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  • 1. Auvinen, Pekka
    et al.
    Grônroos, Eija
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia.
    Hirvonen, Eila
    Hyrkkänen, Ursula
    Mäntylä, Ritva
    Ammattikorkeakoulun henkilöstön tutkimus- ja kehittämistoiminnan osaaminen (Fritt översatt: Yrkeshögskolepersonalens kompetens gällande forskning och utveckling)2008In: VIRTAA VERKOSTOSTA  (Fritt översatt: ENERGI FRÅN NÄTVERK): Tutkimus- ja kehittämistyö osana ammattikorkeakoulujen tehtävää, AMKtutka, kehittämisverkosto yhteisellä asialla (Fritt översatt: Forskning och utveckling som en del av yrkeshögskolornas uppgifter, AMKtutka, ett utvecklingsnätverk i gemensam sak) / [ed] Jaroma Anneli, Mikkeli: Mikkeli University of Applied Sciences , 2008, 1, p. 43-86Chapter in book (Other academic)
  • 2. Heikkinen, Eija
    et al.
    Frilander-Paavilainen, Eeva-Liisa
    Heikkilä, Asta
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia.
    Tuomi, Jouni
    Seinäjoki University of Applied Sciences.
    Terveysalan verkoston strategia ammattikorkeakoulutuksen kehittämiseksi Suomessa vuosina 2008–20122008Report (Other academic)
  • 3.
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hemmet2017In: Vårdvetenskapliga begrepp i teori och praktik / [ed] Wiklund Gustin Lena & Bergbom Ingegerd, Stockholm: Studentlitteratur AB, 2017, 2, p. 257-268Chapter in book (Refereed)
    Abstract [sv]

    Vad innebär hemmet i djup mening för människan? Hemmet relateras kanske i första hand till den konkreta platsen där människan vuxit upp, barndomshemmet, familjen, hembygden och fosterlandet. Allt detta är fysiskt påtagbart. Men vad innebär det egentligen att känna sig hemma eller hemlös? Handlar hemma om en känsla och upplevelse som berör frågor om identitet, gemenskap och tillhörighet? Människor med samma kulturbakgrund delar ofta språket, sättet att uttrycka sig, humorn, gemensamma traditioner och värderingar. Är det detta som gör att man känner sig hemma med det bekanta och med människor som delar ens värderingar?

    I mötet med andra människor och nya situationer finns hemmet som en klangbotten mot vilket allt det nya speglas, men kan hemmet innebär något mera? Hemma är inte nödvändigtvis bundet till en geografisk plats utan kan mera handla om en känsla.

  • 4. Hilli, Yvonne
    Hemmet som ethos:en idéhistorisk studie av hur hemmet som ethos blev evident i hälsosysterns vårdande under 1900-talets första hälft2007Doctoral thesis, monograph (Other academic)
  • 5.
    Hilli, Yvonne
    Svenska Yrkeshögskolan.
    Hälsosysterns arbete i Finland 1920-1944. (The work of the Public Health Nurse in Finland 1920-1944)1997In: Hippokrates. Årsskrift för Finlands Medicinhistoriska Sällskap, ISSN 0781-5859, Vol. 14, p. 44-61Article in journal (Refereed)
  • 6.
    Hilli, Yvonne
    Yrkeshögskolan Novia.
    Kunskap i utveckling - handledningsprocesser inom hälsovården2012Collection (editor) (Refereed)
  • 7.
    Hilli, Yvonne
    Svenska Yrkeshögskolan.
    ”Mitt Hem är Min Borg”. En idéhistorisk studie av vårdandets idémönster vid hälsosysterns hembesök under seklets första hälft2002In: Vårdandets och vårdvetenskapens idéhistoria. Strövtåg i spårandet av ”caritas originalis" / [ed] Eriksson, Katie & Matilainen, Dahly, Vasa: Institutionen för vårdvetenskap, Åbo Akademi , 2002, p. 99-116Chapter in book (Other academic)
  • 8.
    Hilli, Yvonne Elisabet
    Högskolan i Oslo och Akershus.
    Att lära i praxis - mellan vetenskaplig kunskap och vardagskunskap2015Other (Other academic)
  • 9. Hilli, Yvonne Elisabet
    Hälsosysterns arbete i Finland 1920-19441997In: Hippokrates. Årsskrift för Finlands Medicinhistoriska Sällskap, ISSN 0781-5859, Vol. 14Article in journal (Refereed)
  • 10.
    Hilli, Yvonne Elisabet
    Åbo Akademi.
    "Mitt hem är min borg". En idéhistorisk studie av vårdandets idémönster vid hälsosysterns hembesök under seklets första hälft2002In: Vårdandets och vårdvetenskapens idéhistoria.: Strövtåg i spårandet av "caritas originalis" / [ed] Eriksson, K & Matilainen, D, Vasa: Åbo Akademi , 2002, 1, p. 99-116Chapter in book (Refereed)
  • 11.
    Hilli, Yvonne Elisabet
    Högskolan i Oslo och Akershus, Åbo Akademi.
    The Idea of Caring during the Public Health Nurses´ Homevisit - a history of idea perspective2015Conference paper (Refereed)
  • 12.
    Hilli, Yvonne Elisabet
    et al.
    Yrkeshögskolan Novia, Åbo Akademi.
    Matilainen, Dahly
    Eriksson, Katie
    Idéhistoria som metod2008In: Hoitotiede, ISSN 0786-5686, Vol. 20, no 6, p. 345-353Article in journal (Refereed)
  • 13.
    Hilli, Yvonne Elisabet
    et al.
    Högskolan i Oslo och Akershus.
    Melender, Hanna-Leena
    Developing preceptorship through action research:part 12015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 3, p. 470-477Article in journal (Refereed)
  • 14.
    Hilli, Yvonne Elisabet
    et al.
    Högskolan i Oslo och Akershus.
    Melender, Hanna-Leena
    Developing preceptorship through action research:part 22015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 3, p. 478-485Article in journal (Refereed)
  • 15.
    Hilli, Yvonne Elisabet
    et al.
    Yrkeshögskolan Novia, Finland.
    Melender, Hanna-Leena
    Vasa yrkeshögskola, Finland.
    Jonsén, Elisabeth
    Umeå universitet, Sverige.
    The Experience of Being a Preceptor for Nurse Students in Clinical Practice - A Cross - Sectional Qualitative study2011In: Learning communities : International Journal of Learning in Social Contexts, ISSN 2202-7904, no 1, p. 78-93Article in journal (Refereed)
  • 16.
    Hilli, Yvonne Elisabet
    et al.
    Yrkeshögskolan Novia.
    Melender, Hanna-Leena
    Leppiranta, Anni
    Levy-Malmberg, Rika
    Salmu, Marita
    Schoultz-Ekblad, Birgitta
    Kliinisen ohjauksen kehittäminen toimintatutkimusta käyttäen (Fritt översatt: Att utveckla klinisk handledning genom aktionsforskning)2012Conference paper (Refereed)
  • 17. Hilli, Yvonne Elisabet
    et al.
    Melender, Hanna-Leena
    Vaasan Ammattikorkeakoulu .
    Salmu, Marita
    Vaasan Ammattikorkeakoulu.
    Jonsén, Elisabeth
    Umeå Universitet.
    Being a preceptor – a Nordic qualitative study2014In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 34, no 12, p. 1420-1424Article in journal (Refereed)
  • 18.
    Hilli, Yvonne
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Eriksson, Katie
    Åbo Akademi .
    The Home as Ethos of Caring - a concept determination2017In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989Article in journal (Refereed)
    Abstract [en]

    Background: Within nursing, the concepts of home and homelike have been used indiscriminately to describe characteristics of health care settings that resemble a home more than an institution.

    Objectives: The aim of this study was to investigate the concept of home (hem in Swedish). The main questions were as follows: What does the concept of home entail etymologically and semantically? Of what significance is the meaning of the concept to caring science and nursing?

    Design and methods: This study had a qualitative design with a hermeneutical approach guided by Gadamer. Eriksson’s model of concept determination was partly used to determine the etymology and semantics, the essence and epistemic category of the concept of home. In this study, etymological dictionaries and 17 Swedish language dictionaries published between 1850 and 2001 were investigated.

    Findings: The home, framed as the ethos of caring, can be drawn as a three-dimensional picture where the three dimensions have a common core, enclosed and inviolable. Symbolically, the picture of home can be seen as the ethos of the human being’s innermost room, the human being’s manner of being and the tone cxpressed in the external or abstract room where the human being lives and interacts with others.

    Conclusions: Based on the findings in this study we conclude that home as ethos is an inner ethical dimension within the human being. Human beings who are in contact with their ethos, the self, feel at home and dare to follow the voice of their heart. Nurses who experience at-homeness have an ability to invite the patient into a caring relationship. The home and the feeling of being at home have significant meaning in terms of human beings’ health and well-being.

  • 19.
    Hilli, Yvonne
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Salmu, Marita
    University of Applied Sciences.
    Jonsén, Elisabeth
    Umeå universitet.
    Perspectives on good preceptorship: A matter of ethics.2016Conference paper (Refereed)
    Abstract [en]

    Background: Changes have occurred in the nursing education system in Finland and Sweden as a result of the Bologna declaration.  At present, based on the European Directive, approximately 50% of a general nursing program is arranged as clinical practice (Zabalegui, Macia, Márgues, Ricomá, Nuin, Mariscal, Pedraz, Germán & Moncho, 2006). The one-to-one preceptorship model is rather common in undergraduate nursing education in the Scandinavian countries in order to prepare student nurses for the shift to the graduate nursing role (Luhanga, Billay, Grundy, Myrick & Yonge, 2010). The preceptor plays a vital role in the development of student nurses becoming professional nurses. Smith (1987; 1991) found that the emotional aspects of care associated with the nursing process emerged as an important component of the relationship between student nurses and preceptors. A recent study (Epstein & Carlin, 2012) found that the students’ encounters with the preceptors had ethical dimensions. Values which support the good care of patients are evident in the practice environment. As such, it follows that if the environment doesn’t provide a moral climate, the preceptors may not be able to recognize ethical issues.

    Aim: The aim of this Nordic qualitative study was to explore the experiences of good preceptorship in relation to undergraduate student nurses in clinical education from the perspective of the preceptors themselves.

    Method: Data was collected by narrative interviews with 27 preceptors in Finland and Sweden and analyzed using a hermeneutical approach.

    Findings: The findings are presented as three themes in order to present the perceived experiences of good preceptorship among the research group. The three themes are as follows: The caring relationship as the foundation of learning and development; Mutual respect – a prerequisite for fellowship and a good atmosphere; A deep sense of responsibility towards the student and the profession. A caring relationship, based on caring ethics, is seen as the foundation for learning and development. Moreover, a mutual respect is a prerequisite for fellowship and a good atmosphere. As such, encounters are characterized by reciprocity and mutuality. The preceptors have a deep sense of responsibility toward the students and the profession. Furthermore, the preceptors have an inner responsibility to guide the students into working life and to share their knowledge by acting as role models.  Conclusions: Good preceptorship is based on caring ethics. The preceptors with a sense of ‘being at home’ have the motive and will to invite the students into a caring relationship and care for the students. Preceptorship has a great impact on student nurses in their process of becoming caring nurses and to remain in nursing. The findings suggest that preceptorship should be examined through new lenses. Moreover, preceptorship is an ethical issue that should be recognized by all stakeholders.

    References

     

    Epstein, I, Carlin, K. Ethical concerns in the student/preceptor relationship: A need for change. Nurse Educ Today. 2012;(32):897-902. doi:10.1016/j.nedt.2012.03.009.

    Luhanga, FL, Billay, D, Grundy, Q, Myrick, F, Yonge, O. The one-to-one relationship: Is it really key to an effective preceptorship experience? A review of the literature. Int J Nurs Educ Scholarsh. 2010; 7(1):1-15.

    Smith, P. The relationship between quality of nursing care and the ward as a learning environment: developing a methodology. J Adv Nurs. 1987;(12):413-20.

    Smith, P. 1991. The nursing process: raising the profile of emotional care in nurse training. J Adv Nurs. 1991; 16:74-81.

    Zabalegui, A, Macia, L, Márgues, J, Ricomá, R, Nuin, C, Mariscal, I, Pedraz, A, Germán, C, Moncho, J. Changes in Nursing Education in the European Union. J Nurs Scholarsh. 2006; 38 (2):114-118.

     

  • 20.
    Hilli, Yvonne
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Yrkeshögskolan Novia; Högskolan i Oslo och Akershus.
    Salmu, Marita
    Jonsén, Elisabeth
    Perspectives on preceptorship:A matter of ethics2014In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, Vol. 21, no 5, p. 565-575Article in journal (Refereed)
  • 21.
    Hilli, Yvonne
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Wasshede, Kristian
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. The International High School of the Gothenburg Region.
    Swedish School Nurses’ Perspectives on Caring for and Promoting the Health of Adolescents with Mental Health Problems – A Qualitative Study2017In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 5, no 3, p. 1-9Article in journal (Refereed)
    Abstract [en]

    Background: Over the last few decades, there has been an increase in mental health problems among adolescents, manifested as physical symptoms, such as stomach pain, headaches, feelings of anxiety, worry, stress and sleeping problems. Surveys among school nurses’ have revealed that mental health work now forms a key part of their role. Although an increasing number of adolescents are suffering from mental health problems in upper-secondary schools (16-19 years), there are few studies focusing on this matter. Therefore we wanted to explore the matter from the school nurses’ point of view. The aim of this study was to explore Swedish school nurses’ experiences of caring for and promoting the health of students suffering from mental health problems.

    Methods: The present study had a descriptive design and a qualitative approach. A purposeful sample of eight (n = 8) school nurses was interviewed. Their working experience varied between 4 and 29 years. The data were analysed using content analysis. The ethical principles stipulated by the Swedish Research Council were carefully followed throughout the study.

    Results: Three main themes with sub-themes were found: A caring relationship as the foundation for health promotion, organizing health-promoting work and interprofessional cooperation as a prerequisite for good caring.

    Conclusions: The findings strengthen the evidence of the importance of the health dialogue as a tool for the school nurses to identify students with mental health problems. Creating a caring relationship with the students is a prerequisite for caring and health promotion. Further education concerning mental health and evidence-based-practice should be arranged on regular basis. More research and cooperation between different stakeholders is needed.

  • 22. Jonsén, Elisabeth
    et al.
    Melender, Hanna-Leena
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia.
    Finnish and Swedish nursing students’ experiences of their first clinical practice placement – a qualitative study2013In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 33, p. 297-302Article in journal (Refereed)
    Abstract [en]

    Background: Nursing is a practice-based discipline. Clinical practice settings are important in preparing un- dergraduate nursing students for the role of registered nurse. Aim: The aim of this Nordic qualitative study is to illuminate first year undergraduate nursing students' expe- riences of clinical practice during their first clinical placement, with a focus on preception, reflection, and the link between theory and practice.

    Method: Data were collected by focus group interviews with 22 nursing students, and analyzed with qualita- tive content analysis. Findings: Positive experiences included stimulating and visible preceptors, a permissive atmosphere, and reflec- tion as a matter of course. Negative experiences were related to feelings of abandonment and powerlessness when preceptors were invisible and the atmosphere at the ward was non-permissive. The implementation of research-based knowledge was insufficient.

    Conclusions: A permissive atmosphere and visible preceptors are crucial if learning is to be maximized. Conse- quently, it is important to set aside time for preceptors to be more visible and to make the atmosphere at the clinical placement more permissive. The student must have the opportunity to combine scientific knowledge with evidence-based knowledge in order to develop nursing actions. 

  • 23.
    Karlsson, Mattias
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Kalmar Läns landsting.
    Karlsson, Niclas
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Kalmar Läns landsting.
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Ethical dilemmas during cardiac arrest incidents in the patient’s home2017In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989, p. 1-13Article in journal (Refereed)
    Abstract [en]

    Background: The majority (70%) of cardiac arrests in Sweden are experienced in the patient’s home. In these situations, the ambulance nurses may encounter several ethical dilemmas.

     Aim: The aim was to investigate Swedish specialist ambulance nurses’ experiences of ethical dilemmas associated with cardiac arrest situations in adult patients’ homes.

    Methods: Nine interviews were conducted with specialist ambulance nurses at four different ambulance stations in the southeast region of Sweden. Data were analysed using content analysis.

    Ethical considerations: Ethical principles mandated by the Swedish Research Council were carefully followed during the whole process.

    Findings: Two main themes with six sub-themes were identified: The scene – creating a sheltered space for caring and Ethical decision-making. The results showed that ethical dilemmas might occur when trying to create a sheltered space to preserve the patients’ integrity and dignity. A dilemma could be whether or not to invite significant others to be present during the medical treatment. Ethical decision-making was dependent on good communication and ethical reasoning among all parties. In certain situations, decisions were made not to commence or to terminate care despite guidelines. The decision was guided by combining the medical/nursing perspectives and ethical competence with respect to the human being’s dignity and a will to do good for the patient. The nurses followed the voice of their heart and had the courage to be truly human.

    Conclusion: The ambulance nurses were guided by their ethos, including the basic motive to care for the patient, to alleviate suffering, to confirm the patient’s dignity and to serve life and health.

  • 24.
    Larsson, Åsa
    et al.
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Åbo Akademi University, Finland.
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Åbo Akademi University, Finland.
    The ethos of caring within midwifery in the early 1900s: A History of Ideas study2016In: Nursing Ethics, ISSN 0969-7330, E-ISSN 1477-0989Article in journal (Refereed)
    Abstract [en]

    Background: The midwifery profession in Sweden has a history since the early 1700s when government training for midwives began. Midwifery is historically well described, but the idea of caring within midwifery is not described.

    Aim: The aim was to describe the patterns of ideas of caring as they appeared in midwifery during the first half of the 20th century.

    Research design: This study has a hermeneutic approach and the method is history of ideas. Sources of material are taken from the journal Jordemodern (Midwifery), textbooks for midwives, and midwifery regulations. The study has a caring science perspective according to Eriksson.

    Ethical considerations: This study is conducted in accordance with the ethical guidelines for good scientific practice issued by The Finnish Advisory Board on Research Integrity. The special demands on approach to the analyzed text in history of ideas have been met.

    Findings: Three themes were identified: Serving as a way of life, Acting in a redemptive spirit, and Having independence with heavy responsibility. The various themes are not refined, but current ideas are woven into the weave that were characteristic of midwifery during the first half of the 20th century.

    Conclusion: History of ideas is a fruitful method for understanding and re-finding valuable cultural goods. We can once more stress the manner of being within the midwife’s profession where inner values, ethos, shape the manner of conduct in the care of women in childbirth.

  • 25. Levy-Malmberg, Rika
    et al.
    Hilli, Yvonne
    Yrkeshögskolan Novia.
    The enhancement of clinical competence through caring science.2014In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 28, no 4Article in journal (Refereed)
    Abstract [en]

    This theoretical research attempts to create a new basis for dialogue between two independent research fields that are connected by an inseparable link. The first, nursing science, is a body of professional knowledge, while the second, caring as an independent body of pure knowledge, conducts basic research with an aspiration towards applicability. This theoretical research uses the guidelines of the Buberian dialogue, which provides new meaning to the concept of clinical competence. The results emphasise the need to adopt abstract knowledge into the nursing field in order to improve the graduate's clinical capabilities. The combination of assessing clinical capability in a judgmental manner together with the dialogical humanistic approach of caring science may create a genuine platform and meeting event as a maturing process, which is intended to promote educational goals, which subsequently receive new meaning, that is, a different type of assessment. However, this assessment cannot be measured since a wide range of ethical moral aspects regarding both the student and the patient will have to be included. Nevertheless, this dialogue between nursing science and caring science can implement evidence on the basis of trust and can be used as a dialogical tool for evaluating clinical skills with the goal of empowering the educational field in nursing. Consequently, this clinical competence is called 'caring maturing means', and the goal is to convert the learning process into a meaningful event with the aim of improvement.

  • 26. Lindwall, Lillemor
    et al.
    Hilli, Yvonne Elisabet
    Högskolan i Oslo och Akershus.
    35 years of the Nordic College of Caring Science - heading for the future2015Other (Refereed)
  • 27. Melender, Hanna-Leena
    et al.
    Jonsén, Elisabeth
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia, Finland, Högskolan i Oslo och Akershus, Norge.
    Quality of clinical education – A three-year follow-up among undergraduate nursing students in Finland and Sweden2014In: Asia-Pacific Journal of Cooperative Education, ISSN 0128-7451, E-ISSN 1175-2882, Vol. 15, no 4, p. 305-319Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to compare the experiences of a group of Swedish and two Finnish groups of student nurses (n=86) on the quality of clinical education over time. The data was collected using an instrument including four factors. In the comparison of the years 2009, 2010 and 2011/2012 (n=86), there were no statistically significant differences between years in the whole data. In year 2009 Swedish students (n=41) evaluated clinical preception and learning in clinical education lower than Finnish students (n=45). In the year 2010 Finnish students’ evaluated clinical preception lower than Swedish students. In year 2011/2012 Swedish students evaluated learning objectives in clinical education lower than Finnish students. The follow-up group and the dropout group did not differ from each other regarding the background variables or reports on the quality of clinical education. (Asia-Pacific Journal of Cooperative Education, 2014, 15(4), 305-319) Keywords: Clinical education, preceptorship, quality, student supervision

  • 28. Melender, Hanna-Leena
    et al.
    Jonsén, Elisabeth
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia.
    Quality of clinical education - Comparison of experiences of undergraduate student nurses in Finland and Sweden2013In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 13, no 4, p. 256-261Article in journal (Refereed)
  • 29. Melender, Hanna-Leena
    et al.
    Sandvik, Ann-Helén
    Salmu, Marita
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia.
    Nursing students´ Experiences from Their First Clinical Education – a qualitative study2012In: Journal of Cooperative Education and Internships, ISSN 1933-2130, Vol. 46, no 1Article in journal (Refereed)
    Abstract [en]

    This article describes the experiences of 137 nursing students from their first clinical education. The material was collected with four open questions and was analyzed through qualitative content analysis. The descriptions focused on students' experiences in general as well as their clinical education circumstances and learning experiences. They reported on the characteristics of their preceptors, the feedback, and the preceptorship culture on the ward. The students assessed their own learning from the perspectives of activity level, nursing procedures they had practised, and personal development. Taking responsibility for their own learning was manifested as responsibility for learning according to the learning outcomes, an experience of having taken only a small amount of responsibility, and a desire to take part in all things possible.

  • 30.
    Rökholt, Gro
    et al.
    Högskolan i Oslo og Akershus.
    Davidsen, Liv-Signe
    Universitetssjukhuset i Akershus.
    Ness Johansen, Heidi
    Universitetssjukhuset i Akershus.
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hvordan opplever helsefaglig ansatte kunnskapsbasert praksis i sin arbeidshverdag?2016Conference paper (Refereed)
  • 31.
    Røkholt, Gro
    et al.
    Högskolan i Oslo og Akershus.
    Davidsen, Liv-Signe
    Akershus Universitetssykehus.
    Ness Johnsen, Heidi
    Akershus Universitetssykehus.
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Helsepersonells erfaringer med å implementere kunnskapsbasert praksis på et sykehus i Norge2017In: Nordisk sygeplejeforskning, ISSN 1892-2678, E-ISSN 1892-2686, Vol. 7, no 3, p. 195-208Article in journal (Refereed)
    Abstract [en]

    Background: Health care services should be evidence-based, but exploiting the potential of new and existing clinical practice knowledge is challenging. The research presented in this article was the first sub-study in an action research project – a collaboration between a university hospital and a university of applied science. The joint project aimed to support the implementation of evidence-based practice at the hospital in order to strengthen the quality of its clinical practice and to develop practice placements as an arena for learning. The purpose of the first sub-study was to unfold the experiences and attitudes of the staff concerning the implementation of evidence-based practice. The research question was, ‘How do the health care personnel experience evidence-based practice in their daily work’?

    Method: A cultural analysis was conducted using the letter-writing method to grasp the staff´s lived experiences. The data were analysed via a content analysis.

    Results: The results are presented as three main categories: (1) The leader sets the tone as a motivator and an instigator; (2) a positive attitude towards the use and understanding of evidence-based practice in the working environment; and (3) organizational circumstances of importance. The study showed the importance of a leader who has a positive attitude regarding the development of the working environment and the importance of a leader who motivates staff and creates opportunities for implementation of evidence -based practice. The leader’s manner of attitude is revealed through a culture of openness and cooperation that enables sharing experiences and reflection. Furthermore, real enthusiasts with competence and interest in evidence-based practice are needed. Hindering factors affecting the implementation of evidence-based practice were lack of time, heavy work load and insufficient knowledge about the topic.

    Conclusion: For health care services to successfully implement evidence-based practice, there must be an interplay between the leader as a motivator, staff with a positive attitude towards development and an organization that encourages development.

  • 32.
    Røkholt, Gro
    et al.
    Högskolan i Oslo og Akershus.
    Davidsen, Liv-Signe
    Akershus Universitetssjukhus.
    Ness Johnsen, Heidi
    Akershus Universitetssjukhus.
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Possibilities and challenges in evidence-based practice (EBP)  in a hospital setting2016Conference paper (Refereed)
  • 33. Sandvik, Ann-Helén
    et al.
    Eriksson, Katie
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia.
    Becoming a caring nurse - A Nordic study on students’ learning and development in clinical education2013In: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 14, no 3, p. 286-292Article in journal (Refereed)
  • 34. Sandvik, Ann-Helén
    et al.
    Eriksson, Katie
    Hilli, Yvonne Elisabet
    Yrkeshögskolan Novia; Högskolan i Oslo och Akershus.
    Understanding and becoming - the heart of the matter in nurse education2015In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 1, p. 62-72Article in journal (Refereed)
  • 35. Sandvik, Ann-Helén
    et al.
    Melender, Hanna-Leena
    Jonsén, Elisabeth
    Jönsson, Gunilla
    Salmu, Marita
    Hilli, Yvonne
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare. Yrkeshögskolan Novia.
    Sjuksköterskestudenters erfarenheter av sin första kliniska utbildningsperiod - en nordisk kvantitativ studie2012In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 32, no 3Article in journal (Refereed)
1 - 35 of 35
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