satisfaction, male, multicenter study, nursing assistant, qualitative analysis, questionnaire, self concept, Sweden, interpersonal communication, very elderly
National Category
Nursing
Research subject
The Human Perspective in Care; The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-30273 (URN)10.1186/s12877-023-03831-3 (DOI)000940262500001 ()2-s2.0-85148998872 (Scopus ID)
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2024-02-01Bibliographically approved
Gustafsson, T., Maurin Söderholm, H., Sundler, A. J., Karlsson, P. & Lindberg, E. (2023). ‘Sometimes you need an eye-opener’: A qualitative study on nursing assistants' experiences of developing communication skills through an educational intervention on person-centred communication. Nursing Open
Open this publication in new window or tab >>‘Sometimes you need an eye-opener’: A qualitative study on nursing assistants' experiences of developing communication skills through an educational intervention on person-centred communication
Show others...
2023 (English)In: Nursing Open, E-ISSN 2054-1058Article in journal (Refereed) Epub ahead of print
Abstract [en]

Aim

To explore nursing assistants' (NAs') experiences of developing communication skills while participating in an educational intervention on person-centred communication.

Design

A descriptive qualitative study was conducted.

Methods

Data were collected from interviews and written assignments before, during and after an educational intervention on person-centred communication targeting NAs in home care services. The data were analysed using a phenomenological approach. A total of 25 NAs participated in the study.

Results

The findings describe NAs' experiences concerning the communication skills needed for building relationships with older persons and handling emotionally challenging situations. The educational intervention increased their knowledge and awareness of the importance of communication skills and how such skills are developed and refined.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
National Category
Nursing
Research subject
The Human Perspective in Care
Identifiers
urn:nbn:se:hb:diva-29599 (URN)10.1002/nop2.1702 (DOI)000945982700001 ()2-s2.0-85150459308 (Scopus ID)
Funder
University of Borås
Available from: 2023-04-03 Created: 2023-04-03 Last updated: 2024-02-01
Gustafsson, T., Sundler, A. J., Hedén, L., Lindberg, E. & Maurin Söderholm, H. (2022). An educational intervention to improve communication skills in home care – a feasibility study. In: : . Paper presented at The 4th International NCCS & EACS Conference, Eskilstuna, 26-28 april, 2022..
Open this publication in new window or tab >>An educational intervention to improve communication skills in home care – a feasibility study
Show others...
2022 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

An educational intervention to improve communication skills in home care – a feasibility study

Background

An educational intervention focused on person-centred communication with older persons in home care was developed. Twenty-three nursing assistants (NAs) from two home care units were offered the intervention. This feasibility study was conducted to capture benefits and pit falls with study processes before large scale interventions, such as acceptability and appropriateness of evaluation methods.

Aim

To explore the feasibility of proposed methods for evaluating a novel educational intervention on person-centered communication for NAs in home care.

Method

Feasibility study with pre- and post-assessments, including evaluation of data collection procedures, completion rates, and missing data for two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction. Descriptive and statistical analysis was conducted. 

Results

The results showed a completion rate of 83% and 61% in pre- and post-assessment respectively, and a low proportion of missing data. The questionnaires were feasible and acceptable for NAs to complete and understand. Stress due to staff shortages and high workload negatively affected NAs’ participation in data collection. Overall, NAs rated their communication skills as high with a tendency towards higher communication self-efficacy after the intervention, however, this difference was not statistically significant. Job satisfaction remained unchanged pre- and post-intervention.

Conclusion

Low follow-up rates suggest that the data collection procedures need refinement. Although the outcomes are preliminary at this point, they indicate a ceiling effect in NAs’ self-efficacy ratings. The ceiling effect limits possibilities for improvement and suggests that studies with a larger sample is needed.

Implications for caring in a changing world

In a changing world, where a rapid aging population challenges home care services, there is a need for innovative interventions that support and strengthen health care professionals’ communication skills, aiming at improving older persons’ well-being This study contributes with knowledge to the complexity of developing and evaluating complex interventions on communication in home care.

National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-29100 (URN)
Conference
The 4th International NCCS & EACS Conference, Eskilstuna, 26-28 april, 2022.
Available from: 2022-12-11 Created: 2022-12-11 Last updated: 2023-01-04Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7488-4038

Search in DiVA

Show all publications