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  • 1.
    Acuña Mora, Mariela
    et al.
    Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden; KU Leuven Department of Public Health and Primary Care, Leuven, Belgium.
    Saarijärvi, Markus
    Sparud-Lundin, Carina
    Moons, Philip
    Bratt, Ewa-Lena
    Empowering Young Persons with Congenital Heart Disease: Using Intervention Mapping to Develop a Transition Program - The STEPSTONES Project2020In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 50, p. e8-e17Article in journal (Refereed)
  • 2.
    Enskär, Karin
    et al.
    Högskolan i Jönköping, HHJ. CHILD.
    Huus, Karina
    Högskolan i Jönköping, HHJ. CHILD.
    Björk, Maria
    Högskolan i Jönköping, HHJ, Avd. för omvårdnad.
    Granlund, Mats
    Högskolan i Jönköping, HHJ, Avd. för socialt arbete.
    Darcy, Laura
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Institution of Health Science, University College of Borås, Borås, Sweden.
    Knutsson, Susanne
    Högskolan i Jönköping, HHJ, Avd. för omvårdnad.
    An analytic review of clinical implications from nursing and psychosocial research within Swedish pediatric oncology2015In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 30, no 4, p. 550-559Article in journal (Refereed)
  • 3.
    Karlsson, Katarina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Dalheim Englund, Ann-Charlotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Enskär, Karin
    Jönköping University.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Rydström, Ingela
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Experiencing Support During Needle-Related Medical Procedures: A Hermeneutic Study With Young Children (3-7 Years)2016In: 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)
    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.

  • 4.
    Karlsson, Katarina
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Rydström, Ingela
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nyström, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Enskär, Karin
    Jönköping University.
    Dalheim Englund, Ann-Charlotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Consequences of Needle-Related Medical Procedures: A Hermeneutic Study With Young Children (3–7 Years)2015In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 31, no 2, p. 109-118Article in journal (Refereed)
    Abstract [en]

    Background Needle-related medical procedures (NRMPs) are often frightening and cause children anxiety and pain. Only a few studies have examined the perspectives of younger children. More knowledge is needed about younger children's experiences in caring situations such as NRMPs. Aim The aim of this study was to explain and understand the consequences related to NRMPs from younger children's perspectives. Methods Participant observations and interviews with younger children who had experienced NRMPs were analysed using a lifeworld hermeneutic approach. Results Experiencing fear is central for younger children during an NRMP and interpretation of its consequences formed the basis for the following themes: seeking security, realizing the adult's power, struggling for control, feeling ashamed, and surrendering. A comprehensive understanding is presented wherein younger children's experiences of NRMPs vary across time and space related to weakening and strengthening their feelings of fear. Conclusions Awareness is needed that adults' power becomes more obvious for children during an NRMP. Children's surrender does not necessarily imply acceptance of the procedure. Providing children with opportunities to control elements of the procedure creates a foundation for active participation, and vice versa.

  • 5.
    Nilsson, Stefan R
    et al.
    University of Borås, School of Health Science.
    Enskär, Karin
    Hallqvist, Carina
    Kokinsky, Eva
    Active and Passive Distraction in Children Undergoing Wound Dressings2013In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 28, no 2, p. 158-166Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to test how distraction influences pain, distress and anxiety in children during wound care. Sixty participants aged 5-12years were randomized to three groups: serious gaming, the use of lollipops and a control group. Self-reported pain, distress, anxiety and observed pain behaviour were recorded in conjunction with wound care. Serious gaming, an active distraction, reduced the observed pain behaviour and self-reported distress compared with the other groups. A sense of control and engagement in the distraction, together, may be the explanation for the different pain behaviours when children use serious gaming.

  • 6.
    Nordlund, V.
    et al.
    Södra Älvsborgs Hospital.
    Nilsson, M.
    Södra Älvsborgs Hospital.
    Karlsson, Katarina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    To embrace and be present: The lived experiences of nurse-led consultations in Sweden from the perspective of pediatric nurses2022In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, p. e28-e34Article in journal (Refereed)
    Abstract [en]

    Purpose: This study describes the lived experiences of nurse-led consultations in pediatric emergency departments from the perspective of pediatric nurses.

    Design and methods: A descriptive qualitative study with a reflective lifeworld research approach was used to explore nurses' experiences of nurse-led consultations. The study was conducted through meaning-oriented individual interviews with ten pediatric nurses.

    Results: The results are grouped into four themes: (a) embracing the encounter and being touched by it; (b) having time to be present and committed; (c) having the ability and trusting in one's intuition; and (d) negotiating between families' wishes and the organization's guidelines.

    Conclusions: Our study shows that nurse-led consultations conducted in separate nurse-led reception areas promote a positive experience of the consultations from the perspective of pediatric nurses. In a nurse-led consultation, a nurse's confidence in their ability to provide care is connected to time, broad skills and knowledge, and a supportive organization.

    Practice implications: As the rising global population increases the demand for healthcare services, pediatric emergency departments must streamline their services to provide patient-safe, high-quality health care. Nurse-led consultations are an effective means of meeting these growing demands. This study contributes to an understanding of pediatric nurses' experiences at both the individual level and a more structured level, namely that families' wishes and an organization's guidelines do not always coincide. 

  • 7.
    Rydström, Ingela
    et al.
    University of Borås, School of Health Science.
    Dalheim-Englund, Ann-Charlotte
    University of Borås, School of Health Science.
    Segesten, Kerstin
    Rasmussen, Birgit
    Relations governed by uncertainty: part of life of families of a child with asthma2004In: Journal of Pediatric Nursing: Nursing Care of Children and Families, ISSN 0882-5963, E-ISSN 1532-8449, Vol. 19, no 2, p. 85-94Article in journal (Refereed)
    Abstract [en]

    This study identifies what influences and characterizes family relations in families of a child with asthma. Seventeen mothers of children aged between 6 and 16 years participated in audio-taped in-depth interviews. The researchers were inspired by grounded theory in data collection and data analysis. The core category that developed was being governed by disease-engendered uncertainty. The category mothers' availability was seen in two dimensions. The first dimension, mothers' being available for the child with asthma, created two subcategories: 1. control and 2. tight bonds. The second dimension, mothers' being less available for other family members, also created two subcategories: 3. being forsaken and 4. lack of understanding. Nursing implications are discussed in relation to the findings.

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