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Nyström, Maria
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Publications (10 of 105) Show all publications
Jarling, A., Rydström, I., Ernsth-Bravell, M., Nyström, M. & Dalheim Englund, A.-C. (2019). A responsibility that never rests - To be a family caregiver to an older person. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>A responsibility that never rests - To be a family caregiver to an older person
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2019 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Published
Abstract [en]

Background

When the ageing population increases, the burden and responsibility of close family members will likely increase. Those closely related who assume a great responsibility can be significantly affected in health, well‐being and daily life.

Aim

This study aims to describe the life situation when family caregivers are imposed responsibility for an older person with complex care needs in their own home.

Methods

In this Swedish qualitative study, ten family caregivers were strategically selected in order to achieve variations in the life situation. A reflective lifeworld research design based on phenomenological philosophy was used throughout the data collection with the lifeworld interviews and the analytic process.

Findings

In terms of extensive responsibility, the life situation is complex and involves emotions that are difficult to manage. In essence, a paradoxical life situation is described which is experienced as both voluntarily and nonchosen at the same time. The responsibility never rests. The essential meaning is further illustrated with three constituents: loss of freedom, contradictory feelings and affected relationships.

Conclusion

A life situation with extensive responsibility for an older family member interferes with the whole life situation with an impact on health and relationships with other people. The findings are crucial for professional caregivers in order to capture the nature of family support in a way that enables a meaningful life for both the family caregiver and the older person being cared for. Knowledge of this will give professional caregivers an increased awareness of the life situation of family caregivers and provide a better understanding of the support they are longing for, and, in some countries, such as Sweden, also are entitled to by law.

National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21011 (URN)10.1111/scs.12703 (DOI)
Available from: 2019-05-10 Created: 2019-05-10 Last updated: 2019-05-13Bibliographically approved
Dalheim Englund, A.-C., Carlsson, G., Nyström, M., Gillsjö, C., Eriksson, I. & Palmér, L. (2019). Life without professional work-perceptionsabout one’s self, interpersonal relations andsocial life after retirement. Healthy Aging Research, 8(1), 1-18
Open this publication in new window or tab >>Life without professional work-perceptionsabout one’s self, interpersonal relations andsocial life after retirement
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2019 (English)In: Healthy Aging Research, Vol. 8, no 1, p. 1-18Article in journal (Refereed) Epub ahead of print
Abstract [en]

The aim of this study is to understand how healthy, older adults in Sweden perceive their life situation after retirement. The study is based on a lifeworld approach, and a phenomenographic method was used. Eighteen participants were interviewed, and data were analysed according to the phenomenographic principle of qualitatively different categories. Two categories were developed. The first category, “perceptions that draw attention inward, towards one’s self”, was further described in three subcategories: Sense of decreased status in society, the desire to keep aging at a distance, and contemplation of one’s own existence. The second category, “perceptions that draw attention outward, away from one’s self” was further described in the following four subcategories: caretaking of family members, involvement in social relationships, finding of deep meaning in animals and nature and engagement with society. In the discussion, the findings are further illuminated through comparisons with concepts such as maturity, wisdom and gerotranscendence, and reflections on the findings ‘relevance to a caring context follow. The conclusion suggests this study can provide knowledge that will allow healthcare providers to bridge the gap between generations in order to provide high-quality care. However, for a more profound caring dialogue, for example, about the end of life, a deeper analysis is required.

National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15888 (URN)10.12715/har.2019.8.2 (DOI)
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2019-05-13Bibliographically approved
Palmér, L., Nyström, M., Carlsson, G., Gillsjö, C., Eriksson, I. & Dalheim Englund, A.-C. (2019). The meaning of growing old: A lifeworld hermeneutic study on existential matters during the third age of life. Healthy Aging Research, 8(8), 1-7
Open this publication in new window or tab >>The meaning of growing old: A lifeworld hermeneutic study on existential matters during the third age of life
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2019 (English)In: Healthy Aging Research, ISSN 2261-7434, Vol. 8, no 8, p. 1-7Article in journal (Refereed) Published
Abstract [en]

This study investigates existential matters in the third age of life, which encompasses the years after retirement and ends when extensive support needs emerge in the fourth age. As the theoretical starting point in a lifeworld hermeneutic approach, 18 healthy older adults were interviewed about what it means for them to grow old. The interviews were interpreted according to Gadamer’s principles of openness and Ricoeur’s proposal to provide suggestions on how meaning can be explained. The findings are presented in three interpreted themes: Feeling free, Becoming vulnerable, and Existing in closeness to death. The themes are further interpreted, and a comprehensive understanding is reached with theoretical support from Jean-Paul Sartre’s idea of factuality and project. The meaning of growing old is discussed in terms of positive factors, such as healthy aging, transition and gerotranscendence, but also in respect to concerns over future suffering in relation to illness and dependence. It is concluded that the freedom of the third age is greatly appreciated for a healthy life, but also threatened by increased risks of ill health. It is not morbidity in itself that worries most, but the risk of being dependent on care and support from others. This is important to consider when planning and performing care in order to promote a healthy aging.

Keywords
Caring science, Dependence on care, Existential matters, Healthy aging, Lifeworld hermeneutics
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21588 (URN)10.35248/har.2019.8.8 (DOI)
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2019-08-22Bibliographically approved
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
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