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Karlsson, Katarina
Publications (10 of 25) Show all publications
Kleye, I., Hedén, L. E., Karlsson, K., Sundler, A. J. & Darcy, L. (2020). Children's individual voices are required for adequatemanagement of fear and pain during hospital care andtreatment. Scandinavian Journal of Caring Sciences
Open this publication in new window or tab >>Children's individual voices are required for adequatemanagement of fear and pain during hospital care andtreatment
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2020 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Article in journal (Refereed) Published
Abstract [en]

Background: Children often report both fear and pain in conjunction with clinical care and treatment. Interventions developed in the field have still not been sufficient to prevent and relieve children’s fear and pain. More knowledge, from children’s own perspectives, is needed about how they deal with their experiences.

Aim: To explore child-identified strategies that children use to manage fear and pain during needle-related medical procedures in hospital.

Methods: Interviews with children, age 4–12 years, with experience of hospital care were analysed qualitatively using content analysis.

Results: Children have self-identified strategies for dealing with fear and pain during hospital care and treatment. The strategies vary depending on examination or treatment and on how the child felt at that particular day. Children describe what they can do themselves, how adults can empower them and support from surroundings as strategies that give them a choice and a voice. Children wished to have influence, decide when and how information should be given, scream out loud or squeeze something hard, to deal with fear and pain. The results also show that children tried to be brave, gain control and think positively. Something nice to look at and opportunities to play with others also contributed.

Conclusions: Strategies vary between children and are used differently on different occasions. Healthcare professionals pose a threat to the child’s needs and ability to use their strategies due to lack of knowledge of the child’s chosen strategies.

Place, publisher, year, edition, pages
John Wiley & Sons, 2020
Keywords
child perspective, fear, pain, strategies, young children
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-23166 (URN)10.1111/scs.12865 (DOI)
Projects
LIV
Available from: 2020-05-05 Created: 2020-05-05 Last updated: 2020-05-06Bibliographically approved
Lindberg, E., Karlsson, K. & Palmér, L. (2019). Exploring existential phenomena as dimensions for sustainable caring – Examples from four lifeworld research projects. In: : . Paper presented at NCCS Vasa FInland Nordic College of Caring Science, European Academy of Caring Science, Vaasa, 1-3 October, 2019.
Open this publication in new window or tab >>Exploring existential phenomena as dimensions for sustainable caring – Examples from four lifeworld research projects
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Health Sciences Nursing
Identifiers
urn:nbn:se:hb:diva-21888 (URN)
Conference
NCCS Vasa FInland Nordic College of Caring Science, European Academy of Caring Science, Vaasa, 1-3 October, 2019
Available from: 2019-10-23 Created: 2019-10-23 Last updated: 2019-10-29Bibliographically approved
Karlsson, K., Galvin, K. & Darcy, L. (2019). Medical procedures in children using a conceptual framework that keeps a focus on human dimensions of care–a discussion paper.. International Journal of Qualitative Studies on Health and Well-being, 14(1)
Open this publication in new window or tab >>Medical procedures in children using a conceptual framework that keeps a focus on human dimensions of care–a discussion paper.
2019 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1Article in journal (Refereed) Published
Abstract [en]

Purpose: Children's perspectives in the context of health service delivery have historically been seen as unimportant. They have been viewed as unintelligent, unable to effectively share or tell of their experiences or fully participate in their care, potentially resulting in a sense of dehumanisation. 

Method: The present paper illustrates children's experiences when undergoing medical procedures, using application of the eight dimensions of humanised care theoretical framework. 

Results: Findings from six published papers were reflectively interrogated to identify implicit findings related to the dimensions of humanised care. These implicit findings show ways of caring for childrenwhichcan lead to enhanced human sensitivity in care or conversely where the dimensions of being human are obscured to greater or lesser degrees and can result in forms of dehumanisation. 

Conclusions: Inadvertent dehumanising features of practice can be mediated by encouraging the inclusion of children's own lifeworld perspective and make room for their voices in both care and research. In this way the present well documented power imbalance could be addressed. Adding the value of the theoretical framework highlights areas of need for young children to be cared for as human beings.

Place, publisher, year, edition, pages
Taylor & Frances: , 2019
Keywords
Young children, dehumanization, humanization, medical procedures for children, suffering
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22372 (URN)10.1080/17482631.2019.1675354 (DOI)000490605700001 ()31621530 (PubMedID)2-s2.0-85073418838 (Scopus ID)
Available from: 2020-01-06 Created: 2020-01-06 Last updated: 2020-01-13Bibliographically approved
Darcy, L. & Karlsson, K. (2019). Meeting young children’s needs in hospital, from a human rights perspective - sustainable caring practices. In: : . Paper presented at Sustainable Caring for Health and Wellbeing.
Open this publication in new window or tab >>Meeting young children’s needs in hospital, from a human rights perspective - sustainable caring practices
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-22374 (URN)
Conference
Sustainable Caring for Health and Wellbeing
Available from: 2020-01-06 Created: 2020-01-06 Last updated: 2020-01-13Bibliographically approved
Karlsson, K. (2019). Shared decision-making in a multicultural society: supporting children with cancer with symptom management: Medical procedures. In: : . Paper presented at SOUTH AFRICA – SWEDEN UNIVERSITY FORUM 6-10 maj, 2019, Stellebrosch, Sydafrika.
Open this publication in new window or tab >>Shared decision-making in a multicultural society: supporting children with cancer with symptom management: Medical procedures
2019 (English)Conference paper, Oral presentation only (Refereed)
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22633 (URN)
Conference
SOUTH AFRICA – SWEDEN UNIVERSITY FORUM 6-10 maj, 2019, Stellebrosch, Sydafrika
Available from: 2020-01-22 Created: 2020-01-22 Last updated: 2020-01-22Bibliographically approved
Karlsson, K. (2019). The Children's Action-Reaction Assessment Tool (CARAT) as an observational tool for assessing pain management: An initial validation study with children undergoing needle procedures.. In: 51 st congress of the international society of paediatrics oncolgy (SIOP): . Paper presented at SIOP, Lyon, October 23-26, 2019. Wiley, 66
Open this publication in new window or tab >>The Children's Action-Reaction Assessment Tool (CARAT) as an observational tool for assessing pain management: An initial validation study with children undergoing needle procedures.
2019 (English)In: 51 st congress of the international society of paediatrics oncolgy (SIOP), Wiley, 2019, Vol. 66Conference paper, Poster (with or without abstract) (Refereed)
Place, publisher, year, edition, pages
Wiley: , 2019
National Category
Cancer and Oncology
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22630 (URN)10.1002/pbc.27989 (DOI)
Conference
SIOP, Lyon, October 23-26, 2019
Available from: 2020-01-22 Created: 2020-01-22 Last updated: 2020-01-22Bibliographically approved
Palmér, L., Lindberg, E. & Karlsson, K. (2019). The lifeworld story as an opportunity to understand existential dimensions of importance for caring practice — from the perspective of children, new mothers and older people. In: : . Paper presented at International Human Science Research Conference, Molde, 24 - 28 June, 2019..
Open this publication in new window or tab >>The lifeworld story as an opportunity to understand existential dimensions of importance for caring practice — from the perspective of children, new mothers and older people
2019 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

With a common ground in the epistemology of lifeworld phenomenological and hermeneutical approaches, we explored the possibility of understanding existential phenomena in different stages of human life, such as children’s illness and experience of medical procedures, childbirth and breastfeeding and old age. Through various forms of lifeworld theory-based data collection methods, examples of how lifeworld stories can emerge are presented. There is humbleness and an understanding that there may be more to be understood than what may be directly apparent in the story of a patient. This gives rise to the fact that analyses may sometimes need to be further developed with the aid of philosophical examination and interpretation, which open up opportunities to understand what is unspoken and hidden in stories. Such examination and interpretation also make it possible to deepen what is said. The philosophy of existence can help researchers get hold of what does not appear immediately and what is hinted at but not stated directly, and uncover hidden meanings in stories. Such in-depth understanding may have significance for developing caring practice by potentially bridging the dualistic view of human beings as body and soul. Through a lifeworld theory-based research approach, caring that takes into account existential dimensions in people's lives in relation to caring can be developed and stimulated.

Keywords
Lifeworld stories, caring science
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-21590 (URN)
Conference
International Human Science Research Conference, Molde, 24 - 28 June, 2019.
Available from: 2019-08-12 Created: 2019-08-12 Last updated: 2019-08-26Bibliographically approved
Kleye, I., Darcy, L., Karlsson, K., Hedén, L. E. & Sundler, A. J. (2019). "This is the way i want it": Children's strategies for dealing with fear and pain during hospital care. In: Ida Kleye (Ed.), : . Paper presented at 12th International Symposium on Pediatric Pain, Basel, 16-20 June, 2019..
Open this publication in new window or tab >>"This is the way i want it": Children's strategies for dealing with fear and pain during hospital care
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2019 (English)In: / [ed] Ida Kleye, 2019Conference paper, Poster (with or without abstract) (Refereed)
Abstract [en]

Introduction

The aim of this study was to describe children's self-identified strategies for dealing with fear and pain during hospital care and treatment

Keywords
child, fear, pain, strategies
National Category
Pediatrics
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-22378 (URN)
Conference
12th International Symposium on Pediatric Pain, Basel, 16-20 June, 2019.
Available from: 2020-01-07 Created: 2020-01-07 Last updated: 2020-01-07Bibliographically approved
Karlsson, K. (2019). Är hälso- och sjukvård för barn redo för att möta barnkonventionen som lag?. In: : . Paper presented at Barnveckan i Örebro. 1-4 april, 2019.
Open this publication in new window or tab >>Är hälso- och sjukvård för barn redo för att möta barnkonventionen som lag?
2019 (Swedish)Conference paper, Oral presentation only (Other academic)
National Category
Nursing
Identifiers
urn:nbn:se:hb:diva-22632 (URN)
Conference
Barnveckan i Örebro. 1-4 april, 2019
Available from: 2020-01-22 Created: 2020-01-22 Last updated: 2020-01-22Bibliographically approved
Darcy, L. & Karlsson, K. (2018). Humanising Care for Sick Children in Hospital: – are we ready to meet the demands of The Convention on Human Rights of the Child (CHRC)?. In: : . Paper presented at 4th PNAE Congress on Paediatric Nursing, Athens, June 1-2, 2018..
Open this publication in new window or tab >>Humanising Care for Sick Children in Hospital: – are we ready to meet the demands of The Convention on Human Rights of the Child (CHRC)?
2018 (English)Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

Background

Nursing Care of children is complex and nurses need specific knowledge in meeting children to ensure high quality care. Caring for children based on their age, developmental stage and maturity can be a challenge for nurses and sets demands on care. When the CRC becomes law in Sweden 2020 children’s rights will be strengthened and we can expect repercussions in the quality of care delivered to children in need

 

Aim

The aim of this study was to investigate the degree to which nurses in paediatric hospital services work in compliance with the CRC.

 

Method

Nurses in paediatric services in Western Sweden answered a survey on if their work situation allowed them to give care to children in accordance with the CRC. Survey responses (n=69) were analysed with descriptive analysis. Personal interviews were performed with paediatric nurses (n=9) and analysed with a qualitative content analysis.

 

Results

Nurses working in paediatric services are well aware of children’s rights in health care and strive to meet children’s needs. However, a stressed working situation with lack of time and/or an environment that is not child friendly means that their caring is not always optimal. Children are not participatory to the degree nurses would wish then to be and the CRC stipulates they should.

 

Conclusions

Nurses working with children show competence in and knowledge of children’s needs. However thay are limited by their working environments. Clear guidelines and working tools such as time for reflection are suggestions of measures that need to be taken to ensure compliance with the upcoming demands of the CRC.

Keywords
children, paediatric care, convention on rights of the child
National Category
Nursing
Research subject
Människan i vården
Identifiers
urn:nbn:se:hb:diva-15512 (URN)
Conference
4th PNAE Congress on Paediatric Nursing, Athens, June 1-2, 2018.
Available from: 2019-01-02 Created: 2019-01-02 Last updated: 2019-01-03Bibliographically approved
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