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  • 1.
    Berglund, Mia
    et al.
    School of Health and Education, Health and Learning Research Centre: Aging and Long-Term Health Problems, University of Skövde.
    Nässén, Kristina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Gillsjö, Catharina
    School of Health and Education, Health and Learning Research Centre: Aging and Long-Term Health Problems, University of Skövde.
    Fluctuation between Powerlessness and Sense of Meaning - A Qualitative Study of Health Care Professionals' Experiences of Providing Health Care to Older Adults with Long-Term Musculoskeletal Pain.2015In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, article id 96Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: There is an increasing number of older adults living with long-term musculoskeletal pain and related disabilities. These problems are frequently unrecognized, underreported, and inadequately treated. Since many older adults desire to remain at home for as long as possible, it is important that individualized and holistically tailored care is provided in these settings. However, there is a complexity in providing care in this context. The aim of this study was to describe health care professionals' experiences of providing health care to older adults living with long-term musculoskeletal pain at home.

    METHODS: The phenomenon, "To provide health care to older adults living with long-term musculoskeletal pain at home", was studied using reflective lifeworld research (RLR) which is based on phenomenological epistemology. Ten health care providers (nurse, physiotherapists, and occupational therapists) were interviewed and data was analysed.

    RESULTS: The health care professional's emotions fluctuated between powerlessness and meaningfulness. Needs, opportunities, understanding and respect had to be balanced in the striving to do good in the provision of health care in differing situations. Caring for older adults with long-term pain required courage to remain in the encounter despite feelings of insecurity and uncertainty about the direction of the dialogue. The essence of caring for older adults with long-term pain consisted of the following constituents: Sense of powerlessness; striving to provide good health care; and understanding and respect.

    CONCLUSIONS: The findings indicated that the health care professionals strived to do good and to provide health care that was holistic and sensitive to the older adults' needs. A significant sense of powerlessness in the situation was experienced by the health care professionals. These findings address and support the need to develop methods that can be used to guide health care providers who support older adults in the context of their homes.

  • 2.
    Berglund, Mia
    et al.
    School of Health and Education, Research Centre: Aging and Long-Term Health Problems, University of Skövde,Sweden.
    Nässén, Kristina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Hedén, Lena
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Gillsjö, Catharina
    School of Health and Education, Research Centre: Aging and Long-Term Health Problems, University of Skövde,Sweden.
    Older Adults' Experiences of Reflective STRENGTH-Giving Dialogues: An Interview Study.2016In: Journal of Gerontology & Geriatric Research, ISSN 2167-7182Article in journal (Refereed)
    Abstract [en]

    Background: A major health problem that frequently accompanies old age is long-term pain, but pain must be acknowledged by older adults and health care providers. Interventions are needed to alleviate pain and suffering while holistically providing health care that promotes wellbeing. The intervention project, Reflective STRENGTHGiving Dialogues© (STRENGTH) was implemented to increase health and wellbeing among community dwelling older adults living with long-term musculoskeletal pain at home. Aim: The aim of this study was to describe the older adults' experiences of the intervention Reflective STRENGTH-Giving Dialogue. Method: A life world hermeneutic approach was used in collection and analysis of data. Twenty community dwelling older adults participated were interviewed in their homes after the intervention. Findings: The findings consisted of five themes and showed that the older adults experienced the Reflective STRENGTH-Giving Dialogues as a continuous and trusting relationship that alleviates the pain and breaks the loneliness. They expressed it as a new way to talk about life with pain. The dialogues supported reflection and memory and resulted in a transition in orientation in life. Conclusion: The Reflective STRENGTH-Giving Dialogues helped the older adults to increase their intellectual, emotional, and physical engagement in daily living. The dialogues facilitated a transition in orientation from past to present, to the future, and from obstacles to opportunities. The dialogues were oriented towards enjoyments, meaning, courage and strength in life as a whole which promoted the older adults’ sense of well-being and vitality. The dialogues also facilitated carrying out small and large life projects. The Reflective STRENGTH-Giving Dialogues created a deepened caring relationship that contributed to an increased sense of security, strength and courage, all of which enhanced the potential for better health and wellbeing.

  • 3.
    Lindgren, Helena E
    et al.
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg.
    Nässén, Kristina
    University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lundgren, Ingela
    Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg.
    Taking the matter into one's own hands - Women's experiences of unassisted homebirths in Sweden.2017In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 11, p. 31-35, article id S1877-5756(16)30139-2Article in journal (Refereed)
    Abstract [en]

    OBJECTIVE: There are no national guidelines or financial support for planned homebirths in Sweden. Some women choose to give birth at home without the assistance of a midwife. The objective of this study was to describe eight women's experience of unassisted planned homebirth in Sweden.

    DESIGN: Women who had the experience of an unassisted planned home birth were interviewed. The material was analysed using a phenomenological approach.

    RESULTS: The essential meaning of the phenomenon giving birth at home without the assistance of a midwife is understood as a conflict between, on one hand, inner responsibility, power and control and on the other hand insecurity in relation to the outside, to other people and to the social system. A wish to be cared for by a midwife is in conflict with the fear of not maintaining integrity and respect in this precious moment of birth.

    CONCLUSION: Some women may be more sensitive to attitudes and activities that are routinely performed during pregnancy and childbirth and therefore choose not to turn to any representatives of the medical system. The challenge should be to provide safe care to all women so that assistance from a midwife becomes a reality in all settings.

  • 4.
    Nässén, Kristina
    University of Borås, School of Health Science.
    Kap 14 Att förstå människan i vården genom etnografi2013In: Människan i vården. Etnografi, vård och drama. / [ed] Carola Skott, Carlssons bokförlag , 2013Chapter in book (Other academic)
  • 5.
    Nässén, Kristina
    University of Borås, School of Health Science.
    Kapitel 10. Episoder ur vårdens vardag2013In: Människan i vården. Etnografi, vård och drama. / [ed] Carola Skott, Carlssons bokförlag , 2013Chapter in book (Other academic)
  • 6.
    Nässén, Kristina
    University of Borås, School of Health Science.
    Kapitel 3. Deltagande observation2013In: Människan i vården. Etnografi, vård och drama. / [ed] Carola Skott, Carlssons bokförlag , 2013Chapter in book (Other academic)
    Abstract [sv]

    Människan i vården - etnografi, vård och drama riktar sig till alla som söker en metod att undersöka och förändra specifika miljöer, inte minst inom vården. Boken beskriver tre metodologier, etnografi, hermeneutik och dramapedagogik. I första delen diskuteras etnografins teori och perspektiv medan dess andra del visar på den praktiska tillämpningen. Den tredje delen av boken tar upp vilken form av kunskap som kan erhållas genom etnografisk forskning och hur en lärande praktik kan utvecklas. Innehållet i boken rör sig mellan metodologi och fältarbete, deltagande observation, berättelse, etnografiskt skrivande och dramapedagogik i vårdmiljö. En viktig fråga är hur den subjektiva erfarenheten blir kroppsliggjord och hur den kan förstås i sitt sociala sammanhang. Författarna introducerar både teoretiskt och praktiskt, en förening mellan etnografi och dramapedagogik som de benämner etnografiskt drama.

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