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  • 1.
    Andersson, Henrik
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Carlsson, Jonas
    Karolinska University Hospital, Functional Area of Emergency Medicine Huddinge, Sweden.
    Karlsson, Lene
    Region Sörmland, Department of Ambulance Service, Katrineholm, Sweden.
    Holmberg, Mats
    Faculty of Health and Life Sciences, Linnaeus University, Växjö, Sweden .
    Competency requirements for the assessment of patients with mental illness in somatic emergency care: A modified Delphi study from the nurses’ perspective2020In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    Patients suffering from mental illness are vulnerable, and they do not always have access to proper emergency care. The aim of this study was to identify competency requirements for the assessment of patients with mental illness by soliciting the views of emergency care nurses. A modified Delphi method comprising four rounds was used. Data were collected in Sweden between October 2018 and March 2019. The data were analyzed using content analysis and descriptive statistics. The panel of experts reached the highest level of consensus regarding basic medical knowledge: the capability to listen and show respect to the patient are essential competency requirements when assessing patients with mental illness in emergency care. Awareness of these competency requirements will enhance teaching and training of emergency care nurses.

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  • 2.
    Bäckström, Caroline
    et al.
    School of Health Sciences, University of Skövde, Sweden.
    Larsson, Therese
    School of Health Sciences, University of Skövde, Sweden.
    Thorstensson, Stina
    School of Health Sciences, University of Skövde, Sweden.
    How partners of pregnant women use their social networks when preparing for childbirth and parenthood: A qualitative study2020In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 41, no 1, p. 25-33Article in journal (Refereed)
  • 3.
    Falchenberg, Åsa
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. South Älvsborgs Hospital, Emergency Department, Borås, Sweden.
    Andersson, Ulf
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wireklint Sundström, Birgitta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Bremer, Anders
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Andersson, Henrik
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Clinical practice guidelines for comprehensive patient assessment in emergency care: A quality evaluation study2021In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 0, no 0Article in journal (Refereed)
    Abstract [en]

    Emergency care nurses (ECNs) face several challenges when they assess patients with different symptoms, signs, and conditions to determine patients’ care needs. Patients’ care needs do not always originate from physical or biomedical dysfunctions. To provide effective patient-centred care, ECNs must be sensitive to patients’ unique medical, physical, psychological, social, and existential needs. Clinical practice guidelines (CPGs) provide guidance for ECNs in such assessments. The aim of this study was to evaluate the quality of CPGs for comprehensive patient assessments in emergency care. A quality evaluation study was conducted in Sweden in 2017. Managers from 97 organizations (25 emergency medical services and 72 emergency departments) were contacted, covering all 20 Swedish county councils. Fifteen guidelines were appraised using the validated Appraisal of Guidelines for Research & Evaluation II (AGREE II) tool. The results revealed that various CPGs are used in emergency care, but none of the CPGs support ECNs in performing a comprehensive patient assessment; rather, the CPGs address parts of the assessment primarily related to biomedical needs. The results also demonstrate that the foundation for evidence-based CPGs is weak and cannot confirm that an ECN has the prerequisites to assess patients and refer them to treatment, such as home-based self-care. This may indicate that Swedish emergency care services utilize non-evidence-based guidelines. This implies that ECN managers and educators should actively seek more effective ways of highlighting and safeguarding patients’ various care needs using more comprehensive guidelines.

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  • 4.
    Fridh, Isabell
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Institutionen för vårdvetenskap och hälsa, Sahlgrenska akademin, Göteborgs universitet.
    Bergbom, Ingegerd
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Att vaka — en begreppsanalytisk studie2006In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 26, no 1, p. 4-8Article in journal (Refereed)
  • 5.
    Gabre, Marita
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wireklint Sundström, Birgitta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Olausson, Sepideh
    'A little good with the bad': Newly diagnosed type 2 diabetes patients' perspectives onself-care: A phenomenological approach2018In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    Increased knowledge is needed about what self-care means from the patients’ perspective, especially since the patient population with type 2 diabetes has been rising. The aim was to describe self-care, as experienced by patients with newly diagnosed type 2 diabetes. This study adopted a phenomenological approach. Eight patients were interviewed. A combination of photos and interviews were used. The essential meaning of self-care was found to be an existential struggle that evokes feelings of being in-between one’s old unhealthy life and a new healthier one. In this in-between condition, tension exits between contradictorily emotions of anxiety, hopelessness and hope. This struggle also means questioning one’s identity. It is important that diabetes nurses create an opening for reflection and dare to challenge their patients to reflect on this existential struggle.

  • 6. Hallgren, Jenny
    et al.
    Bäckström, Caroline A.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Pettersson, Madelene
    Sternehov, Emelie
    Larsson, Margaretha
    A prospective cross-sectional study of child healthcare competence among nurses within primary healthcare in Sweden2022In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, p. 1-11Article in journal (Refereed)
    Abstract [en]

    Child-centered care is based on the fact that children are individuals with their own rights. Since January 2020, The United Nations Convention on the Rights of the Child (CRC) is law in Sweden. Children's meeting with professionals is important because it becomes the children's impression of healthcare that may reflect the children's future image of and feelings about the whole healthcare system. This prospective cross-sectional study aimed to explore child healthcare competence among nurses within primary healthcare. Data were collected through a web-based questionnaire among 101 primary healthcare district nurses, specialist nurses, and registered nurses. The study was compliant with the STROBE checklist. The results showed that the nurses have a good ability to apply child-centered care during children's visits to primary healthcare. To further implement a child-centered approach in primary healthcare, nurses need to have access to workplace educational opportunities continually, to enhance their child competence throughout their nursing careers.

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  • 7.
    Holmberg, Mats
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Växjö, Sweden.
    Hammarbäck, Staffan
    Linnaeus University, Faculty of Health and Life Sciences, Växjö, Sweden .
    Andersson, Henrik
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Registered nurses’ experiences of assessing patients with mental illness in emergency care: A qualitative descriptive study2020In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    Patients with mental illness are exposed and experience themselves as not being taken seriously in emergency care. Registered nurses need to assess patients with mental illness from a holistic perspective comprising both a physical and an existential dimension. The aim of the study was to describe registered nurses’ (RNs) experiences of assessing patients with mental illness in emergency care. Twenty-eight RNs in prehospital and in-hospital emergency care were individually interviewed. The interviews were analysed descriptively. The design followed the COREQ-checklist. One main theme ‘A conditional patient assessment’ and two themes; ‘A challenged professional role’ and ‘A limited openness for the patient’, comprising in turn four sub-themes emerged. Although the RNs showed willingness to understand the mental illness aspects of their patients, they were insufficient in their assessments. This implies the importance of developing emergency care RNs’ competence, knowledge and self-confidence in assessments and care of patients with mental illness.

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  • 8.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Holgersson, Ann
    Health Centre, Alingsås, Sweden.
    Nytomt, Maria
    Vara Health Centre, Sweden.
    Josefsson, Karin
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Preconditions for district nurses’ telephonecounselling during call-time in municipalhome care: An observational study2016In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    Telephone counselling is a growing and complex task for district nurses in municipal home care, especially during evenings and atweekends. Work at call-time is often handled via telephone from cars, without access to records or other information aboutpatients. There is a lack of research in this subject. The aim of this study was to explore preconditions for district nurses’telephone counselling at call-time. An observational study with an inductive approach was conducted. A structural protocol wasused with a following open question. Seven district nurses who worked in home care in two municipalities in Swedenparticipated. Data were analysed using content analysis. Five categories were identified: ‘availability’, ‘professionalism’, ‘communicability,‘secure approach’, and ‘technical approach’. Accessibility appears to be given priority over security. Ethical reflection isrequired on telephone management policy for district nurses’ telephone counselling while driving and other interventions thatrequire undivided attention.

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  • 9.
    Josefsson, Karin
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Distriktssköterskors erfarenheter av telefonrådgivning till ungdomar via tredje part2014In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 34, no 4, p. 21-26Article in journal (Refereed)
    Abstract [en]

    Background: There has been an evolution from district nurses previously providing patients with the opportunity to contact health services, to them now providing medical assessments and advice via telephone counselling. Telephone counselling is governed by laws that strengthen patient safety, something which may be complicated to accomplish when the call is made via a third party.

    Aim: The aim was to describe district nurses' experiences of giving telephone advice to young people via a third party.

    Methods: The design had an inductive approach. Ten district nurses were interviewed and the interviews were analysed using qualitative content analysis.

    Findings: The district nurses' wanted to avoid calls via a third party. They experienced that third party felt responsible for young people. At the same time, the district nurses' wanted to protect young people, make safe decisions and avoid misleading information. The district nurses' experienced difficulties in making accurate assessments and found it difficult to obtain the correct information.

    Conclusion: District nurses want to avoid telephone counselling for young people via a third party as they experienced it as difficult. Misleading information from a third party may compromise the safety of patients. Good skills are needed to cope with giving advice to young people on the phone via a third party. Employers should arrange for training in telephone counselling.

  • 10.
    Josefsson, Karin
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Sjuksköterskors syn på svårigheter i telefonrådgivning: En litteraturstudie2011In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, Vol. 100, no 31, p. 11-18Article in journal (Refereed)
    Abstract [en]

    Aim: To deepen the knowledge of difficulties in registered nurses telephone advice and identify possibilities to master these.

    Background: Telephone advice increases the accessibility to health care and the streamlined work at primary health care centres. The goal of telephone advice nursing is to give a correct advice, adapted to the caller’s situation, in order to reach correct care level. However, nurses’ telephone advice includes risks for misjudgement and may risk the patient safety.

    Methods: A systematic and manual literature study was used in CINAHL and Pubmed. A total of 38 studies were identified and 13 articles were screened in full text.

    Findings: Nurses’ had difficulties in telephone advice in following areas: computerized decision aids, non-visual communication, third-part communication, limited resources, the nurses’ vulnerability, genus and ethnicity, and also ethical questions.

    Conclusion: Nurses perceived difficulties in telephone advice. They should take part in the development of computerized decision support and receive continuous training in communication skills. Nurses’ telephone advice should be facilitated by the existence of an open climate at the workplace, to discuss and to reflect on difficulties, in order to reach patient safety.

  • 11.
    Josefsson, Karin
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Holgersson, Ann
    Nytomt, Maria
    Preconditions for district nurses’ telephone counselling at call-time in municipal home care: an observational study2016In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593, p. 1-8Article in journal (Refereed)
  • 12.
    Keresi, Zuzana
    et al.
    Södra Älvsborgs Sjukhus.
    Carlsson, Gunilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindberg, Elisabeth
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    A caring relationship as a prerequisite for patient participation in a psychiatric care setting: A qualitative study from the nurses’ perspective2019In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    The participation of patients in their treatment and care is perceived as desirable; however, patients with mental illnesses experience limited opportunities to participate in their own care. As nurses play a key role in taking care of patients with mental illnesses, this study aimed to investigate how nurses within psychiatric care settings experience patients’ participation and howthey act to increase it. Semi-structured interviews were conducted with eight registered nurses, four of whom worked in apsychiatric institutional care setting and four of whom worked with outpatients. Data were analysed using a qualitative content analysis approach. The analysis identified a theme: a caring relationship is a prerequisite for patient participation. This theme wa sfurther developed through five subthemes. The findings illustrate critical aspects of the caring relationship by which the nurse–patient relationship can either facilitate or impede patient participation. A caring relationship builds trust and increases the patient’s sense of responsibility for their own condition. Because patients with mental illness are cared for in many different contexts, the results of the present study have implications for a broad range of healthcare environments.

  • 13.
    Lindberg, Elisabeth
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lundvall, Maria
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Knutsson, Susanne
    Hälsohögskolan Jönköping.
    Participating in reflection seminars: Progressing towards a deeper understanding of caring science described by nursing students2017In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    Few studies focus on how reflection seminars can support the learning of knowledge in caring science when inserted throughout the curriculum. The aim of this study was to describe students’ experiences of participating in reflection seminars, using lifeworld theory and focusing on caring science. A qualitative descriptive study based on interviews was carried out, and ten students between 21 and 33 years of age volunteered to participate. A reflective lifeworld research approach was used. Reflection seminars contribute to developing students’ ability to relate to caring and life. A deeper understanding is obtained when reflection sessions are spread over a longer period and when reflection becomes a process. The process helps caring science to become more natural and useful. Reflective seminaries based on a theoretical foundation contribute to facilitate learning more readily. A good atmosphere pervaded by a lifeworld perspective characterized by openness and thoughtfulness contributes to learning.

  • 14.
    Sandvik, Ann-Helén
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Karlsson, Pernilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Zetterman, Agnes
    Dedicated Educational Unit in Municipal Home Healthcare, Alingsås Municipality, Sweden.
    Eskilsson, Camilla
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nursing students' experiences of peer learning in a dedicated educational unit in municipal home healthcare: A phenomenological study2020In: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Article in journal (Refereed)
    Abstract [en]

    The shift from hospital-based nursing care to municipal home healthcare has led to the provision of more diverse, complex and advanced nursing care in this context. This poses challenges for undergraduate nursing students’ clinical education. The aim of this study was to describe nursing students’ experiences of learning nursing care through peer learning in a dedicated educational unit in municipal home healthcare. Data were collected through interviews with seven nursing students. The analysis was based on a reflective lifeworld research approach. The study followed the COREQ checklist. Strong cooperation and feelings of safety were found to boost learning and encourage the students to challenge themselves. Alternating between an observational and an active role during independent home visits was beneficial for intertwining caring and learning. Further, being trusted to work independently increased their ethical orientation, knowledge, self-esteem and self-confidence.

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