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  • 1.
    Andersson, Henrik
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindholm, Maria
    Pettersson, Margareta
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nurses competencies in Home health care: An interview study.2017In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 16, no 65Article in journal (Refereed)
    Abstract [en]

    Background:Nurses working in Home health care (HHC) are facing major challenges when more advanced care and treatment are performing in the patient's home. The aim of this study was to explore how nurses experiencing their competencies in HHC. 

    Methods:This study has a qualitative and explorative design. Ten nurses were interviewed and data were analysed by content analysis.

    Results:The themes “Being a capable nurse”, “Being a useful nurse” and “Being a subordinate and dependent nurse” were identified. Nurses want to be capable to take care of patients, develop their competencies and perform their duties in the way that are requested. They also want to be useful in their work and providing good and safe HHC. Finally, nurses want to improve the care in HHC with their competencies. Simultaneously, they are subordinate and dependent in the relation with their manager and manager's interest to encourage nurses’ competence development.

    Conclusions:Nurses in HHC are responsible for many seriously ill patients and they want to contribute to a good and safe patient care. To maintain patient safety, reduce the risk for burnout and staff turnover as well as to contribute to a sustainable development of the work, strategies for transfer competencies between nurses and efforts for competence development are needed. 

  • 2.
    Bremer, Anders
    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.
    Sandman, Lars
    Chefers etiska värderingar2016In: Ledarskap i äldreomsorgen: Att leda integrerat värdeskapande i en röra av värden och förutsättningar / [ed] Lotta Dellve, Maria Wolmesjö, Borås: Högskolan i Borås, 2016, , p. 16p. 43-56Chapter in book (Other academic)
  • 3.
    Bremer, Anders
    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.
    Sandman, Lars
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ethical values among managers in elderly care. Paper presented at the Dilemmas for Human Services 2015: Organizing, Designing and Managing2015Conference paper (Refereed)
  • 4.
    Bremer, Anders
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Kullén Engström, Agneta
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Fredman, Margareta
    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.
    Jutengren, Göran
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Karlsson, Per-Åke
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Sandman, Lars
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wolmesjö, Maria (Editor)
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ledarskap i äldreomsorgen: att leda integrerat värdeskapande i en röra av värden och förutsättningar2016Report (Refereed)
    Abstract [sv]

    Det övergripande syftet med denna rapport är att beskriva chefers etiska värderingar, dilemman och organisatoriska förutsättningar för att bedriva ett värdebaserat ledarskap i såväl kommunal som privat äldreomsorg.

    Det empiriska materialet består av en omfattande enkätstudie till nästan 500 studerande inom ramen för den nationella ledarutbildningen för chefer inom äldreomsorgen vid Högskolan i Borås under perioden 2013 till 2015. Utbildningen gavs på uppdrag av Socialstyrelsen och omfattade 30 högskolepoäng med två års studier på kvartsfart. Samtliga studerande var yrkesverksamma som chefer och ledare inom kommunal eller privat äldreomsorg i södra Sverige. Metoder som använts i bearbetning och analys av materialet är deskriptiva, jämförande och analytiska med regressionsmodeller och SEM-analys.

    Resultatet visar på att cheferna – oavsett utbildningsbakgrund, värderade följande etiska värden högst: att inte skada, respekt för individen och rätten till konfidentialitet. Värdedilemman i chefsarbetet är dock vanligt och sammanlänkat med andra utmaningar i arbetet, särskilt med utmaningar som rör hantering över organisationsnivåer (buffertproblem och containerproblem) och av olika ansvarsområden (logikkonflikter). Inom privat verksamhet skattade de medverkande cheferna värdekonflikter och andra utmaningar i lägre grad än chefer inom kommunal verksamhet.

    De flesta chefer var nöjda med hur de kunde fullfölja sitt ansvar för utveckling av verksamheten avseende värdegrund, kvalitet, processer, dagligt arbete, brukarmedverkan, brukarsäkerhet och arbetsmiljö. De flesta skattade också att de arbetade i mycket hög grad med strukturering och utveckling av dessa frågor.

    Stödresurser minskade upplevelsen av värdekonflikter, men det fanns skillnad i betydelsen relaterat till chefers grundprofession. Det organisatoriska stödet var också tydligare för chefer inom privat verksamhet. Organiserade stödresurser hade stor betydelse för hållbart integrerat och värdeskapande ledarskap samt för aktiva ledningsstrategier. Även sambandet mellan hållbart ledarskap och aktiva ledarstrategier modererades av grundprofession, där sambandet var moderat negativt för chefer med social grundutbildning. Det tycks således finnas ett utbildningsbehov bland äldreomsorgens chefer och behov av ett utvecklat stöd från arbets- HÖGSKOLAN BORÅS HÖGSKOLAN BORÅS 15 givaren då det varierar avseende omfattning, inriktning och nivå mellan kommunal och privat verksamhet.

    Sammanfattningsvis har chefer i äldreomsorgen många olika värden, på olika nivåer och utifrån olika perspektiv att förhålla sig till i sitt ledarskap. Att hantera och utveckla förståelse för dessa är utmanande i chefskapet och värdedilemman är vanliga. Majoriteten av cheferna i denna studie beskriver dock generellt en aktiv och god hantering och organisering av dessa. Konstateras att en integrerad förståelse och hantering, samt goda organisatoriska stödresurser tycks bidra till mer hållbart och värdeskapande ledarskap.

  • 5.
    Johansson, Helena
    et al.
    Department of Medical and Health Sciences Linköping University.
    Berg, Katarina
    Department of Medical and Health Sciences Linköping University.
    Berterö, Carina
    Department of Medical and Health Sciences Linköping University.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Living with COPD: a life with strategies.2017Conference paper (Refereed)
    Abstract [en]

    Abstract

    People with COPD are affected by symptom burden as it has an impact on their daily lives. There are few studies to be found about people with COPD and their own experiences of living with the disease.

    The aim of this study was to identify and describe the symptom burden in people with COPD based on their own lived experiences. This was a qualitative study, interviewing 25 people with COPD in stages III and IV.

    People with COPD have a substantial symptom burden that affects their daily lives.

    There are several strategies to manage everyday life and reduce the symptom burden

  • 6.
    Johansson, Helena
    et al.
    Department of Medical and Health Sciences Linköpings University.
    Berterö, Carina
    Department of Medical and Health Sciences Linköpings University.
    Berg, Katarina
    Department of Medical and Health Sciences Linköpings University.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    The qualitative interview; not just data collection.2016Conference paper (Refereed)
    Abstract [en]

    Not just data collection

    The qualitative interview  is a method to obtain knowledge about the persons own lived experience and the possibility to share the person’s own life experiences.

    A qualitative interview study with planed interviews  between 20 to 30 minutes related to the persons health. The interviews lasted for 40 to 70 minuets. 

    At the beginning of each interview, most of the informants were affected by symptoms, which faded out during the interview. An interview  is aiming for data collection but the conversation can be treating the affected person so the qualitative interview is more than just data collection-becoming an intervention

  • 7.
    Johansson, Helena
    et al.
    Department of Medical Specialist and Department of Medical and Health Sciences, Linköping University, Motala, Sweden .
    Berterö, Carina
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Berg, Katarina
    Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    To live a life with COPD - the consequences of symptom burden2019In: International Journal of COPD, ISSN 1176-9106, Vol. 14, p. 905-909-Article in journal (Refereed)
    Abstract [en]

    Background: Chronic obstructive pulmonary disease (COPD) is a prevalent disease as with its symptom and treatment gives a burden for the affected person, family, health care and finances. Today the knowledge and understanding are sparse regarding COPD affected person´s own lived experiences about the symptom burden and its effect on their daily life.  Due to this knowledge gap the aim of this study was to identify and describe the symptom burden and its effect on daily life in people with COPD based on their own lived experiences.

    Subject and Method: Eleven males and fourteen females in GOLD stage III and IV within an age of 58-82 years were interviewed. An interview guide guided the face-to-face interviews. Data was analyzed with Thematic Analysis following the six steps according to Braun and Clarke.

    Results: The result show one theme; An altered everyday life. The altered everyday life lead to a need of support to handle the everyday life and  different strategies to live as desired. Persons with COPD need to take the day as it comes dependent on the status of the day. The life is not easy to plan, and the day must be taken as it comes. The life is handled with strategies in breathing techniques, take care of the home and garden as well as the emotions. Support from the next of kin, society and the health care is important.

    Conclusion: This study provides insight in that persons with COPD in stage III and IV have an altered life caused by the symptom burden. They must struggle with strategies to handle everyday life. There is a need of support from next of kin and society to facilitate life, but this support needs to be well-balanced.

  • 8.
    Jonasson, Lise-Lotte
    [external].
    A comprehensive picture of ethical values in caring encounters, based on experiences of those involved: Analysis of concepts developed from empirical studies2011Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Older people should have a life with a sense of value and should feel confident. These ethical values, which are expressed in normative ethics, are expected to prevail in empirical ethics. Central components of nursing are the ethical issues of autonomy, beneficence, non-maleficence and the principles of justice. The general aim of this thesis is to identify and describe the ethical values that are apparent in the caring encounter and their influence on the people involved. This is done from the perspective of the older person in study (I), next of kin in study (II) and nurses in study (III). In study (IV) the aim was to synthesize the concepts from empirical studies (I- III) and analyze, compare and interrelate them with normative ethics. Studies (I, III) were empirical observational studies including follow-up interviews. Twenty-two older people participated voluntarily in study (I), and in study (III) 20 nurses participated voluntarily. In study (II) fourteen next of kin were interviewed. In studies (I- III) constant comparative analysis, the core foundation of grounded theory, was used. Five concepts were used in the analysis in study (IV); three from the grounded theory studies (I- III) and two from the theoretical framework on normative ethics i.e. the ICN code and SFS law. Five categories; being addressed, receiving respect, desiring to participate, increasing self-determination and gaining self-confidence formed the basis for the core category ‚Approaching‛ in study (I). ‘Approaching’ indicates the ethical values that guide nurses in their caring encounters with older people. These ethical values are noted by the older people and are greatly appreciated by them, and also lead to improved quality of care. Four categories were identified in study (II): Receiving, showing respect, facilitating participation and showing professionalism. These categories formed the basis of the core category ‚Being amenable‛, a concept identified in the next of kin’s description of the ethical values that they and the older patients perceive in the caring encounter. In study (III), three categories were identified: showing consideration, connecting, and caring for. These categories formed the basis of the core category ‚Corroborating‛. Corroborating deals with support and interaction. Empirical ethics and normative ethics are intertwined, according to the findings of this study (IV). Normative ethics influence the nurse’s practical performance and could have a greater influence in supporting nurses as professionals. Criteria of good ethical care according to this thesis are: showing respect, invitation to participation, allowing self-determination, and providing safe and secure care. These criteria are elements of the concept of being professional. Professionalism of nurses is shown by: the approach nurses adapt to the performance of their duties, and their competence and knowledge, but also how they apply laws and professional codes

  • 9.
    Jonasson, Lise-Lotte
    [external].
    Ethical values in caring encounters from elderly patients’ and next of kin´s perspective2009Licentiate thesis, monograph (Other academic)
    Abstract [en]

    The welfare of the elderly population is one of the most important goals of the public health services. At macro level the Swedish National Board of Health and Welfare state that the premier goal is for elderly people to have dignified and comfortable lives. They should have a life with a sense of value and feel confident. These ethical values which are expressed on macro level or as normative ethics are expected to prevail at micro level. In our study the micro level is the caring encounter between the elderly patient, next of kin and nurses. Ethical values and morals are important aspects that influence the quality of care, videlicet in empiric ethics.The aim of study (I) was to identify and describe the ethical values experienced by the older person in the daily interaction with nurses in a ward for older people during caring encounters. In study (II) the aim was to identify and describe the governing ethical values that next of kin experience in interaction with nurses who care for elderly patients at a geriatric clinic. Study (I) which was an empirical observational study included follow-up interviews. Twenty-two older people participated voluntarily. In study (II) interviews with fourteen next of kin were conducted. In both studies Constant comparative analysis, the core foundation of grounded theory was used.Five categories; Being addressed, receiving respect, desiring to participate, increasing self-determination and gaining self-confidence formed the basis for the core category in study (I): Approaching. Approaching concerns the way people become closer to each other in a physical space .It also includes how people become closer to each other in a dialogue, which involves verbal or bodily communication. Approaching indicates the ethical values that guide nurses in their caring encounters with older people. This ethical value is noted by the older person and has an individual value, as well as leading to improved quality of their care. The older person will be confident and satisfied with the caring encounter if the desired components in the nurse’s approaching are exhibited.Four categories were identified in study (II): Receiving, showing respect, facilitating participation and showing professionalism. These categories formed the basis of the core category: “Being amenable”, a concept identified in the next of kin’s description of the ethical values that they and the elderly patients perceive in the caring encounter. Being amenable means that the nurses are guided by ethical values; taking into account the elderly patient and next of kin. Nurses who focus on elderly patients’ well-being as a final principle will affect next of kin and their experience of this fundamental situation.

  • 10.
    Jonasson, Lise-Lotte
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Inkontinensprojektet: Personalens uppfattningar om äldre vårdtagares urininkontinens vid tre kommunala vård- och omsorgsboenden och hantering av frågor kring detta2016Report (Other academic)
  • 11.
    Jonasson, Lise-Lotte
    et al.
    [external].
    Berterö, C
    The importance of ‘approaching’ older people: a grounded theory2012In: International Journal of Older People Nursing, ISSN 1748-3735, E-ISSN 1748-3743, Vol. 7, no 1, p. 29-36Article in journal (Refereed)
    Abstract [en]

    Aims and Objectives: The aim of this study was to identify and describe the ethical values in caring encounters as experienced by older patients in their daily interaction with nurses in wards for older people.Background: Ethical values and morals are important aspects that influence the quality of care. Methods: Empirical observational study including follow-up interviews. Twenty-two older patients participated voluntarily in this study. Constant comparative analysis, the core foundation of grounded theory was used. Results: Five categories; Being addressed, receiving respect, desiring to participate, increasing self-determination and gaining self-confidence formed the bases for the core category: Approaching: Approaching concerns how people become closer to each other in a physical space .It also includes how people become closer to each other in a dialogue, involving verbal or bodily communication. Conclusions and Relevance to Clinical Practice: Approaching indicates the ethical values that guide nurses in their caring encounters with older patients. These values are noted by the patient and have an individual value as well as leading to improved quality of their care. The older patient will be confident and satisfied with the caring encounter if the desired components in the nurse’s approaching are exhibited.

  • 12.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Nyström, Maria
    University of Borås, School of Health Science.
    Prerequisites for sustainable care improvement using the reflective team as a work model2014In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 9, no 23934Article in journal (Refereed)
    Abstract [en]

    A work model for sustainable care improvement is enhanced by a professional approach in whichattitudes, opinions, and discussions are further developed into creative reflection. This requires not only a personal reflective attitude but also a collegial environment, interested in mutual support in morethorough reflection. Optimal conditions for such development occur when there is an organizational structure at the caring unit which makes it possible to intertwine these factors so that they become a natural part of the work climate.

  • 13.
    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.

  • 14.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Josefsson, Karin
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Staffs’ experiences of the management of older adults with urinary incontinence2016In: Healthy Aging Research, ISSN 2261-7434Article in journal (Refereed)
    Abstract [en]

    Background. Urinary incontinence is a complex public health problem for older adults both in Sweden and internationally. It is estimated that 50-80% of older adults in residential care facility have problems with urinary incontinence. Several studies illuminate staffs’ attitudes that incontinence is as a natural consequence of aging, which means that assessment and treatment are overlooked. There is also a lack of knowledge and compliance in relation to whether care staff is followed guidelines or not. Therefore, the aim of the present study was to describe staffs’ experiences of the management of older adults with urinary incontinence in residential care facility.

     Methods. The design was explorative with an inductive approach with 17 individual interviews. Data were analyzed using qualitative content analysis.

    Results. The analysis led to following three categories: Staffs’ management; The organization’s impact; and Creating wellbeing factors for older adults with urinary incontinence. The staff had different views of what an investigation is and what measures are needed to be done. To achieve a good individual patient care there is need of a greater knowledge about good nursing, communication and dialogue between the various working groups.

     Conclusions. Staffs’ management, the organization’s impact, and creating wellbeing factors are central to older adults’ influence and to experience quality of life. Implementing an evidence-based practice requires a long-term process-focused approach in order to improve the structure of daily work and to encourage staffs’ learning and competence development.

  • 15.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindö, Peggy
    Occupational Health Nurse, Laholmshälsan.
    Lindh, Tina
    Public health nurse, Mölndals municipality.
    Josefsson, Karin
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Life situation and participation as experienced by adult patients in palliative home care2019In: Nursing and Palliative CareArticle in journal (Refereed)
    Abstract [en]

    Background: Many patients are currently cared for at the end-of-life stage at home, and the number is expected to increase. The patient’s participation is a prerequisite for good care, which also relates to ethical principles and evidence-based action. Aim: To describe adult patients’ experiences of their life situation and their participation in palliative home care. Method: A reflective lifeworld approach and a phenomenological meaning analysis were conducted. Six adult patients in palliative home care were interviewed in Sweden during 2018. Results: One essential meaning and five elements of that meaning describe adult patients’ life situations and participation in their palliative home care. The essential meaning referred to needing and endeavouring to live as usual and taking responsibility for life. The five essential elements were: The home should be my home, where I know who is coming through the door; I should know when help is coming and be included when decisions are made; routines should be maintained, but without booking up tomorrow; accept death, feel hope, and plan for relatives after my death; and be aware that death is imminent, but not know when it will come. Conclusions: Participation in palliative home care can be maintained and improved by caregivers behaving as guests in the patient’s home, building up the patient’s trust, showing consideration for patients and their relatives, promoting patients living everyday life as they previously had, asking about the patient’s habits, and giving patients time and continuity in the caregiving relationship. Education should focus on how to have supportive conversations with a patient who is dying and preparing for death.

  • 16.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. [external].
    Liss, P-E
    Westerlind, B
    Berterö, C
    Corroborating indicates nurses’ ethical values in a geriatric ward2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, ISSN 1748-2623, Vol. 6, no 3, p. 7291-Article in journal (Refereed)
    Abstract [en]

    The aim of the study was to identify nurses’ ethical values, which become apparent through their behaviour in the interactions with older patients in caring encounters at a geriatric clinic. Descriptions of ethics in a caring practice are a problem since they are vague compared with the four principles of autonomy, beneficence, non-maleficence, and justice. A Grounded Theory methodology was used. In total, 65 observations and follow-up interviews with 20 nurses were conducted, and data were analysed by constant comparative analysis. Three categories were identified: showing consideration, connecting, and caring for. These categories formed the basis of the core category: ‘‘Corroborating.’’ In corroborating, the focus is on the person in need of integrity and self-determination; that is, the autonomy principle. A similar concept was earlier described in regard to confirming. Corroborating deals more with support and interaction. It is not enough to be kind and show consideration (i.e., to benefit someone); nurses must also connect and care for the older person (i.e., demonstrate non-maleficence) in order to corroborate that person. The findings of this study can improve the ethics of nursing care. There is a need for research on development of a high standard of nursing care to corroborate the older patients in order to maintain their autonomy, beneficence, and nonmaleficence. The principal of justice was not specifically identified as a visible nursing action. However, all older patients received treatment, care, and reception in an equivalent manner.

  • 17.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. [external].
    Liss, P-E
    Westerlind, B
    Berterö, C
    Empirical and normative ethics: a synthesis relating to the care of older patients2011In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, ISSN 0969-7330, Vol. 18, no 6, p. 814-824Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to synthesize the concepts from empirical studies and analyze, compare and interrelate them with normative ethics. The International Council of Nurses (ICN) and the Health and Medical Service Act are normative ethics. Five concepts were used in the analysis; three from the grounded theory studies and two from the theoretical framework on normative ethics. A simultaneous concept analysis resulted in five outcomes: interconnectedness, interdependence, corroboratedness, completeness and good care are all related to the empirical perspective of the nurse's interaction with the older patient, and the normative perspective, i.e. that found in ICN code and SFS law. Empirical ethics and normative ethics are intertwined according to the findings of this study. Normative ethics influence the nurse's practical performance and could be supporting documents for nurses as professionals.

  • 18.
    Jonasson, Lise-Lotte
    et al.
    [external].
    Liss, P-E
    Westerlind, B
    Berterö, C
    Ethical values in caring encounters on a geriatric ward from the next of kin´s perspective: An interview study2010In: International Journal of Nursing Practice, ISSN 1322-7114, E-ISSN 1440-172X, Vol. 16, no 1, p. 20-26Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to identify and describe the governing ethical values that next of kin experience in interaction with nurses who care for elderly patients at a geriatric clinic. Interviews with 14 next of kin were conducted and data were analysed by constant comparative analysis. Four categories were identified: receiving, showing respect, facilitating participation and showing professionalism. These categories formed the basis of the core category: ‘Being amenable’, a concept identified in the next of kin's description of the ethical values that they and the elderly patients perceive in the caring encounter. Being amenable means that the nurses are guided by ethical values; taking into account the elderly patient and the next of kin. Nurses' focusing on elderly patients' well-being as a final criterion affects the next of kin and their experience of this fundamental condition for high-quality care seems to be fulfilled.

  • 19.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Nazarzadeh, Anna
    Pettersson, Camilla
    Äldre personers urininkontinens på vård- och omsorgsboende2019Other (Other (popular science, discussion, etc.))
    Abstract [sv]

    Urininkontinens är ett problem för äldre personer och tenderar öka då äldre personer flyttar in på vård- och omsorgsboende. Efter inflyttning ska en vård- och genomförandeplan upprättas, gällande insatser som personen är i behov av. På vilket sätt journalförs och dokumenteras personens urininkontinens i vårdplanen? Hur är omsorgsbehovet i genomförandeplanen utformat, och hur relateras vårdplanen till genomförandeplanen?  Det var frågor som författarna nedan ställde sig i en studie genomförd inom två kommuner i Västra Sverige

  • 20.
    Jonasson, Lise-Lotte
    et al.
    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.
    Rydström, Ingela
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Reflective team in caring for people living with dementia: A base for care improvement.2017In: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 18, no 3, p. 397-409Article in journal (Refereed)
    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.

  • 21.
    Jonasson, Lise-Lotte
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Sandman, Lars
    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.
    Managers’ experiences of ethical problems in municipal elderly care: a qualitative study of written reflections as part of leadership training2019In: Journal of Healthcare Leadership, Vol. 11, no 63-74Article in journal (Refereed)
    Abstract [en]

    Background: Managers in elderly care have a complex ethical responsibility to address the needs and preferences of older persons while balancing the conflicting interests and requirements of relatives’ demands and nursing staff’s work environment. In addition, managers must consider laws, guidelines, and organizational conditions that can cause ethical problems and dilemmas that need to be resolved. However, few studies have focused on the role of health care managers in the context of how they relate to and deal with ethical conflicts. Therefore, the aim of this study was to describe ethical problems experienced by managers in elderly care.

    Methods: We used a descriptive, interpretative design to analyze textual data from two examinations in leadership courses for managers in elderly care. A simple random selection of 100 out of 345 written exams was made to obtain a manageable amount of data. The data consisted of approximately 300 pages of single-spaced written text. Thematic analysis was used to evaluate the data.

    Results: The results show that managers perceive the central ethical conflicts relate to the older persons’ autonomy and values versus their needs and the values of the staff. Additionally, ethical dilemmas arise in relation to the relatives’ perspective of their loved one’s needs and preferences. Legislations, guidelines, and a lack of resources create difficulties when managers perceive these factors as conflicting with the care needs of older persons.

    Conclusion: Managers in elderly care experience ethical conflicts that arise as unavoidable and perennial values conflicts, poorly substantiated values, and problematic organizational conditions. Structured approaches for identifying, reflecting on, and assessing ethical problems in the organization should therefore be implemented

  • 22.
    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)
1 - 22 of 22
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