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  • 1.
    Mathiesen, Karoline Lang
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare, Doctoral student, University of Borås, Borås, Sweden.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare, University of Borås,Borås Sweden.
    Nässén, Kristina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare, Senior lecturer, University of Borås, Borås Sweden.
    Cowdell, Fiona
    Professor of Nursing and Health Research and NIHR Knowledge Mobilisation Research Fellow, Birmingham City University, Birmingham UK.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden.
    “A becoming in the meeting”: the interpretations of competence in home care from the perspectives of older people and registered nurses – a meta-ethnography2023Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 18, artikel-id 2262170Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    The aim of this meta-ethnography was to identify and synthesize qualitative studies focusing on older people’s and registered nurses’ interpretations of competence in home care. 

    Methods

    The meta-ethnography followed the six phases developed by Noblit and Hare (1988). 

    Results

    In Phase 6, the translation process of the included studies, three themes were identified: i) temporality—the feeling of being of value; ii) dignity—a person, not just a patient; and iii) mutuality of being—togetherness. A synthesis was developed, and the phrase “a becoming in the meeting” emerged. 

    Conclusion

    The sense of becoming includes progress, which means becoming something other than before in relation with others and refers to what constitutes the meeting between the older person and the registered nurse working in home care. Competence originates from becoming in the meeting, and registered nurses should therefore value what they do and hold on to this aspect of caring competence that centres on a caring relationship. It is important for registered nurses working in home care to be able to cultivate a caring relationship.

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  • 2.
    Israelsson-Skogsberg, Åsa
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Medicine, Department of Health Sciences Lund University Lund Sweden;Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Eriksson, Thomas
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    A scoping review of older patients' health‐related quality of life, recovery and well‐being after intensive care2023Ingår i: Nursing Open, E-ISSN 2054-1058Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aims

    In the present study, we aimed to determine how Health-Related Quality of Life (HRQoL), recovery (function and capacity in daily life) and well-being are followed up and characterised in persons ≥65 years of age who were being cared for in an intensive care unit (ICU).

    Design

    A scoping review.

    Methods

    CINAHL, MEDLINE (Ovid) and PsycINFO databases were searched in October 2021. 20 studies met the inclusion criteria. The scoping review followed the principles outlined by Arksey and O'Malley, and the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) checklist and Joanna Briggs Institute (JBI) framework were used.

    Results

    Results are presented under five subheadings: Study characteristics, Type of studies, Methods for follow-up, health-related quality of life, and Recovery. Time seems to be an important factor regarding HRQoL among older patients being cared for in an ICU, with most elderly survivors perceiving their HRQoL as acceptable after 1 year. Nevertheless, several studies showed patients' willingness to be readmitted to the ICU if necessary, indicating that life is worth fighting for.

    Patient or Public Contribution

    Due to the design of the study, this study involves no patient or public contribution.

     

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  • 3.
    Xiarchi, Lamprini
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Nässén, Kristina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Cowdell, Fiona
    School of Nursing and Midwifery, Birmingham City University, Westbourne Road, Birmingham B15 3TN, United Kingdom.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Balancing between familiarity and professionalism in caring for older persons: A phenomenological study from the perspective of nursing students2023Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 71, artikel-id 103695Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: To describe the meaning of caring for older persons based on the experiences of nursing students in Greece. Background: The present study is conducted based on a caring science perspective derived from a holistic viewpoint of human beings, aiming to support the well-being of older persons. In Greece, informal caregivers play an important role in caring for older people; however, as the population ages, the need for registered nurses specialising in caring for older people is also increasing. Previous research in other countries has reported a relative lack of interest in this field, which is a threat to the quality of care. To ensure an adequate number of new-generation nurses caring for older people, nursing students’ perceptions of the phenomenon of caring for older persons should be well understood and explored in a context where the number of long-term care beds and residential care facilities are low and where informal caregiving is common. Design: Based on Descriptive Phenomenology, in line with the Reflective Lifeworld Research (RLR) approach. Methods: A total of 12 nursing students at a university in Greece underwent in-depth lifeworld interviews online during June and July 2021 and March 2022; Interviews were transcribed verbatim and were analysed according to the principles of RLR that approaches the phenomena with openness and constant reflection. The participants were students in their fourth or fifth year of nursing education; they had previous experience in older person care and were not acquainted with the authors. Results: The results show the essential structure of the meaning of caring for older persons, where otherness consists of intertwined demanding and rewarding elements. The essence is further conveyed by three constituents: otherness of the older person: witnessing someone's vulnerability; trustful caring: struggling with normative structures; and closeness and distance: balancing between familiarity and professionalism. Conclusion: To ensure quality of care for older persons in the future, an understanding of how nursing students describe their experiences of caring for older persons during education is important. Balancing between familiarity and professionalism highlights the need for further reflection on professionalism and dignity and identifying the norms and values helps to highlight particularities of the context and national healthcare system. Curricula focusing on cultivating students’ preunderstanding, regarding caring for older persons are required to promote a higher quality of care in the future. Caring science can contribute to a focus on a holistic perspective in caring for older people. Tweetable abstract: There is an ever-increasing need for educated nurses in the field of caring for older people. With the lack of interest in this field of nursing, the overall quality of care is impacted. This study describes the meaning of caring for older persons based on the experiences of nursing students in the Greek health care system. 

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  • 4.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hedén, Lena
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT. Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Communication in home care—A feasibility study of an educational intervention in self‐efficacy and job satisfaction2023Ingår i: Nursing Open, E-ISSN 2054-1058, Vol. 10, nr 3, s. 1375-1382Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    To explore the feasibility of evaluating a novel educational intervention on person-centered communication for nursing assistants (NAs) in home care.

    Design

    A feasibility study with pre- and post-assessments.

    Methods

    Feasibility was assessed pre- and post-intervention, including evaluation of data collection procedures, completion rates and missing data in two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction, analysed descriptively and statistically.

    Results

    The questionnaires were feasible and acceptable for the NAs to complete and understand. The pre- and post-assessments showed 83% and 61% completion rates, respectively, and a low proportion of missing data. Barriers for not participating in data collection were stress caused by staff shortages and high workload. Preliminary analysis of the questionnaires showed no significant difference pre- and post-intervention, even though an overall tendency of increased communication self-efficacy was observed. The NAs' self-efficacy ratings also revealed a ceiling effect.

     

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  • 5.
    Xiarchi, Lamprini
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Department of Caring Science, Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Nässén, Kristina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Department of Caring Science, Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Department of Caring Science, Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Cowdell, Fiona
    School of Nursing and Midwifery Birmingham City University Birmingham UK.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Department of Caring Science, Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Gender influences on caring, dignity and well‐being in older person care: A systematic literature review and thematic synthesis2023Ingår i: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769XArtikel i tidskrift (Refereegranskat)
    Abstract [en]

    Globally, healthcare has become dominated by women nurses. Gender is also known to impact the way people are cared for in various healthcare systems. Considering gender from the perspective of how lived bodies are positioned through the structural relations of institutions and processes, this systematic review aims to explore the meaning of gender in the caring relationship between the nurse and the older person through a synthesis of available empirical data published from 1993 to 2022. CINAHL, PUBMED, EMBASE and Web of Science were searched from the beginning of each database's temporal range, and PRISMA guidelines were used for the screening, reviewing and selection processes of available records. A thematic synthesis of the available data resulted in three analytical themes: (i) vulnerability of the gendered body, (ii) norms and values related to gender and sexuality and (iii) balancing closeness and distance in the nurse-patient relationship. These themes are intertwined and represent different aspects of gender meaning in the nurse–patient relationship. This research shows that gender, through its influence on the gendered body, its relationship with power dynamics in the caring process, and its intersection with dimensions of identity, has a significant meaning for the experienced vulnerability in the nurse–patient relationship. This has implications for the well-being and sense of dignity of the older person as well as the nurse. 

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  • 6.
    Mathiesen, Karoline Lang
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Nässén, Kristina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Cowdell, Fiona
    Birmingham City University Birmingham UK.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Home care nurses lived experiences of caring relationships with older adults: A phenomenological study2023Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: This paper describes registered nurses' lived experiences of caring relationships in the context of homecare provision for older adults living in Denmark. With the growing ageing population throughout Europe, more older adults will require complex care solutions within already overburdened care systems. This development places demands on the competencies and organisation of homecare nurses, as they become key players in healthcare systems. Fostering caring relationships in homecare is a rewarding and valuable process that enhances the holistic and humanising aspects of caring for older adults. For a caring relationship to be truly caring, we must understand not only the subjective experience of such a relationship but also how it is experienced in relation to and shared with others. Aim: This study aimed to describe the essential meaning of the phenomenon of caring relationships in homecare for older adults based on the lived experiences of homecare nurses. Approach and Methods: Registered nurses working in homecare for older adults were interviewed, and a phenomenological analysis was conducted according to the methodological principles of the reflective lifeworld research approach. Findings: The essential meaning of the phenomenon is described as creating an existential and embodied space in which each patient's world is the foundation of caring. The constituents are as follows: caring for the whole person, a sense of ‘at-homeness’ through trusting ‘the other’, experiencing continuity as caring and prioritising the time to care. Conclusion: Caring competence in homecare for older adults relies on a nurse's ability to intertwine physical and existential care needs and articulate them in their daily work. A focus on the phenomenon of caring relationships brings value to and adds an extra layer to the discussion on caring competence.

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  • 7.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Sciences, Work Life and Social Welfare University of Borås Borås Sweden.
    Hörberg, Ulrica
    Department of Health and Caring Sciences, Faculty of Health and Life Sciences Linnæus University Växjö Sweden.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Sciences, Work Life and Social Welfare University of Borås Borås Sweden.
    How do we approach the essence of what matters to human beings in vulnerable situations?2023Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 37, nr 4, s. 881-883Artikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
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  • 8.
    Höglander, Jessica
    et al.
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Holmström, Inger K.
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
    Gustafsson, Tanja
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT. Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hedén, Lena
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    von Heideken Wågert, Petra
    School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Implementing A person-centred CommunicaTION (ACTION) educational intervention for in-home nursing assistants – a study protocol2023Ingår i: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 23, nr 1, artikel-id 112Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: In this study, the focus is on how to support the competence development needed for nursing assistants in home care. Home care services for older persons can be challenging concerning the nature of the interpersonal interaction and communication needed to care for and respond to the diverse needs of older people who seek to live well in our communities. This implies a need to offer more person-centred care (PCC) to older persons. However, there is a lack of knowledge on how to develop such competence. We, therefore, developed A Person-centred CommunicaTION (ACTION) programme, which is a web-based educational intervention aimed at supporting competence development for nursing assistants. The research objective is to evaluate the ACTION programme with respect to participants’ responses to and the effect of the intervention. Methods: A multicentre case–control study with pre- and post-assessments was designed. The ACTION programme will be implemented at home care units, in two different geographic areas in Sweden. A total of 300 nursing assistants will be recruited: 150 for the intervention group and 150 for the control group. We will evaluate the impact measures and the process. Pre- and post-assessments will be performed with data collected via a) audio recordings of communication, b) a questionnaire on self-efficacy communication skills, PCC, empathy and job satisfaction, c) user data, evaluation forms, field notes and observations, and d) interviews. The data will be analysed with descriptive and analytic statistics and/or qualitative methods for meanings. Discussion: This study has the potential to contribute to the evidence supporting competence development required to offer person-centred and quality home care to older persons and to meet upcoming needs for flexible and easily accessible competence development. Trial registration: ISRCTN64890826. Registered 10 January 2022, https://www.isrctn.com/ISRCTN64890826 

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  • 9.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden;PreHospen Centre for Prehospital Research University of Borås Borås Sweden.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    Karlsson, Pernilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden;Närhälsan Fristad Primary Health Care Center Borås Sweden.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. Faculty of Caring Science, Work Life and Social Welfare University of Borås Borås Sweden.
    ‘Sometimes you need an eye-opener’: A qualitative study on nursing assistants' experiences of developing communication skills through an educational intervention on person-centred communication2023Ingår i: Nursing Open, E-ISSN 2054-1058Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim

    To explore nursing assistants' (NAs') experiences of developing communication skills while participating in an educational intervention on person-centred communication.

    Design

    A descriptive qualitative study was conducted.

    Methods

    Data were collected from interviews and written assignments before, during and after an educational intervention on person-centred communication targeting NAs in home care services. The data were analysed using a phenomenological approach. A total of 25 NAs participated in the study.

    Results

    The findings describe NAs' experiences concerning the communication skills needed for building relationships with older persons and handling emotionally challenging situations. The educational intervention increased their knowledge and awareness of the importance of communication skills and how such skills are developed and refined.

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  • 10.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hedén, Lena
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT. Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    An educational intervention to improve communication skills in home care – a feasibility study2022Konferensbidrag (Refereegranskat)
    Abstract [en]

    An educational intervention to improve communication skills in home care – a feasibility study

    Background

    An educational intervention focused on person-centred communication with older persons in home care was developed. Twenty-three nursing assistants (NAs) from two home care units were offered the intervention. This feasibility study was conducted to capture benefits and pit falls with study processes before large scale interventions, such as acceptability and appropriateness of evaluation methods.

    Aim

    To explore the feasibility of proposed methods for evaluating a novel educational intervention on person-centered communication for NAs in home care.

    Method

    Feasibility study with pre- and post-assessments, including evaluation of data collection procedures, completion rates, and missing data for two questionnaires: Self-efficacy Questionnaire measuring communication skills and Measure of Job Satisfaction. Descriptive and statistical analysis was conducted. 

    Results

    The results showed a completion rate of 83% and 61% in pre- and post-assessment respectively, and a low proportion of missing data. The questionnaires were feasible and acceptable for NAs to complete and understand. Stress due to staff shortages and high workload negatively affected NAs’ participation in data collection. Overall, NAs rated their communication skills as high with a tendency towards higher communication self-efficacy after the intervention, however, this difference was not statistically significant. Job satisfaction remained unchanged pre- and post-intervention.

    Conclusion

    Low follow-up rates suggest that the data collection procedures need refinement. Although the outcomes are preliminary at this point, they indicate a ceiling effect in NAs’ self-efficacy ratings. The ceiling effect limits possibilities for improvement and suggests that studies with a larger sample is needed.

    Implications for caring in a changing world

    In a changing world, where a rapid aging population challenges home care services, there is a need for innovative interventions that support and strengthen health care professionals’ communication skills, aiming at improving older persons’ well-being This study contributes with knowledge to the complexity of developing and evaluating complex interventions on communication in home care.

  • 11.
    Palmér, Lina
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Nyström, Maria
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Fridh, Isabell
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Wireklint Sundström, Birgitta
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Caring Science With a Focus on Existential Issues in a Caring Context: A Research Area Inspired by Existential Philosophy2022Ingår i: International journal for human caring, ISSN 1091-5710, Vol. 26, nr 3, s. 1-11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article examines and exemplifies how existential philosophy can provide a deeper understanding of existential issues in a caring context. Existential philosophy, including lifeworld theory, is treated both as an epistemology for the development of research methods and inspiration for analysis and discussions in caring science research. The significance of the lifeworld is also highlighted as a guide to perform and enable caring and caring didactics, along with short descriptions where existential philosophy has previously influenced the development of caring science. The concept of existential caring science is suggested as a research area for research on existential and meaning-oriented phenomena.

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  • 12.
    Lundvall, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, Ulrica
    Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Finding an existential place to rest: enabling well-being in young adults2022Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 17, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    What enables well-being when experiencing existential concerns as a young adult is an under-explored area of research. In order to address young adults’ existential concerns and provide caring support that builds their resilience to meet life challenges, the purpose of the study is to describe the meaning of enabling well-being as experienced by young adults living with existential concerns. This phenomenological study is based on a reflective lifeworld research. Seventeen young adults, aged 17–27 years, were interviewed. The results is presented in an essential meaning and further explored with its variations and individual nuances of the phenomenon; enabling well-being. The essential meaning of enabling well-being, when experiencing existential concerns as a young adult, means finding a place to rest. Finding a place to rest means finding both movement and stillness in life to reflect upon one’s life story in order to understand oneself. The results also show that young adults enable their own well-being in many ways when experiencing existential concerns. When their existential concerns feel overwhelming, they need support from healthcare professionals. When young adults seek professional support, the professionals must be open and focus on the young adults’ life story to enable well-being. 

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  • 13.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    'Finding words in times of worries': How caring science becomes applicable in human encounters2022Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 36, nr 2, s. 295-296Artikel i tidskrift (Övrigt vetenskapligt)
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  • 14.
    Palmér, Lina
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Nyström, Maria
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Karlsson, Katarina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Pre-Understanding: A Threat to Validity in Qualitative Caring Science Research?2022Ingår i: International journal for human caring, ISSN 1091-5710, Vol. 26, nr 4, s. 1-9Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This article is devoted to reflections on how to prevent pre-understanding from influencing the research process and jeopardizing the validity of a study. Influences from preunderstanding exemplified from empirical lifeworld-led caring science research. Finally, there is a discussion of preunderstanding as a natural attitude and therefore also an important part of the lifeworld. It is concluded that validity requires a self-critical approach. It is suggested that a descriptive analysis, where the findings are fairly close to the data, involves a less problematic approach than research, which requires special attention to pre-understanding in connection with different levels of interpretation.

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  • 15.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hedén, Lena
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT. Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Walk a fine line between meaningfulness or discomfort: the complexity of emotional communication2022Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: 

    The home care of older persons includes inter-personal interactions and communication needed to care for and respond to diverse needs of older people. Previous research has focused on emotional expressions of older persons and responses by nursing staff. Research on the meaning of the interaction in these sequences is sparse. Therefore, the aim of this study was to illuminate the meaning attached to sequences of emotional communication and the interaction during these sequences between older persons and nursing assistants during home care visits.

    Methods: 

    A descriptive observational design was used. The data consisted of 44 audio recordings of real-life conversations between older persons and nursing assistants during home care visits. A hermeneutic phenomenological analysis was conducted.

    Findings: 

    Preliminary results indicate sequences of emotional communication being a window of opportunities. The interaction that followed were linked to dual and sometimes incongruent meanings. Expressions being actively blocked or ignored could cause an increase of unpleasant emotions or distract away from negative feelings. Simultaneously, such conversations could both ease or add to the complexity of the interaction and communication. Conversations elaborating on the older persons’ emotions seemed to instill trust and create meaningfulness, at the same time as these situations contained unpleasant moments with sad or angry feelings. The risk for discomfort in these sequences could threaten the trust in the relationship.

    Discussion: 

    Conversations on older persons worries can be complex: the findings point to a fine line between meaningfulness and distress in these sequences. Unpleasant emotions call for attention and caution, these may need to be noticed at the same time as they cannot be forced out. 

  • 16.
    Toft, Bente Skovsby
    et al.
    Department of Lifestyle Rehabilitation, Horsens Regional Hospital, Brædstrup, Denmark; Research Centre for Patient Involvement, Aarhus University Hospital, Aarhus N, Denmark.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, Ulrica
    Faculty of Health and Life Sciences, Department of Health and Caring Sciences P G Vejdes Väg, Linnæus University, Växjö, Sweden.
    Engaging in a research interview: lifeworld-based learning through dialogue2021Ingår i: Reflective PracticeArtikel i tidskrift (Refereegranskat)
    Abstract [en]

    Despite the common use of qualitative in-depth interviews in healthcare research, little empirical research exists on how dialogues about personal and sensitive topics affect the interviewees. This study aims to describe the meaning of participating in lifeworld-based research interviews conducted in a healthcare context experienced from the patients’ perspective. The study has a hermeneutic-phenomenological approach. Eleven persons with severe obesity were purposefully recruited for repeated individual interviews about physical activity and lifestyle changes and asked about their experiences of being interviewed. The data underwent a hermeneutic text interpretation and a data-driven coding focusing on meaning. Ethical approvals were received. One main theme emerged: ‘Lifeworld reflections are facilitated through the relationship with the researcher based on the sub-themes: ‘Being interviewed is an occasion to stop, think and unfold one’s narrative’, ‘Gaining insight can facilitate action and emotions’ and ‘It requires willingness to leave one’s comfort zone’. Our conclusions are that a person’s lifeworld experiences are important for being reflective, which can be both rewarding and hurtful for the interviewee. The research interview holds numerous ethical aspects, which must be considered to ensure the wellbeing of the interviewee.

  • 17.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Karlsson, Pernilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT. Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Nurse assistants´ perceptions of developing person-centred communication2021Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: Communication is important for nurse assistants (NAs) when caring for older persons. There is limited research about how to improve the communication competence of NAs in home care. The aim was to describe NAs perception on learning in relation to an educational intervention on person-centred communication.

    Methods: A qualitative descriptive study was conducted. Data consisted of four group interviews, five individual in-depth interviews and written reflection assignments from participants gathered during the web-based intervention. In total 23 NAs at two home care units participated. The data were analysed using a phenomenographic approach. This is a qualitative method for analysis developed from Nordic traditions of phenomenology. Phenomenography aims to describe individual perceptions of a certain phenomenon.

    Preliminary findings points to the nurse assistants perceiving that the education supported their development of person-centred communication. They pointed out self-reflections as important for their learning as well as to get confirmation on what was already known. The NAs described that the intervention added to their knowledge and skills. Even though, there was more to learn and challenges that remained regarding communication in challenging situations such as caring for persons in end-of-life and supporting their relatives, caring for persons being aggressive or violent.

    Preliminary implications of research: This study can provide knowledge on participants’ perspective on their learning process, which may be important to consider when conducting educational interventions in home care as well as other health care contexts.

  • 18.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Fridh, Isabell
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Postgraduate nursing students' experiences of simulation training and reflection in end-of-life communication with intensive care patients and their families2021Ingår i: Nursing and Health Sciences, ISSN 1441-0745, E-ISSN 1442-2018, Nursing & Health Sciences, E-ISSN 1442-2018Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Losing a loved one in the intensive care unit relates to a risk of developing stress and complicated grief. Education in intensive care nursing should cover end-of-life care, and the use of simulation in nursing education is a powerful instrument to develop confidence in end-of-life care. The aim of this study was to explore postgraduate nursing students' experiences with simulation training in end-of-life communication with intensive care patients and their families. Twenty-nine students answered a questionnaire and nine students participated in an interview. Analyses were conducted according to the principles of phenomenography. The result is presented in four categories including the following: the design of the scenario affects learning, uncertainty overshadows learning, intertwining theory and practice contributes to learning, and learning to encounter existential dimensions. The conclusion is that high-fidelity simulation training contributes toward preparing students to be attuned to what it can be like to be a family member in this situation. The scenarios contributed toward preparing the students to engage in end-of-life conversations during clinical placements.

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  • 19.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Karlsson, Pernilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Process evaluation of the ACTION programme: a strategy for implementing person‐centred communication in home care2021Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 20, nr 1, artikel-id 56Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: There is currently a strong emphasis on person-centred care (PCC) and communication; however, little research has been conducted on how to implement person-centred communication in home care settings. Therefore, the ACTION (A person-centred CommunicaTION) programme, which is a web-based education programme focusing on person-centred communication developed for nurse assistants (NAs) providing home care for older persons, was implemented. This paper reports on the process evaluation conducted with the aim to describe and evaluate the implementation of the ACTION programme. Methods: A descriptive design with a mixed method approach was used. Twenty-seven NAs from two units in Sweden were recruited, and 23 of them were offered the educational intervention. Quantitative and qualitative data were collected from multiple sources before, during and after the implementation. Quantitative data were used to analyse demographics, attendance and participation, while qualitative data were used to evaluate experiences of the implementation and contextual factors influencing the implementation. Results: The evaluation showed a high degree of NA participation in the first five education modules, and a decrease in the three remaining modules. Overall, the NAs perceived the web format to be easy to use and appreciated the flexibility and accessibility. The content was described as important. Challenges included time constraints; the heavy workload; and a lack of interaction, space and equipment to complete the programme. Conclusions: The results suggest that web-based education seems to be an appropriate strategy in home care settings; however, areas for improvement were identified. Our findings show that participants appreciated the web-based learning format in terms of accessibility and flexibility, as well as the face-to-face group discussions. The critical importance of organizational support and available resources are highlighted, such as management involvement and local facilitation. In addition, the findings report on the implementation challenges specific to the dynamic home care context. Trial registration: This intervention was implemented with nursing assistants, and the evaluation only involved nursing staff. Patients were not part of this study. According to the ICMJE, registration was not necessary (). © 2021, The Author(s).

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  • 20.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Att ge utrymme för människans existentiella dimensioner i vårdande institutionella samtal2020Ingår i: Läkande samtal / [ed] Karin Dahlberg, Stockholm: Liber, 2020, s. 77-95Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 21.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT.
    Development and process evaluation of an educational intervention on person-centred communication targeting nurse assistants in home care2020Konferensbidrag (Refereegranskat)
    Abstract [en]

    BACKGROUND

    Person-centred communication is important to assure the quality of home care services and to promote older persons´ independence and influence over their lives. Previous research indicates challenges regarding communication between professionals and home care recipients, and how to deliver efficient educational efforts in the home care context.

    AIM

    The aim was to describe the development and process evaluation of a web-based education intervention in person-centred communication for nurse assistants (NA) in home care.

    METHODS

    The intervention consisted of a step-wise education, with eight modules that included short video based lectures and movies, one group supervision, and reflective assignments. The content was based on previous research on health care communication and person-centred care. Data were collected from multiple sources before, during and after the implementation, and analysed by a combination of quantitative and qualitative approaches.

    RESULTS

    A complex intervention was conducted to improve the communication competency wanted for person-centred care. The intervention was offered to 23 nurse assistants (NA). Of those, 91% (n=21) participated, in total or in parts, in five or more modules. The findings address participants’ experiences of expectations and worries before the intervention, experiences from the implementation process, and their experiences from taking part of the intervention. During the implementation changes were made according to local circumstances. Overall, the education was experienced as feasible. The web-based design was found to be accessible and the content relevant. 

    CONCLUSION

    Our findings show that the benefits of the web-based educational intervention included the short and focused lectures as well as its accessibility. Challenges with the implementation process included gaining access to the NAs and motivating and involving the NAs. This study emphasizes the environmental support needed to successfully conduct complex interventions, including physical, organizational and cultural aspects.

  • 22.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindahl, Berit
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Editorial September 20202020Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 34, nr 3, s. 537-538Artikel i tidskrift (Refereegranskat)
  • 23.
    Lindahl, Berit
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Spring 2020, Editorial2020Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 34, nr 2, s. 265-266Artikel i tidskrift (Refereegranskat)
  • 24.
    Ekebergh, Margaretha
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    The interaction between learning and caring - the patient’s narrative as a foundation for lifeworld-led reflection inlearning and caring2020Ingår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In this article, we present a knowledge approach to the interaction between learning and caring, which should play a significant role in the challenge of promoting sustainable healthcare. This knowledge approach requires awareness of the interactions between learning and caring in caring contexts. The intention is to present an exploration of knowledge and theory development based on research with a lifeworld perspective within caring science didactics. We are illuminating issues concerning reflection and learning encounters in a caring context, which include key concepts such as the patient’s narrative. A strategy for reflective learning and caring based on the lifeworld concept is presented. This strategy includes four main components: the encounter between general knowledge and the patient’s lived world, the patient’s narrative, caring relationship creation through interaction with the patient and reflection through supervision. All of these components are permeated by a reflective approach. We are also clarifying what it means to intertwine learning and caring in addition to how this process can be strengthened in caring practices to optimise patient care. Three components are particularly important in facilitating the intertwining of learning and caring in clinical practice, namely genuine meetings, sensitivity towards the patient’s narrative and reflection during interactions.

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  • 25.
    Claesson, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jonasson, Lise-Lotte
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    What implies registered nurses’ leadershipclose to older adults in municipal homehealth care? A systematic review2020Ingår i: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 19, nr 30, s. 1-11, artikel-id 1472-6955Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Registered nurses are key figures in municipal home health care for older adults. Thus, registerednurses’ leadership is crucial to a successful and preventive care process as well as a supportive organization in orderto achieve safe care. However, there is limited research on what registered nurses’ leadership implies close to olderadults in municipal home health care. Thus, the aim is to compile and critically evaluate how international researchresults describe registered nurses’ leadership close to older adults in municipal home health care.

    Methods: A systematic literature review was performed in accordance with a qualitative research study. The mainsearch was conducted on 20 April 2018. The review was reported according to the PRISMA guidelines and is registeredin the PROSPERO database (ID# CRD42019109206). Nine articles from PubMed and CINAHL meet the quality criteria. Asynthesis of data was performed in four stages according to qualitative research synthesis.

    Results: Ten themes describe what registered nurses’ leadership close to older adults in municipal home health careentails: trust and control; continuous learning; competence through knowledge and ability; nursing responsibility on anorganizational level; application of skills; awareness of the individual’s needs and wholeness; mutual support; mutualrelationships; collaborating on organizational and interpersonal levels; and exposure to challenges.

    Conclusions: Registered nurses leading close to older adults in municipal home health care implies being multi-artists.Nursing education, including specialist education for registered nurses, should prepare individuals for their unique andcomplex leadership role as a multi-artist. Municipal employers require knowledge about what registered nurses’leadership implies in order to create adequate conditions for their leadership objectives to achieve safe care. Furtherresearch is warranted to explore registered nurses’ leadership close to older adults in municipal home health care fromdifferent perspectives, such as older adults and next of kin.

  • 26.
    Lundvall, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. University of Borås, Sweden.
    Hörberg, Ulrica
    Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV).
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. University of Borås, Sweden.
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. University of Borås, Sweden.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd. University of Borås, Sweden.
    Young men’s experiences of living with existential concerns: “living close to a bottomless darkness”2020Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 15, nr 1, s. 1-10, artikel-id 1810947Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction

    Young men may struggle in life with challenges of various concerns about their identity and who they want to be in life. Many health issues arise from social norms and wider societal determinations and for today’s young men, following such norms poses a risk of losing oneself. An essential part of health are connected to the existential dimensions in life and concerns who you are, and how well you know and understand yourself. However; little is known about what it means for young men to live a life with existential concerns.

    Purpose and method

    The purpose of this phenomenological study, based on reflective lifeworld research (RLR), is to describe young men’s experiences of living with existential concerns for which they have sought support. Eight lifeworld interviews were conducted.

    Results

    The results essentially show that young men living with existential concerns describe their situations as living close to a bottomless darkness. This is further described according to four constituents: enduring everyday life, striving for a solution, hearing an inner self-critical voice, and wearing a hard shell.

    Conclusion

    We conclude that strengthening young men’s health processes requires healthcare professionals to create an atmosphere where young men feel safe talking about existential concerns without feeling exposed and vulnerable.

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  • 27.
    Keresi, Zuzana
    et al.
    Södra Älvsborgs Sjukhus.
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    A caring relationship as a prerequisite for patient participation in a psychiatric care setting: A qualitative study from the nurses’ perspective2019Ingår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 28.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT.
    ACTION: A Person-centred Communication Intervention Targeting Nurse Assistants in Home Care for Older Persons2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: The aging population and the number of older persons living at home are increasing. Some have extensive needs for care, which leads to increased demands on professionals in home care settings. Professionals’ need to have sufficient competency to promote health and wellbeing among older persons. For sustainable care, there is a need for efficient educational efforts in the home care context. Person-centred communication may increase the quality of care and improve older persons independence.

    Aim: To develop, test and evaluate a web based educational intervention on person-centred communication targeting nurse assistants (NA) in home care setting.

    Method: A stepwise web based education, consisting of eight modules, was developed and tested. The education was evaluated using both quantitative and qualitative data.

    Results: In all, 23 NAs participated in the education. The majority of the NAs (n=21) participated in five or more modules. Overall, the education was experienced as feasible and accessible. Challenges emerged during the time of the intervention, such as time constrains, technical problems, and participants´ engagement.

    Conclusion: The web-based education was found to be a feasible way to offer education to home care staff, although successful implementation requires adaptations to the current context. Engagement from managers, especially considering the NAs motivation to complete the education is important for accomplishment by participants.

    Implications: This study can contribute to the knowledge regarding how to develop, test and evaluate an educational intervention, and considerations found to be important during the implementation process for success.

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  • 29.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT.
    Development and process evaluation of an educational intervention on communication targeting nurse assistants in home care2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background

    Person-centred communication is important to assure the quality of home care services and to promote older persons´ independence and influence over their lives. Previous research indicates challenges regarding communication between professionals and home care recipients, and how to deliver efficient educational efforts in the home care context.

    Aim

    The aim was to describe the development and process evaluation of a web-based education intervention in person-centred communication for nurse assistants (NA) in home care.

    Method

    The intervention consisted of a step-wise education, with eight modules that included short video based lectures and movies, one group supervision, and reflective assignments. The content was based on previous research on health care communication and person-centred care. Data were collected from multiple sources before, during and after the implementation, and analysed by a combination of quantitative and qualitative approaches.

    Results

    A complex intervention was conducted to improve the communication competency wanted for person-centred care. The intervention was offered to 23 nurse assistants (NA). Of those, 91% (n=21) participated, in total or in parts, in five or more modules. The findings address participants’ experiences of expectations and worries before the intervention, experiences from the implementation process, and their experiences from taking part of the intervention. During the implementation changes were made according to local circumstances. Overall, the education was experienced as feasible. The web-based design was found to be accessible and the content relevant.

    Conclusion

    From this study, it can be concluded that the key features for successful implementation of the intervention was the format, educational content, and technical facilities provided. In addition to this, participant involvement, resources and constructive practical circumstances for NAs to participate in the intervention are crucial.

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  • 30.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Karlsson, Katarina
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Exploring existential phenomena as dimensions for sustainable caring – Examples from four lifeworld research projects2019Konferensbidrag (Refereegranskat)
  • 31.
    Lundvall, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, Ulrica
    Linneaus University .
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lost in an unknown terrain: a phenomenological contribution to the understanding of existential concerns as experienced by young women in Sweden2019Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: The aim of this study is to describe young women's (16-25 years old) experiences of living with existential concerns for which they have sought support from healthcare professionals, teachers, family, or friends, among others.

    Methods: This phenomenological study is based on a reflective lifeworld research (RLR) approach. Nine young women were interviewed about their experience of living with existential concerns.

    Results: The results show the essential meaning of the phenomenon of "existential concerns" that can be described as living a life that is marked in a profound way by a feeling of being lost in an unknown terrain. To further understand the essential meaning, four constituents are described: the unpredictable body, longing for comprehension, playing a game, and longing to share one's vulnerability.

    Conclusions: Young women with existential concerns are vulnerable, as they are profoundly influenced by these concerns. They have to navigate through daily life while trying to fit in and to make their situation comprehensible. These young women have a longing to share their existential concerns with a trustworthy person, while at the same time they fear revealing their existential concerns and risking being rejected by others. A lifeworld-led, caring science approach, intertwined with the results of the present study, has the potential to direct caring practice.

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  • 32.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, U.
    Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap.
    Metodprinciper för generell struktur och filosofisk belysning på livsvärldsteoretisk grund2019Ingår i: Fenomenologi i praktiken. Fenomenologisk forskning i ett skandinaviskt perspektiv / [ed] Dahlberg, H., Ellingsen, S., Martinsen, B., Rosberg, S., Stockholm: Liber, 2019, 1, s. 269-283Kapitel i bok, del av antologi (Refereegranskat)
  • 33.
    Sundler, Annelie Johansson
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Nilsson, Christina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Qualitative thematic analysis based on descriptive phenomenology.2019Ingår i: Nursing open, ISSN 2054-1058, Vol. 6, nr 3, s. 733-739Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Aim: The aim of this paper was to discuss how to understand and undertake thematic analysis based on descriptive phenomenology. Methodological principles to guide the process of analysis are offered grounded on phenomenological philosophy. This is further discussed in relation to how scientific rigour and validity can be achieved.

    Design: This is a discursive article on thematic analysis based on descriptive phenomenology.

    Results: This paper takes thematic analysis based on a descriptive phenomenological tradition forward and provides a useful description on how to undertake the analysis. Ontological and epistemological foundations of descriptive phenomenology are outlined. Methodological principles are explained to guide the process of analysis, as well as help to understand validity and rigour. Researchers and students in nursing and midwifery conducting qualitative research need comprehensible and valid methods to analyse the meaning of lived experiences and organize data in meaningful ways.

  • 34.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sustainable learning in nursing education -Lecturers’ lived experiences of guiding reflective seminaries2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: In this study reflective seminars, conducted in congruence with reflective lifeworld theory and caring science, were implemented during a three-year nursing programme. Each reflection group consisted of six to nine students, and the seminars were led by a lecturer from the university. Teaching in higher education demands a variety of competencies, especially in areas where theoretical knowledge are closely connected to practical wisdom.

    Aim: The aim of this presentation is to describe the lived experience of guiding reflective seminaries during nursing education from the lecturers’ perspective.

    Method: Eight university lecturers were interviewed. The data analysis follows the principles of reflective lifeworld research.

    Result: Guiding students towards reflection is a challenging task, which demands absolutely presence in the moment. A reflective seminary can be even more complex when the seminary is part of an examination. To still focus on reflection, while at the same time assure that the students have suitable knowledges, is an act of balance. The intersubjective relation has to be guarded and leave no one invisible. Space has to be created, so that everyone present gets attention. Guiding students through reflective seminaries is an exhausting mission in which the lecturer has to balance the moment according to a multifaceted level.  

    Conclusion: Despite the challenges addressed, the reflective seminary is often experienced as enriching, contributing to further understanding and enables students to increase their knowledge of caring science and develop their reflective skills.  In the situation an approach of curiosity, presence and courage are equally important as theoretical knowledge.

  • 35.
    Gustafsson, Tanja
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT.
    The Development and Process Evaluation of the ACTION Study. A Person-centred Communication Intervention Targeting Nursing Staff in Home Care for Older Persons2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Background: Person-centred communication is important to assure the quality of home care services and to promote older persons independence and influence over their lives. Previous research indicates challenges regarding communication between professionals and home care recipients, and how to deliver efficient educational efforts in the home care context. Hitherto, research on design and implementation of this type of intervention is scarce.

    Aims and objectives: To describe the development and process evaluation of an education intervention in person-centred communication for nursing staff (NS) in home care.

    Method: The web-based education consisted of eight modules, including short video based lectures and movies, one group supervision, and reflective assignments. The content was based on previous research of health care communication and person-centred care. Data was collected from multiple sources (web analytics, interviews, evaluation forms, and field notes), before, during and after the implementation, and analysed by a combination of quantitative and qualitative approaches.

    Results: In all, 23 NS participated in the education. Initial analysis indicate that a majority of the participants completed six or more modules. Overall, the content was experienced as relevant and interesting. The flexibility and accessibility of the web-based format was appreciated, as well as the mix of lectures, short movies, reflective assignments and group supervision. Challenges included developing content relevant to work teams with diverse competence levels and individual differences (e.g. age, language, motivation). Furthermore, time constrains and structure of work emerged as barriers for implementing the education, in some cases adding stress and fragmentation to NS´ work.

    Conclusions: This type of intervention seems to be a feasible approach for flexible educations in person-centred communication for NS. Engagement and commitment from managers and team leaders may be key factors in succeeding, with impact on participants´ motivation to fulfil the education.

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  • 36.
    Palmér, Lina
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Karlsson, Katarina
    The lifeworld story as an opportunity to understand existential dimensions of importance for caring practice — from the perspective of children, new mothers and older people2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    With a common ground in the epistemology of lifeworld phenomenological and hermeneutical approaches, we explored the possibility of understanding existential phenomena in different stages of human life, such as children’s illness and experience of medical procedures, childbirth and breastfeeding and old age. Through various forms of lifeworld theory-based data collection methods, examples of how lifeworld stories can emerge are presented. There is humbleness and an understanding that there may be more to be understood than what may be directly apparent in the story of a patient. This gives rise to the fact that analyses may sometimes need to be further developed with the aid of philosophical examination and interpretation, which open up opportunities to understand what is unspoken and hidden in stories. Such examination and interpretation also make it possible to deepen what is said. The philosophy of existence can help researchers get hold of what does not appear immediately and what is hinted at but not stated directly, and uncover hidden meanings in stories. Such in-depth understanding may have significance for developing caring practice by potentially bridging the dualistic view of human beings as body and soul. Through a lifeworld theory-based research approach, caring that takes into account existential dimensions in people's lives in relation to caring can be developed and stimulated.

  • 37.
    Claesson, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Josefsson, Karin
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jonasson, Lise-Lotte
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    What implies registered nurses leadership close to older adults in the municipality home health care?2019Konferensbidrag (Refereegranskat)
    Abstract [en]

    Title. What implies registered nurses leadership close to older adults in the municipality home health care?

    Objective. The objective was to explore how the literature describes the registered nurses’ leadership near to older adults in municipal home care.

    Background. Home health care in Sweden and world-wide is affected by the increasing number of older adults, 65 years and over. One challenge is that older adults report more health problems compared with health professionals’ needs assessments. The primary task of care is to support and strengthen people’s health processes to as good health as possible by alleviating the effects of disease and suffering. The registered nurse may be the one who contributes or makes a difference to the older adults’ experience of health. According to this; great demands are placed on the registered nurse's leadership close to the patient. There is a common agreement that registered nurses’ leadership is important. However, research is limited of what implies registered nurses’ leadership close to older adults in municipal home care.

    Method. A systematic literature review. The literature search was performed in CINAHL and PubMed during February to April, 2018. A total of 37 articles were identified and nine articles were screened in full text. Quality valuation and analyses of articles were performed doing qualitative research synthesis based of the PRISMA statement.

    Results. The results will be presented for the first time at the 9th IAGG-ER Congress, May 23-25, 2019, Gothenburg, Sweden.

    Contact information of authors.

    Maria Claesson, Lecturer, PhD. maria.claesson@hb.se

    Lise-Lotte Jonasson, Senior lecturer. lise-lotte.jonasson@hb.se 

    Elisabeth Lindberg, Senior lecturer. elisabeth.lindberg@hb.se

    Karin Josefsson, Professor, karin.josefsson@hb.se

    All authors works at the Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Sweden.

  • 38.
    Sundler, Annelie Johansson
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Gustafsson, Tanja
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT.
    Holmström, I K
    ACTION - A person-centred communication intervention in home care of older persons2018Konferensbidrag (Refereegranskat)
  • 39.
    Lundvall, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, Ulrica
    Linnéuniversitetet.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Healthcare professionals’ lived experiences of conversationswith young adults expressing existential concerns2018Ingår i: Scandinavian Journal of Caring Sciences, s. 1-7Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction:

    This paper describes first-line department healthcare professionals’ experiences of conversations with young adults (16–25 years) who express existential concerns. Existential concerns encompass questions about the meaning of life and the choices people must make, and they are sometimes expressed during the period in which a child is becoming an adult. Sometimes the transition to adulthood can be difficult, and many young adults seek support from people in first-line departments, such as primary care providers, youth guidance centre personnel and student health service employees in high schools and universities. Conversations in which existential concerns are recognised may be important for preventing mental illness in the future.

    Aim:

    The study aimed to describe healthcare professionals’ lived experiences of conversations with young adults who express existential concerns.

    Approach and methods:

    This qualitative study utilises thematic meaning analysis. Interviews were conducted with healthcare professionals working in first-line departments, and data were analysed based on the principles of reflective lifeworld research. The study followed ethical codes of conduct and conformed to the ethical guidelines adopted by the Swedish Research Council.

    Findings:

    The results are presented in three themes of meaning: searching for innermost thoughts requires being present, uncertainty about the unpredictable and awakening of one’s own existential concerns.

    Conclusions and implications:

    Healthcare professionals are affected when young adults express their existential concerns, and they need more support to strengthen their ability to stay present and create inviting atmospheres

  • 40.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lecturers’ lived experiences of guiding reflective seminars during nursingeducation2018Ingår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 31, s. 165-170Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    In the present study, reflective seminars were integrated during a three-year nursing programme in Sweden. The specific characteristics of the reflective seminars are built upon a foundation in lifeworld theory and caringscience. As teaching in higher education demands an academic degree but not necessarily formal pedagogicaleducation, lecturers involved in reflective seminars are often left without guidance concerning what constitutes areflective learning activity in nursing education. The aim of the present study is to describe the lived experienceof guiding reflective seminars during nursing education from the lecturers' perspective. Eight university lecturerswere interviewed. To capture humans’ lived experiences, the present study is imbued with the principles ofreflective lifeworld research. The result indicates that the reflective seminar includes the need for activity,balance and safety, which is further developed through the following constituents: a foundation in caring sciencecontributes to security; guiding the reflection requires continual vigilance; a lack of trust in oneself inhibits theability to guide reflection and closeness to the students. In summary, the result indicates that guiding a reflectiveseminar is an exhausting mission in which the lecturer has to balance the moment according to a multifacetedlevel. Further development of mentoring and introduction to the assignment are needed.

  • 41.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, Ulrica
    Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap.
    Possibilities for gaining a greater understanding of complex phenomena through the abstraction of and philosophical examination of empirical findings grounded in caring science and lifeworld phenomenology2018Konferensbidrag (Refereegranskat)
    Abstract [en]

    Phenomena in caring science are often complex and laden with meanings. Empirical research with the aim of capturing lived experiences is one way of revealing the complexity. Sometimes, however, results from empirical research need to be further discussed. The aim of this presentation is thus to describe the methodological support for the further abstraction of and philosophical examination of empirical findings grounded in caring science and lifeworld phenomenology.  In order to systematize the support procedures, we have used a reflective lifeworld research (RLR) approach. In the first stage, data from several (two or more) empirical results on an essential level are synthesized into a general structure. The second stage can then be a philosophical examination, in which the general structure is discussed in relation to a philosophical text, theory, or concept.

    The methodological support will be discussed in relation to an example from empirical research focusing on the phenomenon of older patients’ participation in team meetings. The results from two empirical studies, that indicated the need for a more in-depth examination of the interpersonal relationships when an older patient is present at a team meeting, were further explicated by philosophical examination in the light of Heidegger and Merleau-Ponty’s philosophy.

    Core dimensions of the described methodological support are, in accordance with RLR, openness, bridling, and reflection and can be seen as a guiding light in the search for further meanings.

  • 42.
    Sundler, Annelie Johansson
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Nilsson, Christina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Qualitative thematic analysis – based on phenomenology2018Konferensbidrag (Refereegranskat)
  • 43.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Karlsson, Pernilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Knutsson, Susanne
    Avdelningen för Omvårdnad Hälsohögskolan Jönköping.
    Reflective seminaries grounded in caring science and lifeworld theory – A phenomenological study from the perspective of nursing students2018Ingår i: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 61, s. 60-65Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Creative strategies are needed in nurse education to integrate theory, practice and lived experiences.Towards that end, reflective seminars, conducted in congruence with reflective lifeworld theory andcaring science, were implemented during a three-year nursing programme. The reflection seminars took placeduring the theoretical parts of education and the clinical placements. Each reflection group consisted of six tonine students, and the seminars were led by a lecturer from the university.

    Objectives: This article aims to describe the experiences of learning about caring science by participating inreflective seminars that were integrated into courses during a three-year nursing education programme.

    Design: A phenomenological approach was used, and qualitative group interviews were conducted.

    Setting: The study was conducted at a university in southern Sweden.

    Participants: Twenty three students, 19 women and four men, volunteered to participate. All participants were atthe end of a three-year nurse education programme. Data were collected through four group interviews with fiveto seven participants in each group.

    Methods: This study used a reflective lifeworld research approach based on phenomenological philosophy

    Results: The findings reveal that nursing students experience reflective seminars as being valuable for theirprofessional development. The result is described in more detail via four meaning units: An obtained awarenessof the value of reflection in clinical practice; Reflection contributes to an approach of thoughtfulness; Caringscience has become second nature, and Reflection as a strength and a challenge at the threshold of a profession.

    Conclusions: This study contributes to the understanding of reflective seminars grounded in lifeworld theory as adidactic strategy that enables students to increase their knowledge of caring science and develop their reflectiveskills

  • 44.
    Eskilsson, Camilla
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, M.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, U.
    Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap.
    Managers' responsibility to support caring and learning in clinical education units2017Ingår i: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 5, nr 3Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background:Managers in clinical education units (CEUs) have the responsibility to facilitate evidence-based environments for both caring and learning. Promoting such environments might be challenging in times of financial constraints and organisation changes.

    Objective:The purpose of this study was to describe how managers experience their responsibility to support the caring and learning environments in CEUs. 

    Methods:The study method followed the principles of Reflective Lifeworld Research (RLR) grounded in a phenomenological approach. The study was conducted at a hospital in Southern Sweden. Ten first- and second-line managers responsible for CEUs were interviewed. The interviews were conducted as reflective dialogues using an open, and bridled approach.

    Results:The results show that clinical education unit managers regard the responsibility to support caring and learning environments as a challenging experience, elucidated in three themes: (1) to have or to take responsibility; (2) cooperation that supports and challenges; and (3) bringing it all together— a daily struggle.

    Conclusions:In conclusion, the managers of CEUs need to be aware of the importance of common theoretical grounds for caring and learning. Caring and learning are more likely to be intertwined when responsibility is taken, when collaboration between actors is characterised by respect and when an awareness of the importance of reflection is present. Awareness of the importance of creating opportunities for reflection and mutual collaboration among the different actors involved could lead to improvements in nursing education and, therefore, improved patient care.

  • 45.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lundvall, Maria
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Knutsson, Susanne
    Hälsohögskolan Jönköping.
    Participating in reflection seminars: Progressing towards a deeper understanding of caring science described by nursing students2017Ingår i: Nordic journal of nursing research, ISSN 2057-1585, E-ISSN 2057-1593Artikel i tidskrift (Refereegranskat)
    Abstract [en]

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

  • 46.
    Asp, Margareta
    et al.
    Mälardalens Högskola.
    Wiklund Gustin, Lena
    Mälardalens Högskola.
    Almerud Österberg, Sofia
    Linnéuniversitet.
    Hörberg, Ulrica
    Linnéuniversitet.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Samvetsstress och dåliga villkor bakom sjuksköterskeflykten2017Ingår i: Dagens NyheterArtikel i tidskrift (Övrig (populärvetenskap, debatt, mm))
    Abstract [sv]

    Ge sjuksköterskor utrymme att göra kvalificerade bedömningar av patientens omvårdnadsbehov och låt dem också få gehör för de omvårdnadsinterventioner de föreslår. Det skulle inte bara bidra till att minska samvetsstress och arbetsrelaterad ohälsa hos sjuksköterskor utan också bidra till att de stannar i yrket, skriver sex forskare i vårdvetenskap.

  • 47.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Almerud Österberg, Sofia
    Linnéuniversitetet.
    Hörberg, Ulrica
    Linnéuniversitetet.
    Methodological support for the further abstraction of and philosophical examination of empirical findings in the context of caring science2016Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 11Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Phenomena in caring science are often complex and laden with meanings. Empirical research with the aim of capturing lived experiences is one way of revealing the complexity. Sometimes, however, results from empirical research need to be further discussed. One way is to further abstract the result and/or philosophically examine it. This has previously been performed and presented in scientific journals and doctoral theses, contributing to a greater understanding of phenomena in caring science. Although the intentions in many of these publications are laudable, the lack of methodological descriptions as well as a theoretical and systematic foundation can contribute to an ambiguity concerning how the results have emerged during the analysis. The aim of this paper is to describe the methodological support for the further abstraction of and/or philosophical examination of empirical findings. When trying to systematize the support procedures, we have used a reflective lifeworld research (RLR) approach. Based on the assumptions in RLR, this article will present methodological support for a theoretical examination that can include two stages. In the first stage, data from several (two or more) empirical results on an essential level are synthesized into a general structure. Sometimes the analysis ends with the general structure, but sometimes there is a need to proceed further. The second stage can then be a philosophical examination, in which the general structure is discussed in relation to a philosophical text, theory, or concept. It is important that the theories are brought in as the final stage after the completion of the analysis. Core dimensions of the described methodological support are, in accordance with RLR, openness, bridling, and reflection. The methodological support cannot be understood as fixed stages, but rather as a guiding light in the search for further meanings.

  • 48.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Att leda och organisera vården på vårdvetenskaplig grund2015Ingår i: Teoretiska grunder för vårdande / [ed] Arman, M. Dahlberg, K. & Ekebergh, M., Stockholm: Liber, 2015, 1, s. 267-277Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 49.
    Eskilsson, C.
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, U.
    Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap.
    Ekebergh, M.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, E.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Carlsson, G.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Caring and learning intertwined in supervision at a dedicated education unit ‒ a phenomenological study2015Ingår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 16, nr 6, s. 753-764Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Supervising student nurses in clinical praxis entails dealing with both caring and learning aspects. There is a dearth of research focusing on both the caring and learning aspects in supervision. The present study describes how caring and learning is intertwined in supervision. The study was performed with a Reflective Lifeworld Research approach and analyzed phenomenologically for meanings. Eight interviews were conducted with supervisors on an orthopedic-dedicated education unit. The findings reveal how supervisors constantly move in order to be either close to or standing back, adjusting to the students’ and the patients’ needs. This is described in more detail via the constituents: handling responsibility in constant movement, participating in a new and different way, coexisting with students creates meaning and development. The findings show that a reflective attitude in supervision , clear structure for daily activities, and a lifeworld-led didactics can promote a learning and caring environment. Supervisors’ demanding task requires pauses in order to maintain motivation among supervisors. A mutual link between supervisors, students and patients is crucial in order to create an environment where caring and learning are intertwined. © 2015 Taylor & Francis.

  • 50.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Reflektionens betydelse för fortsatt utveckling i yrkesrollen: Att fortsätta vara öppen och reflekterande2015Ingår i: Reflektion i lärande och vård: en utmaning för sjuksköterskan / [ed] Berglund, M. & Ekebergh, M., Lund: Studentlitteratur AB, 2015, s. 227-239Kapitel i bok, del av antologi (Övrig (populärvetenskap, debatt, mm))
  • 51.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, M.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Persson, E.
    Lunds Universitet, Medicinska Fakulteten.
    Hörberg, U.
    Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap.
    The importance of existential dimensions in the context of the presence of older patients at team meetings-in the light of Heidegger and Merleau-Ponty's philosophy2015Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, s. 1-10Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of the present study is to explore interpersonal dimensions of the presence of older patients at team meetings. The theoretical foundation of the study is grounded in caring science and lifeworld phenomenology. The results from two empirical studies, that indicated the need for a more in-depth examination of the interpersonal relationships when an older patient is present at a team meeting, were further explicated by philosophical examination in the light of Heidegger and Merleau-Ponty's philosophy. The empirical studies were performed in a hospital ward for older people, where the traditional rounds had been replaced by a team meeting, to which the patients were invited. The analysis of the general structure and philosophical examination followed the principles of reflective lifeworld research. The philosophical examination is presented in four meaning structures: mood as a force in existence; to exist in a world with others; loneliness in the presence of others; and the lived body as extending. In conclusion, professionals must consider patients' existential issues in the way they are expressed by the patients. Existence extends beyond the present situation. Accordingly, the team meeting must be seen in a larger context, including the patients' life as a whole, as well as the ontological and epistemological foundations on which healthcare is based. ©2015 E. Lindberg et al.

  • 52.
    Lindberg, Elisabeth
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Interpersonal relations in the context of a team meeting: in the light of the work of Heidegger and Merleau -­‐ Pontys philosophy2014Konferensbidrag (Refereegranskat)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 53.
    Lindberg, Elisabeth
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Kommentar till föreläsning av Dan Stiwne2014Konferensbidrag (Övrigt vetenskapligt)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 54.
    Lindberg, Elisabeth
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Tid för vårdande möten: att vidmakthålla och utveckla vårdandet med patientperspektivet i fokus2014Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [en]

    Aim: The overall aim is to examine how a patient perspective, grounded in caring science, can be preserved and developed in the context of hospital care. Methods: The first study examines attitudes towards caring science in a clinical practice. Data were collected through focus group interviews with seven nurses, three head nurses and four senior preceptors. An interpretive approach guided the study. The results called for collaboration between clinical praxis and the academy, according to how caring science can be preserved and developed. Study II–III functioned in accordance with this goal and were conducted in collaboration with a hospital ward for people over seventyfive years of age. In an attempt to develop care the patients were invited to attend a team meeting. The data in these studies were collected using interviews and observations. Fifteen patients (study II) and nine nurses (study III) who had experienced patient participation in a team meeting participated. In these studies, a reflective lifeworld approach guided the research process. Study IV is presented as a general structure and philosophical examination in the light of Heidegger and Merleau-Ponty’s philosophies. Main Findings: To preserve and develop a patient perspective is strongly connected to existential issues, such as lived time, intersubjectivity and a meaningful existence. For the patients, vulnerability is exposed and increased when the need for hospital care arises. The team meeting is experienced as an emotional situation where existential dimensions need to be recognized. The nurses desire to develop caring is challenged by organizational and economic demands. Time presents both a possibility for an encounter as well as a threat to excellent care. Conclusions: There is a need to challenge narrow processes in modern health care that value the staffs’ work and the patients’ vulnerability in quantifiable measures of efficiency. The challenge is to take into account something that is invaluable - human existence.

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  • 55.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Hörberg, Ulrika
    Persson, Eva
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    It made me feel human. A phenomenological study on older patients´ experiences of participating in a Team meeting.2013Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, nr 1Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    This study focused on older patients participating in a team meeting (TM) in a hospital ward in Sweden. A process had taken place on the ward, in which the traditional round had developed into a TM and understanding what participating in a TM means for the older patient is necessary for the development of care that facilitates older patient's participation. The aim of this study was to describe the caring, as experienced by the older patients on a ward for older persons, with a specific focus on the team meeting. A reflective lifeworld research (RLR) design was used. Fifteen patients, 12 women and three men (mean age of 82 years) were interviewed while they were hospitalized in a hospital ward for older people. In the essential meaning of the phenomenon, the TM is described as being a part of a wider context of both caring and life. The need for hospitalization is an emotional struggle to overcome vulnerability and regain everyday freedom. The way in which the professionals are able to confirm vulnerability and create a caring relationship affects both the struggle for well-being and the possibilities for maintaining dignity. The essence is further explicated through its constituents; Vulnerability limits life; Life is left in the hands of someone else; Life is a whole and Space for existence. The result raises concern about how the care needs to be adjusted to older people's needs as lived bodies. The encounter between the carer and the patient needs to be developed in order to get away from the view of the patient as object. An expanded vision may open up for existential dimensions of what brings meaning to life. One way, as described by the patients, is via the patient's life stories, through which the patients can be seen as a whole human being.

  • 56.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Persson, Eva
    Hörberg, Ulrica
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Older Patients’ Participation in Team Meetings: A phenomenological study from the nurses’ perspective2013Ingår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Although the importance of patient participation is acknowledged in today's healthcare, many challenges remain before patient participation can become an integral part of care provision. The ward round has traditionally been the forum for crucial decisions about patient care, but often with limited possibilities for patient participation. As part of the process of improving patient participation, the round in the present study has been replaced by a team meeting (TM) to which the patient has been invited. The aim of this study is to highlight nurses' experiences of older patients' participation in TMs. The research process was guided by the principles of phenomenological reflective life world research. Data were collected in a Swedish hospital, in a ward specializing in older patients. Nine nurses, who had invited and planned for a patient to participate in TMs and/or had experienced TMs in which patients participated, were interviewed. The essential meaning of patient participation in the TM, as experienced by the nurses, is that patient participation can be supported by a safe relationship in which the patient can make his or her voice heard. Participation is challenged by the patients' vulnerability and by the subordinated role assigned to the patient. The essential meaning is further described by its constituents: "the need for a guide," "patient participation challenged by structures," and "creating space for the whole human being." In conclusion, the nurse plays a core role in guiding the patient in an unfamiliar situation. The meaning of patient participation in the TM needs to be discussed by professionals so that the patient perspective is present.

  • 57.
    Ekebergh, Margaretha
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Hörberg, Ulrica
    Carlsson, Gunilla
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindberg, Elisabeth
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Eskilsson, Camilla
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Andersson, Niklas
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Holst, Hanna
    The encounter between Caring Science and the Lifeworld2012Konferensbidrag (Övrigt vetenskapligt)
    Abstract [en]

    Scientific knowledge is characterized by abstract descriptions and structures which are not identical to the lived reality. Scientific knowledge cannot directly be applied on the lived existence, without being transformed and adjusted to the individual’s very complex lifeworld. Learning in caring contexts is an encounter between the scientific knowledge of caring and the learner’s lifeworld. This encounter needs a support that has the potential to bring caring science to life and to start an intertwining process with the lifeworld that creates embodied knowledge. Lifeworld didactics are built on an approach about learning as an individual process and that learning takes its point of departure in the learner’s previous experiences, which accompanies the learning process. The challenges within lifeworld didactics is to be open and sensitive to the learner’s lifeworld and with tact support the development of a reflective attitude in the learning process. Lifeworld didactics strategies are of crucial importance in different caring contexts. This paper presents three lifeworld led phenomenological research projects that have focused on acquiring caring science knowledge in caring contexts, more precisely it is the encounter between caring science and the lifeworld. The research is within the framework of lifeworld didactics, but the three projects each have a special focus. The first illustrates how the learning and caring processes merge and become an intertwined phenomenon in nursing students’ learning. The research is carried out in Dedicated Educational Units (DEU), within psychiatric and orthopedic care. Three perspectives are illustrated in the project; that of the students, the supervisors and the patients. The overall aim is to develop a supervision model that has the potential to support the students’ learning processes as well as the patients’ caring processes. The second illustrates how the concepts ‘patient perspective’ and ‘patient participation’ can be implemented in a clinical setting for elderly patients in order to improve the quality of care. This project is inspired by Participatory Action Research and is built on collaboration between the university and the health care services. The aim is to develop reflective educational material in terms of filmed drama episodes, based on the result of two studies about elderly patients’ participation in team meetings. The third illustrates the perspective of lifeworld didactics in two phenomenological studies that focus on Students` learning in an encounter with patients and Students` learning on the way to becoming professional - supported by supervision in pairs of students. The findings show patterns of essential meanings that have specific significance in the art of supporting students` learning in clinical education. These are; the significance of responsibility, its extent and shape in relation to the supervisor’s ability to adopt a reflective supervising attitude and to be supportive enough but at the same time to not assume the responsibility. The learning process shows to be a challenge for students, where safety in pairs of students has a great significance when coping with the challenge to learn and develop.

  • 58.
    Ekebergh, Margaretha
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Horberg, Ulrica
    Carlsson, Gunilla
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindberg, Elisabeth
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Eskilsson, Camilla
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Holst, Hanna
    Andersson, Niklas
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    The Encounter between Caring Sciences and the Lifeworld: The Art of Making Knowledge Alive and Embodied2012Konferensbidrag (Refereegranskat)
    Abstract [en]

    Scientific knowledge is characterized by abstract descriptions and structures, which are not identical to the lived reality. Scientific knowledge cannot directly be applied on the lived existence, without being transformed and adjusted to the individual’s very complex lifeworld. Learning in caring contexts is an encounter between the scientific knowledge of caring and the learner’s lifeworld. This encounter needs a support that has the potential to bring caring science to life and to start an intertwining process with the lifeworld that creates embodied knowledge. Lifeworld didactics are built on an approach about learning as an individual process and that learning takes its point of departure in the learner’s previous experiences, which accompanies the learning process. The challenges within lifeworld didactics are to be open and sensitive to the learner’s lifeworld and with tact support the development of a reflective attitude in the learning process. Lifeworld didactics strategies are of crucial importance in different caring contexts. This symposium presents three lifeworld led phenomenological research projects that have focused on acquiring caring science knowledge in caring contexts, more precisely it is the encounter between caring science and the lifeworld. The research is within the framework of lifeworld didactics, but the three projects each have a special focus.

  • 59.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Persson, Eva
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    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.2012Ingår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, nr 3, s. 579-86Artikel i tidskrift (Refereegranskat)
    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.

  • 60. Karlsson, P
    et al.
    Grabowski, A
    Lindberg, Elisabeth
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Den äldre patientens delaktighet2011Konferensbidrag (Refereegranskat)
  • 61.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Karlsson, Pernilla
    Den äldre patientens delaktighet på en utbildningsvårdsavdelning2011Konferensbidrag (Refereegranskat)
  • 62.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Persson, Eva
    Ekebergh, Margaretha
    Nurses’ Experience of Older Patient Involvement in Care with a Specific Focus on the Round2011Konferensbidrag (Refereegranskat)
    Abstract [en]

    Previous research shows that there are several challenges when the patient perspective is to permeate clinical practice. The present study is part of a larger research project in Sweden where researchers together in cooperation with a geriatric ward are developing forms for care based on the lifeworld perspective with the patient’s story in focus. The hierarchical structure of the health care sector along with the exposure of the patient role means that in many situations, the patient is assigned a passive role in care – especially the older ones. By tradition, the round is the time for crucial decisions that concern the patient’s care. Also in other ways, the round mirrors the hierarchical care structure. Thus, the studied phenomenon is as follows: How nurses experience patient involvement in care with a specific focus on the round. The preliminary results of the study show that through his/her approach, the nurse can either support patient participation or confirm prevailing hierarchical traditions where the patient is subordinated. Patients’ lived experiences of being involved in care will be described in a future study. In extent, the study can contribute to new knowledge about the phenomenon, Patient involvement in care with a specific focus on the round, both from a nurse and patient perspective, as well as give an insight to the use of phenomenological lifeworld research in a cooperation project between clinical caregivers and researchers.

  • 63.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Bondas, Terese
    Persson, Eva
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Någon annans ansvar: en fokusgruppsstudie om integrering av teori och praxis2010Konferensbidrag (Refereegranskat)
  • 64.
    Lindberg, Elisabeth
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Bondas, Terese
    Persson, Eva
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    NÅGON ANNANS ANSVAR- EN FOKUSGRUPPSSTUDIE OM INTEGRERING AV TEORI OCH PRAXIS2010Konferensbidrag (Refereegranskat)
    Ladda ner fulltext (pdf)
    FULLTEXT01
  • 65. Friberg, F
    et al.
    Lindberg, Elisabeth
    [external].
    Lepp, M
    Creating room for learning at work: nurses' experiences of participating in an educational program on the function of patient teaching2008Ingår i: International journal for human caring, ISSN 1091-5710, Vol. 12, nr 3, s. 38-46Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    The aim of this study was to describe an educational program concerning nurses´ patient-teaching work and how it was experienced by the nurses. The program consisted of five sessions, each with a main theme, which explored four main teaching/learning strategies. Interviews were conducted with the nurses and analyzed qualitatively. The analysis revealed three themes: intercollegial learning, increased awareness of pedagogical complexity, and increased preparedness. The study showed that participation in an educational program at work is one strategy by which nurses can become more closely linked with their patient-teaching function, which has direct consequences for practice.

  • 66.
    Lundvall, Maria
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Palmér, Lina
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Hörberg, Ulrica
    Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden.
    Carlsson, Gunilla
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lindberg, Elisabeth
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Enabling Well-Being in Young Adults Living with Existential ConcernsManuskript (preprint) (Övrigt vetenskapligt)
    Abstract [en]

    Background 

    What enables well-being when experiencing existential concerns as a young adult is an under-explored area of research. In order to address young adults’ existential concerns and provide caring support that builds their resilience to meet life challenges, the aim of the present study is to describe the meaning of enabling well-being as experienced by young adults living with existential concerns. 

    Method 

    This phenomenological study is based on a reflective lifeworld research. Seventeen young adults, nine women and eight men aged 17–27 years, were interviewed. The results is presented in an essential meaning and further explored with its variations and individual nuances of the phenomenon; enabling well-being.  

    Ethics  

    The study followed the research principles described in the Helsinki Declaration and the Swedish Research Ethics Guidelines. 

    Result 

    The essential meaning of enabling well-being, when experiencing existential concerns as a young adult, means finding a place to rest. Finding a place to rest means finding both movement and stillness in life to reflect upon one’s life story in order to understand oneself. The essence is further described in the following constituents: recovering in solitude, sharing one’s life story in everyday life, and reflecting one´s life story in a trusting and caring relationship. 

    Conclusion 

    This study contributes important knowledge from a caring science perspective to inform caring approaches in nursing. The results show that young adults enable their own well-being in many ways when experiencing existential concerns. When their existential concerns feel overwhelming, they need support from healthcare professionals. When young adults seek professional support, the professionals must be open and focus on the young adults’ life story. 

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