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  • 251.
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Livsvärldsdidaktik på vårdvetenskaplig grund i sjuksköterske- och specialistutbildningar: utveckling av en handledningsmodell2009Report (Other academic)
  • 252.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Lepp, Margret
    Reflekterande handledning med dramapedagogik: en metod för integrering av vårdvetenskap i teori med vård303 praxis2004Report (Other academic)
  • 253.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Eskilsson, Camilla
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Hörberg, Ulrica
    Caring and learning as intertwined- an educational curriculum challenge2014Conference paper (Refereed)
    Abstract [en]

    Background Caring and learning in clinical educational contexts is characterized by an encounter between lived experiences of the patient and the student’s knowledge and understanding. In other words, it is an encounter between two lifeworlds, which has the potential to create a fruitful tension to develop deep knowledge about the patient’s world that can give direction for practice. We will argue that a particular kind of Caring science knowledge becomes an important tool to support this caring and learning process where the goal is to intertwine lived experiences of health and illness with professional knowing and scientific knowledge. From this perspective is even caring and learning an intertwined phenomenon, and it is this intertwining that enables lifeworld led care. Aim This paper presents a study that illustrate how caring and learning is intertwined from the students’ view in an educational clinical context. Method/design The study was carried out using Reflective Lifeworld Research (RLR) with a phenomenological approach. Lifeworld interviews were conducted with students after their clinical placement on a Dedicated Education Unit (DEU). Result The result shows that the essential meaning of the intertwined phenomenon is a movement where caring and learning fall into place which appears in an atmosphere filled with appealing challenges, but has to be sensitive to the students’ readiness. The atmosphere depends on their sense of security and how they experience confirming and affirming responses. Encountering the patient means that the students can gain a sense of the whole and the theory falls into place. The results also highlight how the student, in this atmosphere, has a desire to find a new role in a personal style. Conclusions On the basis of this study a challenge to the curriculum is presented, that is, to develop didactics and supervision models that use a holistic approach and adopt a reflective attitude upon caring and learning as intertwined and not separated.

  • 254.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Horberg, Ulrica
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Lindberg, Elisabeth
    University of Borås, School of Health Science.
    Eskilsson, Camilla
    University of Borås, School of Health Science.
    Holst, Hanna
    Andersson, Niklas
    University of Borås, School of Health Science.
    The Encounter between Caring Sciences and the Lifeworld: The Art of Making Knowledge Alive and Embodied2012Conference paper (Refereed)
    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.

  • 255.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Hörberg, Ulrica
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Lindberg, Elisabeth
    University of Borås, School of Health Science.
    Eskilsson, Camilla
    University of Borås, School of Health Science.
    Andersson, Niklas
    University of Borås, School of Health Science.
    Holst, Hanna
    The encounter between Caring Science and the Lifeworld2012Conference paper (Other academic)
    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.

  • 256.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Karlsson, Ann-Christin
    Larsson Mauléon, Annika
    Almerud Österberg, Sofia
    An intraoperative caring model: the ’awake’ patient’s need for a genuine caring encounter2013In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 1, no 4, p. 23-35Article in journal (Refereed)
    Abstract [en]

    Anaesthesia nursing care during regional anaesthesia is characterized by the encounter between the ‘awake’ patient’s own lifeworld and the nurse anaesthetist’s knowledge in theory and in practice. This study aims to present an intraoperative caring model from the patient’s perspective that will facilitate nurse anaesthetists’ (NA) practice to enhance and support the ‘awake’ patient’s intraoperative well-being during surgery under regional anaesthesia. The model is underpinned by a synthesis based on interviews with patients, a philosophical reflection using Merleau-Ponty’s philosophy, and video recordings from orthopaedic surgeries under regional anaesthesia. The model can be used as a tool to encounter awake patients’ existential needs in the intraoperative situation and to further enlighten NAs about the possible impact of their proximity, interaction and communication behaviour in the delivery of intraoperative nursing care. The model can help NAs to access, understand and learn through lived experiences, thereby deepening their professional caring skills. The model is a way to get research knowledge ready for use by NAs to reflect on what gaps need to be filled between what nurses know (research) and do (practice).

  • 257.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Karlsson, Ann-Christin
    Larsson Mauléon, Annika
    Almerud Österberg, Sofia
    Patient-nurse anesthetist interaction during regional anesthesia and surgery based on video recordings2013In: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 28, no 5, p. 260-270Article in journal (Refereed)
    Abstract [en]

    Purpose The purpose of this study was to interpret and describe the patient-nurse anesthetist (NA) interaction during regional anesthesia. Design Video recordings conducted during orthopedic surgery at a surgical clinic in Sweden formed the basis for the study, in which three patients and three NAs participated. Methods A hermeneutic analysis was conducted on the data. Finding The findings of the analysis demonstrated that the NA was in either “present” presence or “absent” presence in the awake patient's visual field during surgery. The NA's professional actions at times dominated the patient's existential being in the intraoperative situation. The findings conveyed insights about the patient-NA interaction that open up possibilities for nurses to understand and reflect upon their own practice in an expanded way. Conclusions Using video recordings for reflections enables development of professional skills that positively influence the care quality for patients during regional anesthesia.

  • 258.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Määttä, Sylvia
    University of Borås, School of Health Science.
    Lärandet på en utbildningsvårdavdelning: att sammanbinda vårdvetenskaplig teori med vårdpraxis2005Report (Other academic)
  • 259.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Petersson, B-O
    Developing a didactic method that links the student’s lifeworld with caring science in theory and practice2006In: 4th International Research and Development Conference, Theory and Practice in nursing Education, County of Aarhus, DenmarkArticle in journal (Refereed)
  • 260.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Petersson, B-O
    Developing a didactic method that links the student’s lifeworld with caring science in theory and practice2005Conference paper (Refereed)
  • 261.
    Ekebergh, Margaretha
    et al.
    University of Borås, School of Health Science.
    Rees, K
    Galvin, K
    Petersson, B-O
    Lifeworld-led Education in Health and Social Care2007Conference paper (Refereed)
  • 262. Ekendahl, S
    et al.
    Arlinger, J
    Ståhl, Fredrik
    University of Borås, School of Health Science.
    Pedersen, K
    Carbon transformation in deep granitic groundwater by attached bacterial populations characterized with 16S -rRNA gene sequenccing technique and scanning electron microscopy1993Report (Other academic)
  • 263.
    Elden, Helen
    University of Borås, School of Health Science.
    Treatment modalities for pelvic girdle pain in pregnant women2008Doctoral thesis, monograph (Other academic)
  • 264.
    Elden, Helen
    University of Borås, School of Health Science.
    Treatment Modalities for Pelvic Girdle Pain in Pregnant Women2009In: Paper presented at the BMAS Spring Meeting in Glasgow, April 25th, 2009Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Pelvic girdle pain (PGP) affects about 20% of pregnant women. It causes great suffering for the individual and high costs for society. Persisting PGP have been reported in 10 to 75% three months after pregnancy and some women have also stated that PGP has been the beginning of a chronic condition. Risk factors for PGP are history of low back pain, history of PGP or trauma to the pelvis. Available evidence of research of treatment for the condition is insufficient to recommend any particular treatment modality for PGP. Also, the use of acupuncture for PGP is sparse due to insufficient documentation of adverse effects of this treatment in this specific condition. The main purpose of this thesis was to study efficacy, safety and post pregnancy effects of standard treatment, acupuncture and stabilising exercises given to pregnant women with PGP. Based on this knowledge, our ultimate aim is to increase our knowledge about treatment of PGP. METHODS: I. A randomised single-blind trial comparing efficacy of standard treatment plus acupuncture, standard treatment plus stabilising exercises and standard treatment alone in 386 pregnant women diagnosed with PGP. II, a follow up study of the original randomised trial in which adverse effects during pregnancy and delivery, influence on the mother, fetus, pregnancy and the pregnancy outcome are reported. III A follow-up study of regression of PGP during 12 weeks after pregnancy among the women. IV, a double-blind randomised trial in which effects of penetrating acupuncture and non-penetrating sham acupuncture as adjunct to standard treatment are compared in 115 pregnant women with diagnosed PGP. The aim with this study was to investigate if specific treatment effects of penetrating acupuncture go beyond effects of non-specific effects and individual attention. RESULTS: Acupuncture as well as stabilising exercises as adjunct to standard treatment constituted efficient complements to standard treatment for the management of PGP during pregnancy. Acupuncture administered with a stimulation that may be considered strong lead to minor adverse complaints on the mothers but had no observable severe adverse influences on the pregnancy, mother, delivery or the fetus/ neonate. Regression of PGP after delivery was excellent with no differences in recovery between the three treatment groups. Both penetrating acupuncture and non-penetrating sham acupuncture lead to clinically relevant decrease of median pain after treatment but there were no significant difference between groups. Those who had received penetrating acupuncture were in regular work to a higher extent than those women that received non-penetrating sham acupuncture. The penetrating acupuncture group had superior ability in 7 of 13 daily activities (dressing; outdoor walks; climbing stairs, standing bent over a sink; running; heavy work and lifting heavy objects) than the non-penetrating sham acupuncture group. CONCLUSION: We have shown that acupuncture and stabilizing exercises as adjunct to standard treatment are effective for PGP during pregnancy. Even if our study was of insufficient size to exclude negative effects on delivery, perinatal morbidity and mortality as well as on CTG the study result adds support to the view that acupuncture even with stimulation that may be considered as strong is not accompanied by any severe adverse influences on the pregnant women or the fetus/neonate. Even if more studies are required, our data provides the most comprehensive data reported to date. Our data suggest that irrespective of treatment modality, regression of PGP occurs in the great majority of women within 12 weeks after delivery. Penetrating acupuncture had no additional effect on PGP reduction compared to non-penetrating sham acupuncture but it improved the ability to perform daily activities keeping more women in regular work. Thus, the data imply that needle penetration contributes to the previously reported beneficial effects of acupuncture.

  • 265. Elisabeth, Rydwik
    et al.
    Lammes, Eva
    Frändin, Kerstin
    University of Borås, School of Health Science.
    Akner, Gunnar
    Effects of a physical and nutritional intervention program for frail elderly people over age 75. A randomized controlled pilot treatment trial2008In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 20, no 2, p. 159-170Article in journal (Refereed)
    Abstract [en]

    BACKGROUND AND AIMS: There are few studies published that combine the interventions of physical training and nutrition. The aim of the present study was to describe the impact of a physical and nutritional intervention program for frail community-dwelling elderly people over the age of 75. METHODS: Ninety- six community-dwelling elderly people (58 women) were randomized to four different groups: i) a physical training program (aerobic, muscle strength, balance), ii) a nutritional intervention program (individually targeted advice and group sessions), iii) a combination of these interventions, and iv) a control group. At baseline subjects were screened for physical performance such as muscle strength, balance, mobility and activities of daily living, as well as nutritional aspects such as energy intake, body weight and fat-free mass. These measurements were repeated immediately after the intervention, which lasted for 12 weeks, and after another 6 months. RESULTS: The intention-to-treat analysis indicated significant improvements in lower-extremity muscle strength in both training groups compared with the nutrition group at 1st follow-up. There were small significant changes for some of the balance measurements in the training group without nutrition treatment. The nutrition intervention did not show any significant results. CONCLUSIONS: This study shows the positive effect on lower-extremity muscle strength directly after the intervention. Balance training most probably needs to be more individualized in order to be effective for frail elderly people. Further studies are needed, with larger sample sizes, to investigate the effects of these types of interventions before any further conclusions can be drawn.

  • 266.
    Elm, Marie
    University of Borås, School of Health Science.
    LÄR UT: bättre läkemedelshantering för äldre2010Report (Other academic)
    Abstract [sv]

    LÄR UT – Bättre läkemedelshantering för äldre är ett projekt om äldres läkemedelsanvändning. LÄR UT-projektets mål är att öka kunskapen om äldre och läkemedel hos vårdpersonal och att förbättra utvärderingen av läkemedelsbehandling för att äldre inskrivna i Borås Stads hemsjukvård ska må så bra som möjligt av sina läkemedel. Konceptet för att nå målen är utbildning och användning av symtomskattning. Sjuksköterskor får utbildning av geriatriker, apotekare, distriktsläkare och distriktssköterska med fokus på smärta, oro, sömn och demensproblem. Sjuksköterskorna blir handledare och med hjälp av LÄR UT-pärmen utbildar de omvårdnadspersonal. För att förbättra utvärderingen av läkemedelsbehandlingen används en symtomskattningsblankett som har tagits fram i projektet. Genom LÄR UT-konceptet har över 1 800 vårdpersonal utbildats, varav 223 sjuksköterskor i Sjuhärad. Sjuksköterskorna (170) i Borås har efter genomgången LÄR UT-utbildning utbildat över 1 600 omvårdnadspersonal under 2006–2009. Nästan 500 symtomskattningar har under projekttiden genomförts främst på särskilda boenden och inför förnyelse av recept/apodos och årsbesök av distriktsläkare. FoU-enheten Sjuhärad Välfärd (tidigare ÄldreVäst Sjuhärad, ÄVS) har sedan projektet startade 2006 varit med som samarbetspartner och tillsammans med Borås Stad utfört en utvärdering av projektet. Utvärderingens övergripande syfte har varit att undersöka om utbildningssatsningen LÄR UT leder till en kompetens- och kvalitetshöjning för personalen och verksamheten i läkemedelsanvändning som på sikt kan leda till ökad kvalitet i vården av äldre.

  • 267.
    Elm, Marie
    University of Borås, School of Health Science. Högskolan i Borås,University College of Borås. ÄldreVäst Sjuhärad.
    LÄR-UT: bättre läkemedelshantering för äldre2007Report (Other academic)
    Abstract [sv]

    Målet med projektet LÄR-UT är att ta fram en modell för bättre läkemedelshantering för äldre samt att utbilda sjuksköterskor inom kommunal hälso- och sjukvård till handledare.

  • 268. Elmqvist, C.
    et al.
    Brunt, D.
    Fridlund, Bengt
    University of Borås, School of Health Science.
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Being first on the scene of an accident: experiences of "doing" prehospital emergency care2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 2, p. 266-273Article in journal (Refereed)
    Abstract [en]

    Prehospital emergency care includes the care and treatment of patients prior to them reaching hospital. This is generally a field for the ambulance services, but in many cases firemen or police can be the ones to provide the first responses. The aim of this study was to describe and understand experiences of being the first responder on the scene of an accident, as described by policemen, firemen and ambulance staff. A lifeworld perspective was used in four different traumatic situations from southern Sweden. The data consisted of 13 unstructured interviews with first responders. The phenomenological analysis showed that experiences of being the first responder on the scene of an accident is expectations of doing a systematic course of action, dressed in the role of a hero, and at the same time being genuine in an interpersonal encounter. This entails a continuous movement between ‘being’ and ‘doing’. It is not a question of either – or, instead everything is to be understood in relation to each other at the same time. Five constituents further described the variations of the phenomenon; a feeling of security in the uncertainty, a distanced closeness to the injured person, one moment in an eternity, cross-border cooperation within distinct borders and a need to make the implicit explicit. This finding highlights the importance of using policemen and firemen in doing life support measures while waiting for the ambulance staff, and would in turn increase the importance of the relationship between the different professionals on the scene of an accident.

  • 269. Elmqvist, Carina
    et al.
    Fridlund, Bengt
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Trapped between doing and being: First provider´s experiences of ”front line” work2012In: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 20, no 3, p. 113-119Article in journal (Refereed)
    Abstract [en]

    A common focus in research studies within the Emergency Department (ED) is physician patient relations, experiences of the triage model and nurses´ experiences of caring. Little has, however, been written about different first providers´ experiences of working on the “front line” at the ED. The aim of this study was to describe and understand experiences of being the first provider on the “front line” at the ED, as expressed by nurse assistants, registered nurses and physicians. A reflective lifeworld research approach was used in four different caring situations. The data consisted of eight open-ended interviews with first providers. The analysis showed that being the first provider on the “front line” at the ED entails a continuous movement between providing and responding through performing “life-saving” actions and at the same time create a good relationship with the patient and the next of kin. Five constituents further described the variations of the phenomenon. The readiness to save lives creates a perceived stress of time pressure and the first providers adopt different strategies to cope with the work. Instead of leaving the first providers to find their own way to cope with the complex situation, there are needs for a redesigning of the internal work process within ED organizations.

  • 270.
    Englund, Ann-Charlotte
    et al.
    University of Borås, School of Health Science.
    Hartman, Jan
    Segesten, Kerstin
    Assisting teens with asthma to take command2006In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 20, no 2, p. 193-201Article in journal (Refereed)
    Abstract [en]

    In English To meet and work with teenagers may be a challenge for caregivers as adolescence is a period when youths try to establish autonomy. Although asthma is an increasing problem worldwide, few studies have addressed professional caregivers' motives and actions. Therefore, the aim of this study was to describe professional caregivers' strategies in their work with teenagers with asthma. Grounded theory, inspired by Glaser, was used to uncover the phenomenon. The informants were seven professional caregivers who worked at an eight-day asthma camp for teenagers in Sweden. Participant observations and interviews were used, and the first author collected the data and participated in the activities. Findings show that professional caregivers' core concern is to assist teenagers with asthma to take command. This core concern gives rise to five strategies: showing respect, being at hand, promoting own responsibility, promoting to exceed boundaries and promoting reflections. In professional caregivers' attempt to assist teenagers to take command some differences are seen in the way they support boys and girls. One conclusion drawn from our study is that the provisional theory of 'Assisting teenagers with asthma to take command' is not only suitable for professional caregivers working at asthma camps; it may, in some degree, also be used as a source of inspiration for professional caregivers in other settings.

  • 271.
    Englund, Ann-Charlotte
    et al.
    University of Borås, School of Health Science.
    Rydström, Ingela
    University of Borås, School of Health Science.
    Norberg, Astrid
    Being the parent of a child with asthma2001In: Pediatric Nursing, ISSN 0097-9805, Vol. 27, no 4, p. 365-373Article in journal (Refereed)
    Abstract [en]

    The aim of this study is to describe what it means to be parents of a child with asthma. Unstructured interviews were carried out with 12 mothers and 12 fathers of children with asthma living in Sweden. The parents' accounts were analyzed using a phenomenological-hermeneutic approach. The results revealed that parents were living a strenuous life and their actions involved both protecting and liberating. Parents also reported feelings of sadness and acceptance. In most cases, mothers acted in a protecting manner and expressed feelings of sadness; fathers acted in a liberating manner and expressed feelings of acceptance. To gain a deeper understanding of the parents' actions and feelings, study results were interpreted through philosophical perspectives described by Ruddick (1989), Mayeroff (1965), and Hegel (1975). These interpretations show that the feelings and actions of these parents exist in a dialectical relation with one another. Results emphasize the importance of a good partnership between the parents and the nurse, where the nurse shows consideration for the parents' unique actions and feelings and understands and supports parents in the care of their child with asthma.

  • 272.
    Engwall, Marie
    et al.
    University of Borås, School of Health Science.
    Bergbom, Ingegerd
    University of Borås, School of Health Science.
    Fridh, Isabell
    University of Borås, School of Health Science. University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
    Lindahl, Berit
    University of Borås, School of Health Science.
    Let there be light and darkness: findings from a prestudy concerning cycled light in the intensive care unit environment.2014In: Critical Care Nursing Quarterly, ISSN 0887-9303, E-ISSN 1550-5111, Vol. 37, no 3, p. 273-298Article in journal (Refereed)
    Abstract [en]

    The present study reports findings concerning light in an intensive care unit setting presented from 3 aspects, giving a wide view. The first part is a systematic review of intervention studies concerning cycled light compared with dim light/noncycled light. The findings showed that cycled light may be beneficial to preterm infant health. Second, a lighting intervention in the intensive care unit is presented, comparing and assessing experience of this lighting environment with that of an ordinary room. Significant differences were shown in hedonic tone, favoring the intervention environment. In the third part, measured illuminance, luminance, and irradiance values achieved in the lighting intervention room and ordinary room lighting are reported.

  • 273. Erdner, A
    et al.
    Nyström, Maria
    University of Borås, School of Health Science.
    Lützen, K
    Severinsson, E
    Psychosocial Disadvantages in the Lives of Persons with long-term Mental illness i a Swedish Community2002In: Journal of Psychiatric and Mental Health Nursing, ISSN 1351-0126, E-ISSN 1365-2850, Vol. 9, no 4, p. 457-463Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to gain in-depth knowledge of how persons with long-term mental illness experience their everyday situation, in order to identify potential psychosocial obstacles to a meaningful existence. The focus was on psychosocial aspects, such as contact with others and the quality of these contacts. An ethnographic design was used, in order to provide an inside perspective. Four persons with long-term mental illness participated in the study. Three open-ended interviews, at 1-week intervals, were conducted with each informant. Analysis of transcribed material consisted of naive reading and content analysis guided by the investigators’ understanding of the psychiatric context. Three themes were generated: feeling lonely but being unable to establish friendships; knowledge of what to do but lacking initiative; and awareness of the need for support but not wanting to be subject to control. These themes reflect contradictions between thoughts, feelings and actions, which seem to contribute to a psychosocial disadvantage in the life of persons with long-term mental illness.

  • 274.
    Erikson, Martin G
    et al.
    University of Borås, School of Education and Behavioural Science.
    Johannisson, Jenny
    University of Borås, Swedish School of Library and Information Science.
    Nolin, Jan
    University of Borås, Swedish School of Library and Information Science.
    Sandman, Lars
    University of Borås, School of Health Science.
    Sundeen, Johan
    University of Borås, Swedish School of Library and Information Science.
    Svengren Holm, Lisbeth
    University of Borås, Swedish School of Textiles.
    Från Högskolan i Borås till Humboldt, volym 32013Report (Other academic)
    Abstract [sv]

    Denna rapport är den tredje i ordningen som har sin upprinnelse i Humboldtuniversitetets 200-årsjubileum och i ambitionen att föra en kvalificerad diskussion om vilka roller som högskolor och universitet spelar idag. Rapporten ägnar särskild uppmärksamhet åt fenomenet tvärvetenskap och de utmaningar som en sådan ansats innebär, men den för också upp grundläggande principfrågor om akademiska friheter och värden till diskussion.

  • 275. Eriksson, Andrea
    et al.
    Orvik, Arne
    Dellve, Lotta
    University of Borås, School of Health Science.
    Organisatorisk hälsa och värdebaserat ledarskap: Behovet av systemperspektiv2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. Tema Ledarskap, no 6, p. 848-856Article in journal (Refereed)
    Abstract [sv]

    Anställda inom hälso- och sjukvården rapporterar ökade hälsoproblem. Syftet med denna artikel är att ge exempel på systemperspektiv på hälsoutmaningar inom hälso- och sjukvården utifrån begreppen organisatorisk hälsa och värdebaserat ledarskap. En tillämpning av begreppet organisatorisk hälsa inom hälso- och sjukvården innebär att hälsoproblem hos anställda och chefer ses i relation till de värdekonflikter som är kopplade till rådande styrningsideal. Organisatorisk hälsa är ett exempel på ett begrepp som har ett tydligt systemperspektiv och kan definierats som en organisations förmåga att hantera spänningar mellan olika konkurrende värden på ett sätt som gynnar både patienter och anställda, och därmed organisationen som helhet. En tillämpning av begreppet organisatorisk hälsa inom sjukvården skulle kunna hjälpa chefer inom sjukvård att syna de värdekonflikter som finns och kunna bidra till reflektion kring hur dessa värdekonflikter skulle kunna hanteras. Vi menar att ett hälsofrämjande och hållbart ledarskap inom hälso- och sjukvården i större utsträckning kräver ett värdebaserat ledarskap som medvetet, tydligt och öppet hanterar de värdekonflikter som finns i vården.

  • 276. Eriksson, Andrea
    et al.
    Skagert, Katrin
    Dellve, Lotta
    University of Borås, School of Health Science.
    Utveckling av hälsofrämjande ledarskap och medarbetarskap: Erfarenheter av att arbeta med interventioner utifrån ett arbetsmaterial2013In: Socialmedicinsk Tidskrift, ISSN 0037-833X, Vol. Temanummer Ledarskap, no 6, p. 793-798Article in journal (Refereed)
    Abstract [sv]

    Forskning pekar på är att ledarskap har stor betydelse för anställdas välmående och att ledarskapsutveckling därför bör vara huvudfokus för framtida interventioner inom arbetsmiljö- och hälsoarbete. Den här artikeln syftar till att beskriva våra erfarenheter och lärdomar från att arbeta med hälsofrämjande ledarskapsinterventioner. Interventionerna utgår från arbetsmaterialet ”Hälsofrämjande ledarskap och medarbetarskap”. I arbetsmaterialet presenteras olika forskningsbaserade metoder och verktyg som kan användas för analys, reflektion och utveckling av hälso- och arbetsmiljöarbetet på den enskilda arbetsplatsen eller för hela organisationen. Utvärderingar av interventioner utifrån arbetsmaterialet pekar på att chefer som deltagit fått ökade förmågor att vara hälsofrämjande ledare, men att organisatoriskt stöd är avgörande för långsiktigta resultat.

  • 277. Eriksson, Andrea
    et al.
    Williamsson, Anna
    Dellve, Lotta
    University of Borås, School of Health Science.
    Implementation of the organizational concept lean: a case study of two Swedish hospitals2012Conference paper (Refereed)
  • 278. Eriksson, Andrea
    et al.
    Williamsson, Anna
    Dellve, Lotta
    University of Borås, School of Health Science.
    Motivation and strategies for why and how to implement the organizational concept lean: a case study of a Swedish hospital2012In: NES 2012 Proceedings, NES, Stockholm, 19-22 Augusti, 2012Conference paper (Refereed)
    Abstract [en]

    Health care professionals' enggements in health care development processes have considerable impact on the outcomes of such processes. Particulary doctors' willingness to become involved is central to success from organizational developement projects in health care. The aim is to gain deeper understanding of how health care professionals view their motives and engagement in organizational healthcare developments, an it's importance for collaboration and participation in implementation of lean processes. A conceptual model of physicians' engagement has been described from qualitative interviews. Thereafter an instrument has been developed to be used to assess preconditions for implementation of organizational developments.

  • 279. Eriksson, Andrea
    et al.
    Williamsson, Anna
    Dellve, Lotta
    University of Borås, School of Health Science.
    Three Swedish hospitals’ lean strategies and their contribution to organizational development.2014Conference paper (Refereed)
  • 280. Eriksson, Bengt
    et al.
    Karlsson, Per-Åke
    University of Borås, School of Health Science.
    Evaluation Verkstad Practice (E V P): Basic Ideas, Structure and Concent2008Conference paper (Refereed)
  • 281.
    Eriksson, Thomas
    et al.
    University of Borås, School of Health Science.
    Bergbom, Ingegerd
    Lindahl, Berit
    University of Borås, School of Health Science.
    Hermeneutiska observationsstudier: från ett metodologiskt perspektiv.2013Conference paper (Refereed)
    Abstract [sv]

    Sedan några år har det varit en pågående diskussion om hur observationer kan användas i den vårdvetenskapliga forskningen, när det gäller att samla in kvalitativa forskningsdata och att tolka dessa data med hjälp av hermeneutik. Syftet med denna artikel var att reflektera, argumentera och bidra med ett innehåll i en pågående diskurs som rör utveckling av hermeneutisk tolkning av observationer som vetenskaplig metod via ett exempel genomfört inom intensivvård. I den hermeneutiska observationsstudie som används för att belysa metoden ligger forskningens fokus på att fånga det vårdande i besöken av patienter som vårdas på intensivvårdsavdelning. Den främsta anledningen till varför det finns ett behov av att utveckla och använda observation som datainsamling i det kliniska fältet är behovet av att få insikt i och synliggöra vad vårdandets innersta kärna kan innebära. Men det innefattar även kunskapsbildning om det som innebär att kunna se och vittna om vad som händer.

  • 282.
    Eriksson, Thomas
    et al.
    University of Borås, School of Health Science.
    Bergbom, Ingegerd
    Lindahl, Berit
    University of Borås, School of Health Science.
    The visiting situation in an ICU: an observational hermeneutic study –oral presentation2011Conference paper (Refereed)
    Abstract [en]

    Aim: The aim was to interpret the interplay between critically ill patients and their next of kin in an ICU to understand the visiting situation. Method: A hermeneutic research design with non-participant observation was chosen as the data collection method. Ten observations of 10 patients and 24 loved ones over a 20 hour period were conducted. The text describing the observations of the interplay was interpreted in accordance with Gadamer. Data were analysed by considering the text as a play with scenes, actors and plots. Results: The interpretation of the scenes revealed two themes describing the patient’s interplay and six themes describing the next of kin’s interplay. The understanding of the plot concerns people who had entered a situation where normal everyday life was disconnected. The path from health to illness was a totally unfamiliar environment and perception of life, where the body constituted a new and unknown world. As a result of the fact that the patients were unable to use their bodies in the usual way, which sends different signals to their loved ones, who in turn have difficulty deciding how to respond. Both parties become trapped or locked out by their own bodies. Conclusion: A hindrance to the interplay could be the room, which was designed for medical and technical use and thus did not promote healing. The professionals were crucial for interpreting the signals from both patients and next of kin, as well as for finding caring strategies, such as physical contact, that promote interplay, which in turn create a caring and healing atmosphere.

  • 283.
    Eriksson, Thomas
    et al.
    University of Borås, School of Health Science.
    Egerod, Ingrid
    Granberg Axell, Anetth
    Storli, Sissel Lisa
    Lindahl, Berit
    University of Borås, School of Health Science.
    Ågård, Anne Sophie
    Henricson, Maria
    Harden, Sue
    Danielsen, Astrid
    The Nordic Association for Intensive Care Nursing Research (NOFI)2011Conference paper (Other academic)
    Abstract [en]

    Nordic nursing studies have a strong tradition within the qualitative approach. This approach has been applied to explore the lived experience of critical illness and intensive care therapy from the perspectives of the patient and the patient’s family. In 2003, the Nordic Association for Intensive Care Nursing Research (NOFI) was established by nursing scholars from Denmark, Norway, and Sweden. The purpose of NOFI was to encourage research in intensive care nursing in the Nordic countries, to establish a network of intensive care nursing scholars, to exchange research experience and research outcomes among the Nordic research communities, and to increase the visibility of research in intensive care nursing in the Nordic countries. Although the focus was on nursing research, an interdisciplinary approach has also been encouraged with joint research and conference activities. NOFI have arranged biannual conferences for members and other individuals interested in the activities of the network. The venue has rotated among the tree Nordic countries, and the themes of the meetings have been: Intensive Care Unit (ICU) environment and acoustics, relatives of ICU-patients, ways of knowing, sedation, ethics, patient diaries, multimodal interventions, research designs, ICU-delirium, psychometrics, burns, and mechanical ventilation. Other activities have been presentations of newly completed PhD-studies in the Nordic countries. Since 2006, nursing scholars from the three Scandinavian countries have collaborated on a study of diaries written for ICU patients (patient diaries). The three countries share common values, culture and language, which has facilitated the exchange of ideas among the Nordic nurses. Intensive care nursing is a young domain of research. We still need to encourage more scholars within this area to increase our knowledge base, improve the ICU-experience and formalize rehabilitation of post-ICU patients. Intensive care is a collaborative practice and future research should reflect the interdisciplinary aspect of the field.

  • 284. Eriksson, Thomas
    et al.
    Lindahl, Berit
    University of Borås, School of Health Science.
    Bergbom, I
    Visits in an intensive care unit: an observational hermeneutic study2010In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 26, no 1, p. 51-57Article in journal (Refereed)
    Abstract [en]

    Aim The aim was to interpret the interplay between critically ill patients and their next of kin in an ICU and to disclose a deeper understanding of the visiting situation. Method A hermeneutic research design with non-participant observation was chosen as the data collection method. Ten observations of 10 patients and 24 loved ones over a 20-h period were conducted. The text describing the observations of the interplay was interpreted in accordance with Gadamer's thoughts. Data were analysed by considering the text as a play with scenes, actors and plots. Findings Due to their medical condition the patients were unable to use their bodies in the usual way, which sends different signals to their loved ones, who in turn have difficulty deciding how to respond. Both parties become, in a manner of speaking, trapped or locked out by their own bodies. Conclusion The physical environment became a hindrance to the interplay as it was designed for medical and technical use and thus did not promote healing. The professionals are important for interpreting the signals from both patients and next of kin, as well as for finding caring strategies, such as physical contact that promote interplay, which in turn strengthens connectedness.

  • 285. Esbjörnson, Sara
    et al.
    Björkman, Ingrid
    Henriksson, Anna
    Lidskog, Ritva
    Sjörén, Marie
    Wessbo, Gunnel
    Karlsson, Per-Åke
    University of Borås, School of Health Science.
    Så tycker brukarna om äldreomsorgen i Herrljunga, Svenljunga och Tranemo. 2008 jämfört med 20042008Report (Other academic)
    Abstract [sv]

    2004 gjordes en undersökning på hur brukarna i Herrljunga, Svenljunga och Tranemo tyckte om kvaliteten i äldreomsorgen. Denna undersökning är en jämförelse med 2004 års undersökning. Vilka förändringar har skett på dessa fyra år? Vad finns det för förbättringsområden i kommunernas verksamheter idag?

  • 286.
    Eskilsson, Camilla
    University of Borås, School of Health Science.
    Att vårda patienter med svårläkta sår: en både berikande och betungande vård2008In: Sår, ISSN 1653-9591, no 4, p. 18-22Article in journal (Other (popular science, discussion, etc.))
  • 287.
    Eskilsson, Camilla
    University of Borås, School of Health Science.
    To Care for Patients with Hard-To-Heal Wounds: Homecare Nurses' Narratives2010Conference paper (Refereed)
  • 288.
    Eskilsson, Camilla
    et al.
    University of Borås, School of Health Science.
    Andersson, Niklas
    University of Borås, School of Health Science.
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Is caring and learning an intertwined Phenomenon?2011Conference paper (Other academic)
    Abstract [en]

    This research aims to deepen knowledge whether caring and learning are an intertwined phenomenon in Dedicated Educational Units (DEU). The context is psychiatric and orthopaedic care, and the research is based on caring science.

    The research question is this: What characterizes the relationship between caring and learning in a DEU? This will be illuminated from three perspectives; the student, supervisor and patient perspectives.

    The question for the student is this: What is it like to learn the nursing profession by caring for patients on a DEU? The question for the supervisor is this: What is it like to supervise nursing students on a DEU? And the final question is directed at the patient: What is it like to be cared for by nursing students in a DEU?

    The underpinning philosophical and theoretical perspectives are lifeworld theory, caring science and its didactics.

    The aim of this project is to develop a supervision model that views caring and learning as an intertwined concept with the potential to support students‟ learning processes as well as patients‟ caring processes.

  • 289.
    Eskilsson, Camilla
    et al.
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Feeling confident in burdensome yet enriching care: Community nurses describe the care of patients with hard-to-heal wounds2010In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 5, no 3, p. 9-Article in journal (Refereed)
    Abstract [en]

    Treating patients with hard-to-heal wounds is a complex task that requires a holistic view. Therefore this study focuses on the nurse's perspective with the aim on describing how community nurses experience the phenomenon the care of patients with hard-to-heal wounds. The method used was a reflective lifeworld approach. Seven qualitative interviews with community nurses were conducted. The findings show a tension between enriching and burdensome care. In this tension, the nurses try to find energy to reach harmony in their work through reflection, acceptance, and distance. This is further described by the constituents: “taking responsibility,” “showing respect for the whole person,” “being confident in order to offer confidence,” “seeing time and place as important.” The discussion highlights the importance for a nurse to find how to give ideal care in one's duty but not beyond it. As a consequence the concept “compliance” needs to be challenged in order to promote confidence and mutual trust between nurses and patients. Confidence can be seen as a key, both for nurses and patients, and is dependent on good inter-professional cooperation, competence, and closure.

  • 290.
    Eskilsson, Camilla
    et al.
    University of Borås, School of Health Science.
    Hörberg, Ulrica
    Ekebergh, Margaretha
    University of Borås, School of Health Science.
    Carlsson, Gunilla
    University of Borås, School of Health Science.
    Student nurses’ experiences of how caring and learning is intertwined: A phenomenological study2013In: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 4, no 2, p. 82-93Article in journal (Refereed)
    Abstract [en]

    Background: Clinical studies in nursing education ought to create conditions for the students to link theory to praxis. Previous research in this field focuses on the gap between theory and practice, learning environments, supervision and reflection connected to caring and learning. In addition there are studies that propose the concept of learning and caring as intertwined. The aim of this study is to describe how caring and learning is intertwined from a student perspective. Methods: The study was carried out using Reflective Lifeworld Research (RLR) with a phenomenological approach. Lifeworld interviews were conducted with students after their clinical placement on a Dedicated Education Unit (DEU). Results: The essential meaning is a movement where caring and learning fall into place which appears in an atmosphere filled with appealing challenges, but has to be sensitive to the students’ readiness. The atmosphere depends on their sense of security and how they experience confirming and affirming responses. Encountering the patient means that the students can gain a sense of the whole and the theory falls into place. The results also highlight how the student, in this atmosphere, has a desire to find a new role in a personal style. Conclusions: The study emphasizes the importance of supporting the students in understanding learning and caring as intertwined and not separated. A dualistic approach could harm the students’ aim to get the knowledge embodied. This holistic perspective requires a reflective attitude on caring and learning and has to be further developed in the didactics and supervision.

  • 291. Forsberg, Anna
    et al.
    Flodén, Anne
    Lennerling, Annette
    Karlsson, Veronika
    Nilsson, Madeleine
    Fridh, Isabell
    University of Borås, School of Health Science.
    The core of after death in relation to organ donation: A grounded theory study2014In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 30, no 5, p. 275-282Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: The aim of this study was to investigate how intensive and critical care nurses experience and deal with after death care i.e. the period from notification of a possible brain dead person, and thereby a possible organ donor, to the time of post-mortem farewell. RESEARCH METHODOLOGY: Grounded theory, based on Charmaz' framework, was used to explore what characterises the ICU-nurses concerns during the process of after death and how they handle it. Data was collected from open-ended interviews. FINDINGS: The core category: achieving a basis for organ donation through dignified and respectful care of the deceased person and the close relatives highlights the main concern of the 29 informants. This concern is categorised into four main areas: safeguarding the dignity of the deceased person, respecting the relatives, dignified and respectful care, enabling a dignified farewell. CONCLUSION: After death care requires the provision of intense, technical, medical and nursing interventions to enable organ donation from a deceased person. It is achieved by extensive nursing efforts to preserve and safeguard the dignity of and respect for the deceased person and the close relatives, within an atmosphere of peace and tranquillity.

  • 292. Fortes Lähdet, E.
    et al.
    Suserud, Björn-Ove
    University of Borås, School of Health Science.
    Jonsson, Anders
    University of Borås, School of Health Science.
    Lundberg, Lars
    University of Borås, School of Health Science.
    Analysis of Triage Worldwide2009In: Emergency Nurse, ISSN 1354-5752, E-ISSN 2047-8984, Vol. 17, no 4, p. 16-19Article in journal (Refereed)
    Abstract [en]

    Several triage methods have been developed and adopted around the world but none has been devised for specific patient populations such as older people or those with special needs. This literature review outlines the development of triage since the 1950s, briefly discusses some of the models in use around the world, including one that is used in the care of older people, and outlines the issues that should be taken into account when deciding which method to adopt.

  • 293. Fredriksson, M
    et al.
    Aune, S
    Bång, A
    University of Borås, School of Health Science.
    Thorén, A-B
    Lindqvist, J
    Karlsson, T
    Herlitz, Johan
    University of Borås, School of Health Science.
    Cardiac arrest outside and inside hospital in a community: mechanisms behind the differences in outcome and outcome in relation to time of arrest.2010In: American Heart Journal, ISSN 0002-8703, E-ISSN 1097-6744, Vol. 159, no 5, p. 749-756Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: The aim was to compare characteristics and outcome after cardiac arrest where cardiopulmonary resuscitation was attempted outside and inside hospital over 12 years. METHODS: All out-of-hospital cardiac arrests (OHCAs) in Göteborg between 1994 and 2006 and all in-hospital cardiac arrests (IHCAs) in 1 of the city's 2 hospitals for whom the rescue team was called between 1994 and 2006 were included in the survey. RESULTS: The study included 2,984 cases of OHCA and 1,478 cases of IHCA. Patients with OHCA differed from those with an IHCA; they were younger, included fewer women, were less frequently found in ventricular fibrillation, and were treated later. If patients were found in a shockable rhythm, survival to 1 month/discharge was 18% after OHCA and 61% after IHCA (P < .0001). Corresponding values for a nonshockable rhythm were 3% and 21% (P < .0001). Survival was higher on daytime and weekdays as compared with nighttime and weekends after IHCA but not after OHCA. Among patients found in a shockable rhythm, a multivariate analysis considering age, gender, witnessed status, delay to defibrillation, time of day, day of week, and location showed that IHCA was associated with increased survival compared with OHCA (adjusted odds ratio 3.18, 95% CI 2.07-4.88). CONCLUSION: Compared with OHCA, the survival of patients with IHCA increased 3-fold for shockable rhythm and 7-fold for nonshockable rhythm in our practice setting. If patients were found in a shockable rhythm, the higher survival after IHCA was only partly explained by a shorter treatment delay. The time and day of CA were associated with survival in IHCA but not OHCA.

  • 294. Fredriksson, M
    et al.
    Aune, S
    Bång, Angela
    University of Borås, School of Health Science.
    Thorén, A-B
    Lindqvist, J
    Karlsson, T
    Herlitz, Johan
    University of Borås, School of Health Science.
    Cardiac arrest outside and inside hospital in a community. Mechanisms behind the differences in outcome and outcome in relation to time of arrest2010In: American Heart Journal, ISSN 0002-8703, E-ISSN 1097-6744, Vol. 159, no 5, p. 749-756Article in journal (Refereed)
    Abstract [en]

    Background The aim was to compare characteristics and outcome after cardiac arrest where cardiopulmonary resuscitation was attempted outside and inside hospital over 12 years. Methods All out-of-hospital cardiac arrests (OHCAs) in Göteborg between 1994 and 2006 and all in-hospital cardiac arrests (IHCAs) in 1 of the city's 2 hospitals for whom the rescue team was called between 1994 and 2006 were included in the survey. Results The study included 2,984 cases of OHCA and 1,478 cases of IHCA. Patients with OHCA differed from those with an IHCA; they were younger, included fewer women, were less frequently found in ventricular fibrillation, and were treated later. If patients were found in a shockable rhythm, survival to 1 month/discharge was 18% after OHCA and 61% after IHCA (P < .0001). Corresponding values for a nonshockable rhythm were 3% and 21% (P < .0001). Survival was higher on daytime and weekdays as compared with nighttime and weekends after IHCA but not after OHCA. Among patients found in a shockable rhythm, a multivariate analysis considering age, gender, witnessed status, delay to defibrillation, time of day, day of week, and location showed that IHCA was associated with increased survival compared with OHCA (adjusted odds ratio 3.18, 95% CI 2.07-4.88). Conclusion Compared with OHCA, the survival of patients with IHCA increased 3-fold for shockable rhythm and 7-fold for nonshockable rhythm in our practice setting. If patients were found in a shockable rhythm, the higher survival after IHCA was only partly explained by a shorter treatment delay. The time and day of CA were associated with survival in IHCA but not OHCA.

  • 295. Fredriksson, M
    et al.
    Herlitz, Johan
    University of Borås, School of Health Science. [external].
    Nichol, G
    Variation in outcome in studies of out-of-hospital cardiac arrest: a review of studies conforming to the Utstein guidelines2003In: American Journal of Emergency Medicine, ISSN 0735-6757, E-ISSN 1532-8171, Vol. 21, no 4, p. 276-281Article in journal (Refereed)
    Abstract [en]

    The objective of this study was to systematically review studies on out-of-hospital cardiac arrest published according to the Utstein guidelines to describe the variability in factors of resuscitation and outcome. Articles that reported primary data on survival after out-of-hospital cardiac arrest in the Utstein style were included. Forty-seven articles were identified using Medline. Fourteen studies met our criteria for inclusion. The number of patients in whom resuscitation was attempted varied between 78 and 3,243. The proportion of bystander-witnessed cases varied between 38% and 89%; bystander CPR was performed in 21% to 56% of the cases. Patients with a bystander-witnessed cardiac arrest of cardiac etiology were discharged alive in 2% to 49% of the cases. Even when data are reported in a uniform way as suggested by the Utstein template, there is a tremendous variability in outcome. This did not appear to be entirely explained by variability in the traditional risk factors for a low chance of survival. One cannot exclude the possibility of other factors being of ultimate importance for the outcome.

  • 296.
    Friberg, Febe
    University of Borås, School of Health Science.
    Hur har patienters lärande hanterats i inom vårdforskning2007In: Patientundervisning och patienters lärande / [ed] E. Pilhammar-Andersson, Stockholm: Svensk Sjuksköterskeförening , 2007Chapter in book (Other academic)
  • 297.
    Friberg, Febe
    University of Borås, School of Health Science.
    Pedagogiska möten mellan patienter och sjuksköterskor på en medicinsk vårdavdelning: Mot en vårddidaktik på livsvärldsgrund2001Doctoral thesis, monograph (Other academic)
  • 298. Friberg, Febe
    et al.
    Bergh, Anne-Louise
    University of Borås, School of Health Science.
    Lepp, M.
    In search in patient teaching in nursing documentation: an analysis of patient records in a medical ward in Sweden2006In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 15, no 12, p. 1550-1558Article in journal (Refereed)
    Abstract [en]

    Keywords:need for knowledge;nursing;nursing documentation;patient education;patient records;teaching intervention Aim.  The aim of this study was to identify terms and expressions indicating patients’ need for knowledge and understanding, as well as nurses’ teaching interventions, as documented in nursing records. Background.  Previous international studies have shown that nursing documentation is often deficient in terms of recording patient teaching. Methods.  Patient records (N = 35) were collected in a general medical ward in a hospital in Sweden. The data contain 206 days of nursing documentation. The records were analysed with regard to content and structure. Terms and expressions indicating patients’ need for knowledge and understanding and terms and expressions indicating nurses’ teaching activities were analysed. Results.  The results showed that patients’ need for knowledge is implicitly indicated by conceptions and experiences as well as questions. Furthermore, nurses’ implicit teaching interventions consist of information, motivating conversations, explanations, instructions and setting expectations. However, the content and structure of the pedagogical activities in the patient records are fragmented and vague. Relevance to clinical practice.  Efforts must be directed towards elaborating upon the above-mentioned terms and expressions as indications of patients’ need for knowledge and nurses’ teaching interventions. Moreover, these terms and expressions must be recognized and acknowledged.

  • 299. Friberg, Febe
    et al.
    Granum, Vigdis
    Bergh, Anne-Louise
    University of Borås, School of Health Science.
    Nurses’ patient-education work: conditional factors - an integrative review.2012In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 20, no 2, p. 170-186Article in journal (Refereed)
    Abstract [en]

    AIM: The aim of this review was to identify conditional factors for nurses' patient-education work and to identify foundational aspects of significance when designing studies on this patient-education work. BACKGROUND: A few reviews of nurses patient education work exist, published up to 30 years ago, spawning interest in performing a review of more recent studies. EVALUATION: A search of CINAHL, MEDLINE and ERIC was made for articles dating from 1998 to 2011. Thirty-two articles were selected and an integrative review was performed. KEY ISSUES: Conditional factors were identified and beliefs and knowledge, environment, organization, interdisciplinary cooperation, collegial teamwork and patient education activities. A model was developed to describe foundational aspects of significance when designing studies. CONCLUSIONS: The conditional factors are to be seen as either enabling or hindering the accomplishment of evidence-based patient education and the level of person centredness, patient safe care and ethics - something that has to be considered when designing studies. IMPLICATIONS FOR NURSING MANAGEMENT: More detailed studies are required to clarify the nature of patient education work and to create realistic conditions that enable the role to be fulfilled in everyday work. Such knowledge is of significance for nursing management in developing supportive activities for nurses.

  • 300. Friberg, Febe
    et al.
    Öhlén, J
    Nyström-Petersson, Maria
    University of Borås, School of Health Science.
    Dahlberg, Karin
    Context and Methodological Decontextualisation in Nursing Research with Examples from Phenomenography2000In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 14, no 1, p. 37-43Article in journal (Refereed)
    Abstract [en]

    In both human science and nursing research the concept of context is important. However, context can be understood in different ways. The aim of this article is to elucidate, discuss and problematize context, decontextualization and recontextualization in some health care-related phenomenographical studies. A further aim is to problematize the concet of context in a wider perspective of human complex ohenomena which characterize nursing research demand a broad contextual understanding. Both the local or immediate experiences of the phenomen of interest as well as the socio-cultural discourse. A balance between openness and pliability t the phenomenon is suggested. Reflection is considered an important tool in this process. Within phenomenography, the interest i s directed towards conceptions of certain aspects of the worlds. Thus, context in a wider sense is given a subordinate role. Accordingly, phenomenography is considered to have limited applicability in nursing research when complex phenomena are to be studied.

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