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Nyström, Maria
Alternative names
Publications (10 of 102) Show all publications
Jarling, A., Rydström, I., Ernsth-Bravell, M., Nyström, M. & Dalheim Englund, A.-C. (2018). Becoming a guest in your own home: Home care in Sweden from the perspective of older people with multimorbidities. International Journal of Older People Nursing, 13(3)
Open this publication in new window or tab >>Becoming a guest in your own home: Home care in Sweden from the perspective of older people with multimorbidities
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2018 (English)In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 13, no 3Article in journal (Refereed) Published
Abstract [en]

Abstract Background: In line with changing demographics, conditions for older people have also changed. Older people are expected to live and be cared for in their own home for as long as possible. Increasing age also increases the risk of multimorbidity and the need for social services and health care services. Home care, instituted by different laws, is complex and requires cooperation from an older person when his/her home becomes a workplace for service providers.

Aim: This study aims to illuminate the meaning of being an older person with multimorbidity who lives alone and who is cared for in his/her own home.

Design: This study uses a qualitative design with a lifeworld approach.

Methods: Conducted in Sweden in 2016, the researchers interviewed 12 older persons that live alone and receive home care. Data was analysed using qualitative content analysis.

Results: The findings illustrate four sub-themes: adapting to a caring culture, being exposed, participation with limitations and being dependent on forced relationships. The overall theme reveals that older people experience a life-changing situation when receiving home care and they become a guest in their own home.

Conclusions: Becoming older with increased needs means to disrupt one’s life when one’s private home becomes a public arena. Caregivers need to be aware of the gap between their rights by law and an older person’s experiences of receiving home care. Only then can care be offered that enables older people to have a sense of control and experience their home as their own.

Implications for Practice: The findings emphasise the need to view older people as being self-determinant and independent. Older people receiving home care need to be seen as individuals, and their entire life situation should be considered by also acknowledging the important role played by relatives and caregivers.

Keywords
Older people, multimorbidity, caring, home care, lived experience, life world
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15643 (URN)10.1111/opn.12194 (DOI)000442344100006 ()29603651 (PubMedID)2-s2.0-85051844566 (Scopus ID)
Available from: 2019-01-09 Created: 2019-01-09 Last updated: 2019-01-10Bibliographically approved
Sterner, A., Nyström, M., Ramstrand, N., Andersson Hagiwara, M. & Palmér, L. (2018). Novice Nurses Perceptions Of Their Ability To Care In Acute Situations. In: : . Paper presented at 3rd Global Conference on Emergency Nursing & Trauma Care, Leeuwenhorst, 4-6 October,.
Open this publication in new window or tab >>Novice Nurses Perceptions Of Their Ability To Care In Acute Situations
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2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Introduction

Nurses have an essential role in acute care situations for preventing adverse events and improve patient outcomes as they typically have most patient contact and are often first to detect acute sickness (Della Ratta, 2016). Education and experience is highlighted as important for developing nurses ability in acute situations (Massey et al., 2017). The aim of this study was to describe what affects novice nurses’ ability to care in acute situations.

Method: Qualitative descriptive design with a phenomenographic approach. Data consisted of 17 interviews of novice nurses working in acute care hospitals in Sweden. Novice are defined as less than 1 year of working experience. The context acute situations following Sterner et al. (2017) findings that acute situations is more than physical deterioration of patients.

Results: Experience of acute situations is perceived as significant for developing the pivotal knowledge and ability to care in acute situations. Clinical practice is not a guarantee for this experience during nurse education. Reasons for this could be that nothing acute happened during allocated shifts. If an acute situation occurred the student could be allocated additional assignments or sent home. The skills obtained in acute situations are perceived as a lottery dependent upon where you get your clinical practice assigned.

Discussion: Experience is perceived as significant for developing ability to care in acute situations. If nurse education can’t facilitate learning of and in acute situations during clinical practice, simulation can be a method for developing the ability. When nursing students train, it is important to include different factors such as time pressure, surprises, contact with different occupational groups and next of kin to facilitate the ability to care in acute situations.

References

DELLA RATTA, C. 2016. Challenging graduate nurses' transition: Care of the deteriorating

patient. Journal of Clinical Nursing, 25, 3036-3048.

MASSEY, D., CHABOYER, W. & ANDERSON, V. 2017. What factors influence ward nurses’ recognition of and response to patient deterioration? An integrative review of the literature.Nursing open, 4, 6-23.

STERNER, A., RAMSTRAND, N., NYSTRÖM, M., HAGIWARA, M. A. & PALMÉR, L. 2017. Novice nurses’ perceptions of acute situations–a phenomenographic study. International emergency nursing.

Keywords
Novice nurses, Acute situation, Ability, Simulation
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hb:diva-15104 (URN)
Conference
3rd Global Conference on Emergency Nursing & Trauma Care, Leeuwenhorst, 4-6 October,
Available from: 2018-09-18 Created: 2018-09-18 Last updated: 2018-09-26Bibliographically approved
Nyström, M. (2017). Livsvärldshermeneutik som vetenskaplig ansats och metod (3ed.). In: Monica Granskär & Birgitta Høglund-Nielsen (Ed.), Tillämpad kvalitativ forskning inom hälso och sjukvård.: (pp. 179-196). Lund: Studentlitteratur
Open this publication in new window or tab >>Livsvärldshermeneutik som vetenskaplig ansats och metod
2017 (Swedish)In: Tillämpad kvalitativ forskning inom hälso och sjukvård. / [ed] Monica Granskär & Birgitta Høglund-Nielsen, Lund: Studentlitteratur , 2017, 3, , p. 21p. 179-196Chapter in book (Other academic)
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2017. p. 21 Edition: 3
Keywords
empirisk forskning, kunskapsteori, tolkning
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13572 (URN)978-91-44-11863-5 (ISBN)
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2018-01-18Bibliographically approved
Palmér, L., Ida, G. & Nyström, M. (2017). Midwives' lived experience of caring for new mothers with initial breastfeeding difficulties: A phenomenological study. Sexual & Reproductive HealthCare, 12, 9-15
Open this publication in new window or tab >>Midwives' lived experience of caring for new mothers with initial breastfeeding difficulties: A phenomenological study
2017 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 12, p. 9-15Article in journal (Refereed) Published
Abstract [en]

Objective: The aim of this study is to obtain a deeper understanding of midwives’ lived experiences of caring for new mothers with initial breastfeeding difficulties.

Methods: A reflective lifeworld approach was used. Six midwives were recruited from a hospital in western Sweden. Data were collected via individual lifeworld interviews and analysed using phenomenological methods.

Results: The essential meaning can be described as a midwife’s wish to help new mothers reach their breastfeeding goals by trying to interact with them as individual women in unique breastfeeding situations. This wish constitutes a contradiction to the midwife’s own desire to succeed in enabling mothers to breastfeed and the perceived risk of failure as a midwife if the mothers decide not to breastfeed. This is further described by five constituents: striving to provide individualised care, collegial and personal responsibility both enables and prevents care, a struggle to be sufficient, an uphill struggle and mutual joy becomes the motivation to care.

Conclusions: Caring for new mothers with initial breastfeeding difficulties is a balancing act between the midwife’s personal desire to succeed in enabling mothers to breastfeed, the mothers’ wishes, the infants’ needs, the importance of collective collegial competence and the limitations in the health care organisation. This makes the midwife’s efforts to provide individualised care frustrating and demanding as well as motivating.

Keywords
Breastfeeding, breastfeeding difficulties, midwives, experiences, phenomenology, Amning, amningssvårigheter, barnmorskor, upplevelser, fenomenologi, vårdvetenskap
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-12178 (URN)10.1016/j.srhc.2016.12.003 (DOI)000401884100003 ()28477939 (PubMedID)2-s2.0-85009376413 (Scopus ID)
Available from: 2017-05-24 Created: 2017-05-24 Last updated: 2017-11-09Bibliographically approved
Sterner, A., Ramstrand, N., Nyström, M., Andersson Hagiwara, M. & Palmér, L. (2017). Novice nurses' perceptions of acute situations - A phenomenographic study.. International Emergency Nursing, Article ID S1755-599X(17)30169-6.
Open this publication in new window or tab >>Novice nurses' perceptions of acute situations - A phenomenographic study.
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2017 (English)In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, article id S1755-599X(17)30169-6Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Today's nurses face complex patient challenges and increased patient acuity. Novice nurses may feel unprepared for some of the tasks facing them. In order to prevent adverse events and improve patient outcomes, the management of acute situations has been identified as an area needing attention. Despite this, it is not yet clear what novice nurses themselves perceive as an acute situation. Therefore, the aim of this study is to describe novice nurses' perceptions of acute situations.

METHOD: The study has a qualitative, descriptive design with a phenomenographic approach. Semi-structured interviews were conducted with twelve novice nurses, with less than a year of working experience, about their perceptions of acute situations.

RESULTS: Acute situations are perceived as situations that occur suddenly, that involve shortage of time, or that generate a sense of insufficient personal competence. When acute situations arise, nurses experience a feeling of overwhelming responsibility. Acute situations involve not only deteriorating patient health but can also include challenging interpersonal relations or deficiencies in organisational procedures.

CONCLUSION: An acute situation, as perceived by novice nurses, contains significantly more than medical manifestations related to the patient, a prominent perception being that interpersonal relations are crucial for appropriate management.

Keywords
Fenomenografi, akuta situationer, nyutexaminerade sjuksköterskor, vård
National Category
Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13525 (URN)10.1016/j.ienj.2017.12.001 (DOI)000441924600005 ()29269291 (PubMedID)2-s2.0-85038359181 (Scopus ID)
Available from: 2018-01-16 Created: 2018-01-16 Last updated: 2018-12-21Bibliographically approved
Nyström, M. (2017). Omsorgsrelationer med livsverlden som fundament (1ed.). In: Sverre Varvin & Amy Østertun Geirdal (Ed.), Relasjoner i psykisk helsearbeid.: . Oslo: Universitetsforlaget
Open this publication in new window or tab >>Omsorgsrelationer med livsverlden som fundament
2017 (Norwegian)In: Relasjoner i psykisk helsearbeid. / [ed] Sverre Varvin & Amy Østertun Geirdal, Oslo: Universitetsforlaget , 2017, 1, , p. 11Chapter in book (Other academic)
Place, publisher, year, edition, pages
Oslo: Universitetsforlaget, 2017. p. 11 Edition: 1
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13573 (URN)978-82-15-02790-6 (ISBN)
Projects
Relasjoner i psykisk helsearbeid - Högskolan i Oslo og Akershus
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2018-01-18Bibliographically approved
Johansson, R.-M., Nyström, M. & Dalheim Englund, A.-C. (2017). Reflective team and process-oriented supervision – a case study on differences. Reflective Practice, 737-749
Open this publication in new window or tab >>Reflective team and process-oriented supervision – a case study on differences
2017 (English)In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, p. 737-749Article in journal (Refereed) Published
Abstract [en]

To meet the Swedish healthcare legislation’s requirements for evidence-based care, a work model for reflection has been developed, called a reflective team (RT). Because this RT model can be perceived as either a competitor of or a complement to caring supervision, this case study aims to explore what distinguishes these two in psychiatric care. Five members of one RT who are psychiatric nurses with previous experiences in caring supervision were interviewed. The transcribed interviews were analysed according to phenomenography. The findings reveal three qualitatively separated categories, which describe differences in focus, competencies, and relationships between confirmation and demands. It is concluded that an RT by no means replaces supervision. Instead, both can contribute to care improvement by complementing each other and increasing the professionalism of psychiatric nurses

Keywords
Reflective team, caring supervision, primary psychiatric care, case study, phenomenography, lifeworld
National Category
Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13291 (URN)10.1080/14623943.2017.1351348 (DOI)000416668800002 ()2-s2.0-85026233650 (Scopus ID)
Available from: 2017-12-31 Created: 2017-12-31 Last updated: 2018-12-07Bibliographically approved
Jonasson, L.-L., Nyström, M. & Rydström, I. (2017). Reflective team in caring for people living with dementia: A base for care improvement.. Reflective Practice, 18(3), 397-409
Open this publication in new window or tab >>Reflective team in caring for people living with dementia: A base for care improvement.
2017 (English)In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 18, no 3, p. 397-409Article in journal (Refereed) Published
Abstract [en]

A reflective team (RT) is a team of professional carers who reflect on a specific caring issue under the direction of an RT leader. The goal for the reflective process is to accomplish care improvement based on research and proven experience, and the first step is to reflect upon the competence that already exists in the context where RT takes place. This study aims to bring previous unarticulated competence for dementia care to the surface, after it has been reflected during RT sessions. Ten staff nurses who work close to patients with dementia and attend RT sessions on regular basis were interviewed about their competence for dementia care. Through a phenomenographic analyze two qualitatively separated categories emerged; general caring skills and specific dementia caring skills. It is concluded that specific skills for dementia care build on general caring skills, and that tacit knowledge can emerge to proven experience when it has been reflected in RT.

Keywords
Reflective team, general caring skills, specific dementia caring skills, Phenomenography
National Category
Other Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-10390 (URN)10.1080/14623943.2017.1294534 (DOI)000403432700008 ()2-s2.0-85028269988 (Scopus ID)
Projects
Reflekterande team
Available from: 2016-07-17 Created: 2016-07-17 Last updated: 2018-01-03Bibliographically approved
Norberg Boysen, G., Nyström, M., Christensson, L., Herlitz, J. & Wireklint Sundström, B. (2017). Trust in the early chain of healthcare: lifeworld hermeneutics from the patient's perspective. International Journal of Qualitative Studies on Health and Well-being, 12(1)
Open this publication in new window or tab >>Trust in the early chain of healthcare: lifeworld hermeneutics from the patient's perspective
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2017 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 12, no 1Article in journal, Editorial material (Refereed) Published
Abstract [en]

Purpose: Patients must be able to feel as much trust for caregivers and the healthcare system at the healthcare centre as at the emergency department. The aim of this study is to explain and understand the phenomenon of trust in the early chain of healthcare, when a patient has called an ambulance for non-urgent condition and been referred to the healthcare centre.

Method: A lifeworld hermeneutic approach from the perspective of caring science was used. Ten patient participated: seven female and three male. The setting is the early chain of healthcare in south-wetern Sweden.

Results: The findings show that the phenomenon of trust does not automatically involve medical care. However, attention to the patient's lifeworld in a professional caring relationship enables the patient to trust the caregiver and the healthcare environment. It is clear that the "voice of lifeworld" enables the patient to feel trust.

Conclusion: Trust in the early chain of healthcare entails caregivers' ability to play attention to both medical and existentioal issues in compliance with the patient's information and questions. Thus, the patient must be invited to participate in assessment and decisions concerning his or her own healthcare, in a credible manner and using everyday language.

Keywords
Ambulance, healthcare centre, healthcare level, caring relationship, caring science, trust, lifeworld hermeneutics
National Category
Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-12721 (URN)10.1080/17482631.2017.1356674 (DOI)000407339700001 ()28793852 (PubMedID)2-s2.0-85027691945 (Scopus ID)
Projects
Vård på rätt vårdnivå
Funder
Länsförsäkringar AB
Available from: 2017-09-26 Created: 2017-09-26 Last updated: 2018-12-07Bibliographically approved
Karlsson, K., Dalheim Englund, A.-C., Enskär, K., Nyström, M. & Rydström, I. (2016). Experiencing Support During Needle-Related Medical Procedures: A Hermeneutic Study With Young Children (3-7 Years). Journal of Pediatric Nursing: Nursing Care of Children and Families, 31(6), 667-677
Open this publication in new window or tab >>Experiencing Support During Needle-Related Medical Procedures: A Hermeneutic Study With Young Children (3-7 Years)
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2016 (English)In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, no 6, p. 667-677Article in journal (Refereed) Published
Abstract [en]

Needle-related medical procedures (NRMPs) are something that all young children need to undergo at some point. These procedures may involve feelings of fear, pain and anxiety, which can cause problems later in life either when seeking healthcare in general or when seeking care specifically involving needles. More knowledge is needed about supporting children during these procedures.

AIM:

This study aims to explain and understand the meaning of the research phenomenon: support during NRMPs. The lived experiences of the phenomenon are interpreted from the perspective of younger children.

METHOD:

The analysis uses a lifeworld hermeneutic approach based on participant observations and interviews with children between 3 and 7years of age who have experienced NRMPs.

RESULTS:

The research phenomenon, support for younger children during NRMPs, is understood through the following themes: being the centre of attention, getting help with distractions, being pampered, becoming involved, entrusting oneself to the safety of adults and being rewarded. A comprehensive understanding is presented wherein younger children experience support from adults during NRMPs in order to establish resources and/or strengthen existing resources.

CONCLUSIONS:

The manner in which the child will be guided through the procedure is developed based on the child's reactions. This approach demonstrates that children are actively participating during NRMPs. Supporting younger children during NRMPs consists of guiding them through a shared situation that is mutually beneficial to the child, the parent and the nurse. Play during NRMP is an important tool that enables the support to be perceived as positive.

Keywords
Caring science, Lifeworld hermeneutic, Needle-related medical procedures, Reflective lifeworld research, Support, Younger children
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-13262 (URN)10.1016/j.pedn.2016.06.004 (DOI)000389587500015 ()27426015 (PubMedID)2-s2.0-84996483982 (Scopus ID)
Available from: 2017-12-18 Created: 2017-12-18 Last updated: 2017-12-20Bibliographically approved
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