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  • 1.
    Bergh, Anne-Louise
    et al.
    University of Borås, School of Health Science.
    Johansson, Inger
    Persson, Eva
    University of Borås, School of Health Science.
    Karlsson, Jan
    Friberg, Febe
    Nurses’ Patient Education Questionnaire: development and validation process2015In: Journal of Research in Nursing, ISSN 1744-9871, Vol. 20, no 3, p. 181-200Article in journal (Refereed)
    Abstract [en]

    Abstract Conditions for nurses’ daily patient education work are unclear and require clarification. The aim was to develop and validate the Nurses’ Patient Education Questionnaire, a questionnaire that assesses nurses’ perceptions of appropriate conditions for patient education work: what nurses say they actually do and what they think about what they do. The questionnaire was developed from a literature review, resulting in the development of five domains. This was followed by ‘cognitive interviewing’ with 14 nurses and dialogue with 5 pedagogical experts. The five domains were identified as significant for assessing nurses’ beliefs and knowledge; education environment; health care organisation; interdisciplinary cooperation and collegial teamwork; and patient education activities. A content validity index was used for agreement of relevance and consensus of items by nurses (n¼10). The total number of items in the final questionnaire is 60, consisting of demographic items, what nurses report they do and perceptions about patient education in daily work. The questionnaire can be used by managers and nurses to identify possibilities and barriers to patient education in different care contexts.

  • 2.
    Bergh, Anne-Louise
    et al.
    University of Borås, School of Health Science.
    Persson, Eva
    University of Borås, School of Health Science. Lund University, Lund, Sweden.
    Karlsson, Jan
    The Sahlgrenska Academy, University of Gothenburg, Örebro University Hospital.
    Friberg, Febe
    University of Stavanger, Stavanger, Norway.
    Registered nurses’ perceptions of conditions for patient education: focusing on aspects of competence.2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 3, p. 523-536Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: It is important to clarify nurses' perceptions of conditions for patient education in daily work as research findings are ambiguous. There is a gap between societal regulations on nurses' competence in accomplishment/achievement of patient education and research findings. AIM: The aim was to describe nurses' perceptions of conditions for patient education, focusing on aspects of competence. The aim was also to describe differences in conditions for nurses working in primary, municipal and hospital care. METHODS: The study is a cross-sectional survey and is part of a project about nurses' patient-education. A randomized selection of nurses (842) received a questionnaire comprising 47 items concerning factual experience and attitudes to patient education and 13 background items. Questionnaires were returned by 83% of participants. Descriptive statistics, non-parametric tests and content analysis for open-ended items were used. RESULTS: Nurses' perceptions of conditions for patient education differ between health-care settings. Primary care nurses are at an advantage in following research in patient education, perception of their own competence (prioritizing and knowing their mandate in patient teaching), pedagogical education and post graduate specializations. CONCLUSIONS: Nurses' patient education must be more visualized and appropriate conditions created at each workplace. In this change process, managers' support is considered vital.

  • 3. Berndtsson, I
    et al.
    Carlsson, E
    Persson, Eva
    University of Borås, School of Health Science.
    Lindholm, E
    Long-term adjustment to living with an ilial pouch-anal anastomosis2011In: Diseases of the Colon & Rectum, ISSN 0012-3706, E-ISSN 1530-0358, Vol. 54, no 2, p. 193-199Article in journal (Refereed)
    Abstract [en]

    PURPOSE: The aim of this study was to describe long-term adjustment to life with an ileal pouch-anal anastomosis after surgery for ulcerative colitis, to investigate the relationship of pouch function to adjustment, and to explore factors affecting quality of life. METHODS: A total of 369 patients treated between 1982 and 1993 were included in the study. Questionnaires designed to assess bowel (pouch) function (Öresland score) and disease-specific adjustment (Swedish version of the Ostomy Adjustment Scale), plus open-ended questions regarding quality of life, were sent by mail. Open-ended questions were analyzed with qualitative content analysis. RESULTS: A total of 252 patients (84%) returned the disease-specific adjustment questionnaire (141 males/111 females); median age, 51 (range, 26-77) years; median follow-up, 15 (range, 10-21) years after construction of the ileal pouch-anal anastomosis. High adjustment ratings were found for all statements, with the maximum median score of 6 on 28 of the 36 items. Items with the lowest ratings (median score, 5) pertained to things one would do if not for the IPAA, feeling free to travel, ability to enjoy sexual activities, comfort with body image, ability to laugh about awkward situations, confidence in the appliance, and whether the surgery helped with decisions on what things are most important in life. Participants with the lowest adjustment scores had low bowel function scores (P < .0001). Open-ended quality of life questions were answered by 150 patients (59.5%). The most important areas for quality of life were health, family, restroom access, and friends. Five categories emerged from the qualitative content analysis: living a "normal" life, food restrictions, physical limitations, influence of restroom access on social life, and being dependent on medical care. CONCLUSIONS: Most participants had adjusted well to life with an ileal pouch-anal anastomosis and considered life to be normal. Good public restrooms were important for quality of life. Improving pouch function may help patients adjust to the postoperative state, but deeper understanding of reasons for poor adjustment despite good pouch function is needed.

  • 4. Berndtsson, Ina
    et al.
    Carlsson, Eva
    Hallén, Ann-Marie
    Fingren, Jeanette
    Lindholm, Eva
    Persson, Eva
    University of Borås, School of Health Science.
    Stoma complications in acute and emergency situations: a prospective longitudinal study2009Conference paper (Refereed)
  • 5. Berndtsson, Ina
    et al.
    Carlsson, Eva
    Persson, Eva
    University of Borås, School of Health Science.
    Framtida forskning2008In: Stomi- och tarmopererad - ett helhetsperspektiv / [ed] Eva Persson, Ina Berndtsson, Eva Carlsson, Studentlitteratur , 2008Chapter in book (Other academic)
  • 6. Carlsson, E
    et al.
    Berndtsson, I
    Fingren, J
    Hallén, A-M
    Lindholm, E
    Persson, Eva
    University of Borås, School of Health Science.
    Concerns and quality of life before surgery and during the recovery period in patients with rectal cancer and ostomy2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 6, p. 654-61Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer. SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30-87); 35 men and 22 women participated in the study. METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms. RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail. CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months.

  • 7. Carlsson, E
    et al.
    Berndtsson, I
    Hallén, AM
    Lindholm, E
    Persson, Eva
    University of Borås, School of Health Science.
    Concerns and Quality of Life Before Surgery and During the Recovery Period in Patients With Rectal Cancer and an Ostomy2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 6, p. 654-661Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Rectal cancer is the most common reason for a person to undergo ostomy surgery. The aim of this study was to assess concerns and health-related quality of life (HRQOL) before surgery and during the first 6 months following ostomy surgery in the presence of rectal cancer. SUBJECTS AND SETTINGS: The sample comprised 57 patients at a university hospital in Gothenburg, Sweden. Their median age was 66 years (range, 30–87); 35 men and 22 women participated in the study. METHODS: Participants prospectively answered questionnaires preoperatively, and at 1, 3, and 6 months postoperatively. Concerns were assessed using the rating form of the Inflammatory Bowel Disease Patient Concerns, and HRQOL was evaluated using the 36-Item Short Form Health Survey. Results were compared with population norms. RESULTS: Participants expressed concerns associated with developing cancer, being a burden on others, and related to the uncertain nature of disease. Health-related quality of life scores dropped significantly in 6 of 8 domains when preoperative scores were compared to those obtained 1 month postoperatively, but scores improved at 6 months. There were significant differences between preoperative study group scores and population norms on physical and emotional role function, social function, and for mental health domains. Significant differences persisted when population norms were compared to study group scores 6 months following surgery on all these domains except mental health. Participants identified good relations with significant others, social and leisure activities, psychological issues, and health as important for maintaining QOL. Obstacles to maintaining QOL included fatigue, pain, illness-induced limitations in life, and worries over what their new life would entail. CONCLUSION: Surgical management of rectal cancer raises concerns and profoundly impairs QOL during the first several postoperative months.

  • 8. Carlsson, Eva
    et al.
    Berndtsson, Ina
    Hallén, Ann-Marie
    Fingren, Jeanette
    Lindholm, Elisabeth
    Persson, Eva
    University of Borås, School of Health Science.
    Concerns and Quality of life in patients being operated for rectal cancer with a stoma2009Conference paper (Refereed)
  • 9. Carlsson, Eva
    et al.
    Berndtsson, Ina
    Persson, Eva
    University of Borås, School of Health Science.
    Berndtsson, Ina (Editor)
    Carlsson, Eva (Editor)
    Stomibandagering2008In: Stomi- och tarmopererad - ett helhetsperspektiv, Studentlitteratur , 2008, p. 69-81Chapter in book (Other academic)
  • 10. Carlsson, Eva
    et al.
    Gylin, Meta
    Nilsson, Laila
    Svensson, Katarina
    Alverslid, Ingrid
    Persson, Eva
    University of Borås, School of Health Science.
    Positive and negative aspects of colostomy irrigation: a patient and WOC nurse perspective2010In: Journal of Wound, Ostomy and Continence Nursing (WOCN), ISSN 1071-5754, E-ISSN 1528-3976, Vol. 37, no 5, p. 511-516Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Colostomy irrigation (CI) is an effective method to achieve fecal continence in selected persons with a colostomy. The primary aims of the study were to find out to what extent the WOC nurses used CI in their practice and what kind of information the WOC nurses gave patients if they provided explanations and potential solutions when irrigation was not successful in preserving continence. A further aim was to find out, from a patients' perspective, the positive and negative aspects of practicing CI and how they perform CI. METHODS: The study employed a mixed quantitative and qualitative approach. Data from WOC nurses were obtained by means of a structured questionnaire and by means of structured telephone interviews with patients who performed CI. SUBJECTS AND SETTING: Questionnaires were sent out to 89 WOC nurses in Sweden, and 61 (69%) questionnaires were returned. Thirty-nine patients, median age 67 years, from 5 hospitals participated in the interview study. RESULTS: Sixty-four percent of the WOC nurse respondent always informed patients about CI. Forty-four percent of patients did not remember all the information they had been given by the WOC nurse regarding CI before starting with the procedure. Eighty-seven percent reported changing routines from how they initially performed CI over the years. Almost all (97%) of the respondents described positive aspects of CI. The 2 primary positive aspects described by participants were (1) feeling secure and (2) having an empty pouch. CONCLUSION: Persons living with a colostomy who regularly performed CI reported positive benefits associated with the procedure including a feeling of security and having an empty pouch. Despite these potential benefits, not all patients with a colostomy who are appropriate candidates for CI are offered information about the method from the WOC nurses.

  • 11. Carlsson, Eva
    et al.
    Persson, Eva
    University of Borås, School of Health Science.
    Omvårdnad av patienter med kolorektala sjukdomar2012In: Omvårdnad vid kirurgiska sjukdomar, Lund: Studentlitteratur , 2012, p. 75-92Chapter in book (Refereed)
  • 12.
    Lindberg, Elisabeth
    et al.
    University of Borås, School of Health Science.
    Bondas, Terese
    Persson, Eva
    University of Borås, School of Health Science.
    Någon annans ansvar: en fokusgruppsstudie om integrering av teori och praxis2010Conference paper (Refereed)
  • 13.
    Lindberg, Elisabeth
    et al.
    University of Borås, School of Health Science.
    Bondas, Terese
    Persson, Eva
    University of Borås, School of Health Science.
    NÅGON ANNANS ANSVAR- EN FOKUSGRUPPSSTUDIE OM INTEGRERING AV TEORI OCH PRAXIS2010Conference paper (Refereed)
  • 14.
    Lindberg, Elisabeth
    et al.
    University of Borås, School of Health Science.
    Persson, Eva
    University of Borås, School of Health Science.
    Bondas, Terese
    'The responsibility of someone else': a focus group study of collaboration between a university and a hospital regarding the integration of caring science in practice.2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 3, p. 579-86Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of the study was to develop insights into how nurses, senior preceptors and head nurses experience the integration of caring science in practice and how they value the contributions of nursing students to the integration of caring science in practice. BACKGROUND: Research still reveals differences between theory and practice by nursing students. In Sweden, clinical education units have become one way of creating consistency between university and health care practices on values of caring. METHOD: The study is hermeneutic in design comprising data from three focus group interviews. The participants include registered nurses, senior preceptors and head nurses. RESULT: The study shows that roles and mandates are not clearly defined between the different actors. The university and hospital collaboration in caring science integration was regarded as 'someone else's responsibility'. Research and development seemed excluded from the everyday life of the hospital units. The students seemed to fall somewhere between the hospital 'practice and concrete world of production' and the university 'theory world of education and research'. Three themes emerge: 'integration--someone else's responsibility', 'the hospital--a culture of production' and 'the hospital and the university--different realities'. DISCUSSION: The results suggest the need for professionals within health care and university to reflect on their responsibilities in terms of research and development. The ethos of caring science implies the alleviation of suffering and caring for vulnerable patients including research and development.

  • 15.
    Persson, Eva
    University of Borås, School of Health Science.
    A HNPCC family with an unknown mutation but a strong tumor penetration2007Conference paper (Other academic)
  • 16.
    Persson, Eva
    University of Borås, School of Health Science.
    A "new life" with a stoma and quality of care among patients and their partners2004Doctoral thesis, monograph (Other academic)
    Abstract [en]

    Information, education, and counselling are essential elements in stoma care. It istherefore important to take the necessary time to explain to patients and their partnerwhat to expect when living with a stoma.Aim: To describe the perception that patients and their spouses have of their lifesituation after stoma surgery, with particular emphasis regarding their personal viewson the importance of various aspects of care and how they felt about the quality ofcare that was provided.Methods: Nine patients were interviewed about their feelings and life experiences 6-12 weeks after stoma surgery. A qualitative method was used to collect and analysethe data. In addition to the interview procedure, quality of care of patients and theirrelatives was assessed using the identity-oriented dimension of the well-establishedquestionnaire Quality of Care from the Patients Perspective . A colostomy group of49 patients and 32 couples and an ileostomy group of 42 patients and 28 couplescompleted the questionnaire. Focus group interviews comprised of spouses to patientsafter surgery for rectal cancer were conducted as method of data collection.Qualitative content analysis was used to analyse the implicit meanings embeddedwithin the interview material.Results: The altered body image had an adverse impact on the sexual life of thepatients and their spouses. Social life and leisure activities were also affectedadversely and thus the couples had to adapt to their new live style accordingly. Thetopics covered by the questionnaire were considered important to both the patientsand their relatives. Information given on results from medical examinations andlaboratory tests was judged to be unsatisfactory in about one-half of the ileostomypatients and their relatives and in about one-third of the patients and their relatives inthe colostomy group. Furthermore, their dissatisfaction with the possibility ofparticipating in the decision-making process or to discuss sexual matters was evengreater. Although the majority of the patients in both study groups considered theattitudes of the ET nurse and the treatment they received as satisfactory, the relativeswere observed to be less content with these issues. Ileostomy patients and theirrelatives tended to be more displeased with the quality of care than the colostomypatients and their relatives.Conclusion: Despite access to stoma therapy and modern stoma appliances, anileostomy as well as a colostomy, were found to adversely affect the daily life ofpatients and their spouses and relatives. Concerning the quality of care, a largediscrepancy still exists between what form of care is offered and what is actuallygiven, particularly regarding patient participation and information needs. An attitudechange that is more accommodating and that encourages spouses and relatives totake part in consultations might serve to facilitate the ostomy patient s long-termadjustment to living with a stoma.

  • 17.
    Persson, Eva
    University of Borås, School of Health Science.
    Att vårda och bli vårdad i flerbäddsrum och respektive enkelrum2010Conference paper (Refereed)
    Abstract [sv]

    Under 2010 är en ny vårdbyggnad med bara enkelrum inflyttningsklar på Södra Älvsborgs Sjukhus. Två studier har genomförts med syfte att jämföra patientens upplevelser av att vårdas och vårdpersonalens upplevelser av att vårda på en traditionell avdelning med flerbäddsrum respektive vårdavdelningar med bara enkelrum. I första studien gjordes intervjuer med patienter och fokusgruppintervjuer med sjuksköterskor på två traditionella vårdavdelningar. Andra studien pågår i den nya sjukhusbyggnaden med enbart enkelrum. Resultatet visade att både patienterna och sjuksköterskorna uppskattade den goda atmosfären som ofta upplevdes på flerbäddsrummen. Det var en trygghet att patienterna vid behov kunde kalla på hjälp för varandra och de hjälpte varandra så gott de kunde. Sjuksköterskorna beskrev det som positivt att de fick en överblick över alla fyra patienterna när de kom in på rummet, man sparade tid. Ett problem som kunde uppstå var om någon patient var oklar eller orolig, speciellt nattetid då det påverkade sömnen för medpatienterna negativt.

  • 18.
    Persson, Eva
    University of Borås, School of Health Science.
    Colostomy irrigation for whom and how? -from a patient and an ET nurse perspective2008Conference paper (Refereed)
  • 19.
    Persson, Eva
    University of Borås, School of Health Science.
    HNPCC: Aspects on colonoscopy/gynecological surveillance and prophylactic surgery2007Conference paper (Other academic)
  • 20.
    Persson, Eva
    University of Borås, School of Health Science.
    Psychological aspects of HNPCC2007Conference paper (Other academic)
  • 21.
    Persson, Eva
    University of Borås, School of Health Science.
    Psykosociala aspekter på en förändrad livssituation2008In: Stomi- och tarmopererad - ett helhetsperspektiv / [ed] Eva Persson, Ina Berndtsson, Eva Carlsson, Studentlitteratur , 2008, p. 175-183Chapter in book (Other academic)
  • 22.
    Persson, Eva
    University of Borås, School of Health Science.
    Berndtsson, Ina (Editor)
    Carlsson, Eva (Editor)
    Stomier2008In: Stomi- och tarmopererad - ett helhetsperspektiv, Studentlitteratur , 2008, p. 59-68Chapter in book (Other academic)
  • 23.
    Persson, Eva
    University of Borås, School of Health Science.
    Berndtsson, Ina (Editor)
    Carlsson, Eva (Editor)
    Stomirelaterade komplikationer2008In: Stomi- och tarmopererad - ett helhetsperspektiv, Studentlitteratur , 2008, p. 84-88Chapter in book (Other academic)
  • 24.
    Persson, Eva
    et al.
    University of Borås, School of Health Science.
    Berndtsson, I
    Carlsson, E
    Hallén, AM
    Lindholm, E
    Stoma-related complications and stoma size: a two-year follow-up2010In: Colorectal Disease, ISSN 1462-8910, E-ISSN 1463-1318, Vol. 12, no 10, p. 971-976Article in journal (Refereed)
    Abstract [en]

    The purpose of the study was to prospectively describe ostomy configuration and evaluate ostomy related complications and association to possible risk factors. Method All elective patients (n=180) operated with a colostomy, ileostomy or loop-ileostomy formated between 2003 and 2005 were included in the study. The follow-up took place at ward postoperatively and five times during two year after discharge. At these occasions diameter and height of the ostomy were recorded. Complications such as, peristomal skin problems, necrosis, leakage due to low ostomy, stenosis, granuloma, prolaps and peristomal hernia was evaluated. Results Most complications occurred two weeks after discharge; 53% of patients with colostomies, 79% with loop-ileostomies and 70% of patients with ileostomy had one or more complications. The most common complication was skin problem and was most common in patients with ileostomies (60%) and loop-ileostomies (73%). Postoperative at ward, the most common complication was necrosis, which occurred in 20% of patients with a colostomy. Granuloma was most frequent in colostomies. Almost all patients with an ileostomy and loop-ileostomy with a height lower than 20 mm had leakage and skin problems and half of patients with a colostomy height lower than 5 mm. Conclusion To prevent ostomy related complications it is important with an adequate height of the ostomy, early and regular follow-ups with adjustment of the appliance. To work closely in collaboration with the colorectal surgeons is of utmost important to provide feedback and by that improve ostomy outcome.

  • 25.
    Persson, Eva
    et al.
    University of Borås, School of Health Science.
    Berndtsson, Ina
    Carlsson, Eva
    Living with increased risk of developing colorectal cancer: our family is cursed2008Conference paper (Refereed)
  • 26.
    Persson, Eva
    et al.
    University of Borås, School of Health Science.
    Berndtsson, InaCarlsson, Eva
    Stomi- och tarmopererad: ett helhetsperspektiv2008Collection (editor) (Other academic)
  • 27.
    Persson, Eva
    et al.
    University of Borås, School of Health Science.
    Carlsson, E
    Gylin, M
    Nilsson, L
    Svensson, K
    Alverslid, I
    Positiva och negativa aspekter på irrrigation av kolostomi: Ur ett patient och stomiterapeut perspektiv2010Conference paper (Refereed)
  • 28.
    Persson, Eva
    et al.
    University of Borås, School of Health Science.
    Lindholm, E
    Berndtsson, I
    Lundstam, U
    Hultén, L
    Carlsson, E
    Experiences of living with increased risk of developing colorectal and gynaecological cancer in individuals with no identified gene mutation2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 1, p. 20-27Article in journal (Refereed)
    Abstract [en]

    Background:  In most families with familial cancers, mutations have not been demonstrated; thus, healthy individuals cannot be tested for mutation status. As a consequence, many persons at risk of familial cancer live with an unknown, but presumably high, risk of developing cancer. Aim:  The aim of this study was to describe individuals’ perceptions of living with an increased risk of colorectal and gynaecologic cancer where the gene mutation is unknown. Methods:  Interviews were conducted with 30 individuals with familial colorectal cancer. These persons have no known mutation and therefore should be considered presumptive carriers. In connection with the interviews, all participants were offered to take part in a surveillance programme consisting of a colonoscopy and gynaecological examinations. The interview transcriptions were analysed by the use of qualitative content analysis. Results:  Two themes emerged from the analyses: first, living under a threat with two subthemes, threat awareness and distancing oneself from the threat. The second theme, living with uncertainty, was divided into four subthemes: influencing one’s family, being on the safe side, facing emotions evoked by examinations and trust and disappointment to the medical services. Conclusion:  These persons live with a lifelong uncertainty with a varying intensity depending on what happens throughout the life trajectory. They have no diagnosis or patient group to relate to; therefore, the entire situation is often perceived as abstract. Thus, providing information and counselling needs to be more deeply elucidated, and we need to address both situational and existential ways of uncertainty. This will, however, require professionals of all disciplines to understand the meaning of uncertainty and help ensure that its adverse effects are decreased with adequate nursing interventions.

  • 29.
    Persson, Eva
    et al.
    University of Borås, School of Health Science.
    Määttä, Sylvia
    To provide care and be cared for in a multiple-bed hospital room2012In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 4, p. 663-670Article in journal (Refereed)
    Abstract [en]

    Aims:  To illuminate patients’ experiences of being cared for and nurses’ experiences of caring for patients in a multiple-bed hospital room. Background:  Many patients and healthcare personnel seem to prefer single-bed hospital rooms. However, certain advantages of multiple-bed hospital rooms (MBRs) have also been described. Method:  Eight men and eight women being cared for in a multiple-bedroom were interviewed, and two focus-group interviews (FGI) with 12 nurses were performed. A qualitative content analysis was used. Results:  One theme –Creating a sphere of privacy– and three categories were identified based on the patient interviews. The categories were: Being considerate, Having company and The patients’ area. In the FGI, one theme – Integrating individual care with care for all – and two categories emerged: Experiencing a friendly atmosphere and Providing exigent care. Both patients and nurses described the advantages and disadvantages of multiple-bed rooms. The patient culture of taking care of one another and enjoying the company of room-mates were considered positive and gave a sense of security of both patients and nurses. The advantages were slight and could easily become disadvantages if, for example, room-mates were very ill or confused. The patients tried to maintain their privacy and dignity and claimed that there were small problems with room-mates listening to conversations. In contrast, the nurses stressed patient integrity as a main disadvantage and worked to protect the integrity of individual patients. Providing care for all patients simultaneously had the advantage of saving time. Conclusions:  The insights gained in the present study could assist nurses in reducing the disadvantages and taking advantage of the positive elements of providing care in MBRs. Health professionals need to be aware of how attitudes towards male and female patients, respectively, could affect care provision.

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