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  • 51.
    Ekebergh, Margaretha
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Rees, K
    Galvin, K
    Petersson, B-O
    Lifeworld-led Education in Health and Social Care2007Konferansepaper (Fagfellevurdert)
  • 52. Elmqvist, C.
    et al.
    Brunt, D.
    Fridlund, Bengt
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Being first on the scene of an accident: experiences of "doing" prehospital emergency care2010Inngår i: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, nr 2, s. 266-273Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 53. Elmqvist, C
    et al.
    Fridlund, Bengt
    Ekebergh, Margaretha
    More than medical treatment: The patient’s first encounter with prehospital emergency care2008Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 16, nr 3, s. 185-192Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    A common feature of emergency care services is the short, fragmented encounters with great demands for rapid treatment and efficiency. The aim of this study was to describe and understand the patient’s first encounter with prehospital emergency care as experienced by the patient and the first responders. A lifeworld perspective was used in four different traumatic situations. The data consisted of 18 unstructured interviews with patients and first responders. The phenomenological analysis showed that the concept of lifesaving means more than just upholding vital functions. The patient needs to retain his/her identity by means of a communicative contact, to be confirmed in the lived encounter and to recapitulate the elapsed time of the unexpected event in order to regain a state of equilibrium. Five constituents further described the variations of the patients’ first encounter; the encounter with the helpless injured body, the confirming existential encounter, the encounter while waiting, the lived encounter and the recapitulated encounter. This finding highlights the importance of a new understanding about empowering the patient with narratives throughout the whole caring process. There are also implications for educating personnel and students in emergency care about the first encounter with the patient in emergency care where the senses, the time and the narrative are essential elements that are unique for each person.

  • 54. Elmqvist, Carina
    et al.
    Fridlund, Bengt
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Trapped between doing and being: First provider´s experiences of ”front line” work2012Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 20, nr 3, s. 113-119Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 55.
    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 study2015Inngår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 16, nr 6, s. 753-764Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 56.
    Eskilsson, Camilla
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Andersson, Niklas
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Is caring and learning an intertwined Phenomenon?2011Konferansepaper (Annet vitenskapelig)
    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.

  • 57.
    Eskilsson, Camilla
    et al.
    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.
    Hörberg, Ulrica
    Linnéuniversitetet, Växjö. Institutionen för hälso- och vårdvetenskap.
    Patients' experiences of being cared for by student nurses2015Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Background It is crucial for patients to be met by understanding in their vulnerability, to be treated by competence that ensure adequate care and met with an encouraging attitude to participate in their health process. They meet professional careers as well as students, but nevertheless the aim for caring is the same: to provide good and secure care for the patients, all in line with a caring science approach. A limit amount of studies illuminate patients’ experiences of receiving care from student nurses. Aim The aim was to describe how patients perceived being cared for by student nurses, in a clinical context Method The study has been performed with a Reflective Lifeworld Research approach founded on phenomenology. 11 lifeworld interviews were conducted with patients, recently discharged from an orthopedic Dedicated Education Unit. Data have been analyzed for meanings. Results Patients perceive that they are being carried along on the students' learning process like a journey together. This is characterized by a fluctuation between stable and unstable care from the students. Along this journey, patients are in need of a mutual invitation to participation, of genuine encounters, and essential support. Conclusion The patient-student-supervisor relationship is of importance for patients’ experience of being cared for by student nurses in a clinical setting. Genuine encounters between patient and student must be identified and can be stimulated by didactic support and reflection grounded in caring science with a lifeworld perspective. Supervisors have to support to both students and patients in order to create a safe environment in which caring and learning are intertwined. Students require patients in their learning process but patients’ vulnerability, need for participation, genuine encounters and essential support, must be taken into account.

  • 58.
    Eskilsson, Camilla
    et al.
    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.
    Hörberg, Ulrica
    Linnéuniversitetet, Växjö, Institutionen för hälso- och vårdvetenskap.
    The experiences of patients receiving care from nursing students at a Dedicatd Education Unit: A phenomenological study2015Inngår i: Nurse Education in Practice, ISSN 1471-5953, E-ISSN 1873-5223, Vol. 15, nr 5, s. 353-358Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The purpose of this study is to describe how patients perceive being cared for by student nurses, in aclinical context in the form of a Dedicated Education Unit (DEU). The study has been performed with aReflective Lifeworld Research (RLR) approach grounded in phenomenology. Lifeworld interviews wereconducted with patients who had received care from student nurses on an orthopaedic DEU and datahave been analysed for meanings. The findings reveal how patients experience to be carried along as apart of the students' learning process. This is described in more detail via the constituents: a mutualinvitation to participate, the importance of genuine encounters, and essential support. Patients experienceboth a stable and a less stable care in a learning environment and it is thus essential for them to beinvited to be a part of both the students' learning process and their own health process. The findings alsohighlight the key role of the supervisors for patients' sense of security. Finally there are indications thatconcepts such as DEU with a lifeworld-led didactic, based on reflection on both the patients' stories andthe students' experiences, can create learning environments that support patients' health processes andalso students’ learning processes.

  • 59.
    Eskilsson, Camilla
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Hörberg, Ulrica
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Carlsson, Gunilla
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Student nurses’ experiences of how caring and learning is intertwined: A phenomenological study2013Inngår i: Journal of Nursing Education and Practice, ISSN 1925-4040, E-ISSN 1925-4059, Vol. 4, nr 2, s. 82-93Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 60. Galvin, K
    et al.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Todres, L
    Lifeworld Theory as a helpful foundation for Caring Science2011Konferansepaper (Fagfellevurdert)
  • 61. Galvin, K
    et al.
    Emami, A
    Dahlberg, Karin
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Rosser, E
    Powell, J
    Bach, S
    Edlund, B
    Bondas, Terese
    Uhrenfeldt, L
    European Academy of Caring Science2008Konferansepaper (Fagfellevurdert)
  • 62. Galvin, Kathleen
    et al.
    Emami, Azita
    Dahlberg, Karin
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Rosser, Elisabeth
    Powell, Jane
    Bach, Shirley
    Edlund, Birgitta
    Bondas, Terese
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Uhrenfeldt, Lisbeth
    Challenges for future caring science research: a response to Hallberg (2006)2008Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 45, nr 6, s. 971-974Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In a direct and somewhat provocative editorial in IJNS (43) pp. 923–927, Hallberg (2006) raises several challenges for nursing research if it is to provide useful evidence for health-care practice in both the short and the long term. We wish to offer a response to Hallberg’s challenges and to add support to her general call. In particular we wish to consider the challenges she poses in the wider context of caring science rather than the more limited perspective of nursing science. In the spirit of constructive debate we counter some of the claims made and indicate some areas for future direction which embrace a more epistemologically sound view of knowledge generation, which is methodologically sensitive to different research questions. This direction we believe is at the heart of what caring and nursing science is about.

  • 63. Hörberg, Ulrica
    et al.
    Carlsson, Gunilla
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Holst, Hanna
    Andersson, Niklas
    Eskilsson, Camilla
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lifeworld-led learning takes place in the encounter between Caring Science and the Lifeworld.2014Inngår i: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, nr 3, s. 107-115Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Learning in caring contexts could be illustrated as 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. The aim of this article is to illustrate the meaning of this encounter with help of a theoretical foundation and two examples of research projects with a reflective lifeworld research approach (RLR) founded on phenomenology. Both examples describe the student nurses’ perspective. One illustrates promoting learning through lifeworld-led supervision in pairs of students. The other illustrates learning environments that bridges the gap between theory and practice. These two examples show how the intertwining of caring science theory with lived experience required a certain learning and caring atmosphere that is open and sensitive for the lifeworld. In conclusion, lifeworld-led learning is more than learning per se. Lifeworld theory as a basis for supporting students’ learning could provide both a broadened and deepened understanding of the meaning of learning and also a greater understanding of how to support students’ learning.

  • 64.
    Hörberg, Ulrica
    et al.
    Linnéuniversitetet.
    Galvin, Kathleen
    University of Brighton.
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ozolins, Lise-Lotte
    Linnéuniveristetet.
    Using lifeworld philosophy in education to intertwine caring and learning: an illustration of two ways of learning how to care2019Inngår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Our general purpose is to show how a philosophically oriented theoretical foundation, drawn from a lifeworld perspective can serve as a coherent direction for caring practices in education. We argue that both caring and learning share the same ontological foundation and point to this intertwining from a philosophical perspective. We proceed by illustrating shared epistemological ground through some novel educational practices in the professional preparation of carers. Beginning in a phenomenologically oriented philosophical foundation, we will first unfold what this means in the practice of caring, and secondly what it means for education and learning to care in humanly sensitive ways. We then share some ways that may be valuable in supporting learning and health that provides a basis for an existential understanding. We argue that existential understanding may offer a way to bridge the categorisations in contemporary health care that flow from problematic dualisms such as mind and body, illness and well-being, theory and practice, caring and learning. Ways of overcoming such dualistic splits and new existential understandings are needed to pave the way for a care that is up to the task of responding to both human possibilities and vulnerabilities, within the complexity of existence. As such, we argue that caring and learning are to be understood as an intertwined phenomenon of pivotal importance in education of both sensible and sensitive carers. Lifeworld led didactics and reflection, which are seen as the core of learning, constitute an important educational strategy here.

  • 65. Hörberg, Ulrica
    et al.
    Ozolins, Lise-Lotte
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Intertwining caring science, practice and caring education from a lifeworld perspective: two contextual examples2011Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, nr 4Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This article describes how caring science can be a helpful foundation for caring practice and what kind of learning support that can enable the transformation of caring science into practice. The lifeworld approach is fundamental for both caring and learning. This will be illustrated in two examples from research that show the potential for promoting health and wellbeing as well as the learning process. One example is from a caring context and the other is from a learning context. In this article, learning and caring are understood as parallel processes. We emphasize that learning cannot be separated from life and thus caring and education is intertwined with caring science and life. The examples illustrate how an understanding of the intertwining can be fruitful in different contexts. The challenge is to implant a lifeworld-based approach on caring and learning that can lead to strategies that in a more profound way have the potential to strengthen the person’s health and learning processes.

  • 66. Johansson, A
    et al.
    Dahlberg, Karin
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Living with experiences following a myocardial infarction2003Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 2, nr 3, s. 229-336Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Coronary heart disease is a major cause of sudden death and morbidity in the developed world, as well as a cause of great suffering. Research within this area has primarily focused symptoms, risk factors and treatment. The aim of this paper was to explore women's experiences following a myocardial infarction (MI). Eight women were interviewed; the interviews were audiotaped and transcribed into text and analysed using a phenomenological approach. To explore the meaning that is experienced in the lived world of the patient a method of reflective lifeworld research, based upon phenomenological epistemology has been used. The results indicate that the body is vital for the women in their lifeworlds. After a MI the patient's natural and unreflective relationship with the body and the lived world is interrupted. Uncertainty about life and death as well as the body is experienced as a suffering in the women's lifeworlds. In relation to this, the women's existence is characterised by an uncertainty and a loss of context. It is through reconciliation with their bodies and their illnesses that the women can achieve a sense of well-being and harmony in life. In that process the women can re-establish a natural relationship with their bodies and lifeworlds.

  • 67. Johansson, A
    et al.
    Ekebergh, Margaretha
    The Meaning of Well-being and Participation in the Process of Health and Care: Women’s experiences following a myocardial infarction2006Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 1, nr 2, s. 100-108Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this article, the researchers explore women's experiences of care and health process following a myocardial infarction (MI), with a particular focus on their experiences of well-being and participation. The phenomenon is illuminated from the approach of reflective lifeworld research, and in order to obtain expressions of the women's lived experience phenomenological interviews were conducted. Participation and well-being are described as an experience of being involved in one's own health process. This entails that the women have the potential to influence and take responsibility for their own lives and their own bodies in a meaningful way for them. Participation is a condition for the women to deal with their health and their lives, and seems to improve the women's sense of well-being. At the same time as they sense a dependency on the health care professionals, they seek autonomy and a situation where they can find a new balance, including "the new" body and insecurity that the MI has brought with it. However, the findings also show that the women's participation in the process of care and health, and their well-being, is a challenge for health care professionals. When the professionals are unable to encounter the women's need of participation and desire to be met in their existential insecurity, well-being is affected. Key words: Caring science, female, heart disease, lifeworld research, patients' perspective.

  • 68. Johansson, K.
    et al.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Dahlberg, Karin
    A lifeworld phenomenological study of the experience of falling ill with diabetes2009Inngår i: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 46, nr 2, s. 197-203Artikkel i tidsskrift (Fagfellevurdert)
  • 69. Karlsson, AC
    et al.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Larsson Mauléon, A
    Almerud Österberg, S
    Only a whisper away. A philosophical view of the awake patient's situation during regional anaesthetics and surgery.2012Inngår i: Nursing Philosophy, ISSN 1466-7681, E-ISSN 1466-769X, Vol. 13, nr 4, s. 257-265Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In this study the awake patient's intraoperative situation and experiences during regional anaesthetics and surgery are reflected upon by using the work of the French philosopher Maurice Merleau-Ponty. Merleau-Ponty's phenomenological idea of the body as being at the centre of the world highlights the patient's embodied position and bestows significance onto the body as a whole, as a lived body. A case, based on the findings from a previous interview study, is presented as a contextual starting point where a patient goes from having a familiar body recognized as her own to having a partially anaesthetized body experienced as an unknown object. The intraoperative caring space is described in this context as the mutual ground where the awake patient and the nurse anaesthetist (NA) can interact to create meaning. The NA can act as the patient's bodily extension to bridge the gap between the patient's experiences and the situation. This calls for the NA's proximity and genuine presence in order to meet and understand the patient's awake experiences. Learning from the patient's situatedness gives information that is valuable for NAs to share with patients who are less experienced with this contextual situation. The challenge for the NA is not to perform routine-based care, but to acknowledge every patient's lifeworld and uniqueness thus enabling the patient to move easily along the mind–body–world continuum. The core of intraoperative care is to provide support and promote well-being of awake patients in the intraoperative environment. The use of a philosophical perspective is relevant for nurses who work in an intraoperative setting where patients undergo regional anaesthetics. This study shows how nursing research using phenomenological philosophy can help uncover new meanings known only to the patients living the experience.

  • 70. Karlsson, Ann-Christin
    et al.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Larsson Mauléon, Annika
    Almerud Österberg, Sofia
    "Is that my leg?" patients' experiences of being awake during regional anesthesia and surgery2012Inngår i: Journal of Perianesthesia Nursing, ISSN 1089-9472, E-ISSN 1532-8473, Vol. 27, nr 3, s. 155-164Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Most knee or hip replacement surgery is performed under regional anesthesia, when patients are awake. Previous research has primarily focused on patients' experiences during general anesthesia. The aim of this study was to uncover the meaning of being awake during regional anesthesia and surgery. Nine interviews with patients undergoing knee or hip replacement surgery comprise the data. The phenomenological analysis shows that being awake during surgery can be compared with walking a tightrope because of ambiguous feelings. Four interrelated constituents further elucidated the patients' experiences: balancing between proximity and distance in the operating theater, balancing between having control and being left out, my partly inaccessible body handled by others, and the significant role of the carer. Anesthesia providers and perioperative nurses need to understand the awake patients' intraoperative experiences to support and confirm them when they can no longer experience or have full access to their body.

  • 71. Larsson, Margaretha
    et al.
    Björk, Maria
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Sundler J, Annelie
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Striving to make positive difference: School nurses’ experiences of promoting the health and well-being of adolecents girls’2014Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 30, nr 5, s. 358-365Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    In Sweden, school nurses are part of the School Health Service with the main objective of health promotion to support students’ health and attainment of educational goals. The aim in this phenomenological study was to illuminate the experiences of school nurses in promoting the health and well-being of adolescent girls. Seventeen school nurses were interviewed, both in groups and individually, to facilitate personal disclosure and expressions from their lived experiences. To achieve their goal of improving the health of adolescent girls, school nurses require flexibility in their approach and in endeavoring to make a positive difference they experience many challenges. This study concluded that school nurses can tactfully provide adolescent girls with knowledge and health guidance adjusted to individual needs and empowering the individual girl to participate in her own health process.

  • 72. Larsson, Margaretha
    et al.
    Sundler, Annelie Johansson
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    The influence of living conditions on adolescent girls' health2012Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, nr 1, s. 1-8Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Adolescence is described by the Swedish National Board of Health and Welfare as the healthiest period in life. However, adolescent girls differ in that they self-report that their health decreases with age. The aim of this hermeneutical study was to describe the meaning of living conditions in relation to adolescent girls’ health. Guided by principles of reflective lifeworld research, 15 interviews with adolescent girls were analysed. The result section consists of four narratives with their existential interpretations illustrating different ways of approaching living conditions and their meaning for health and well-being. The narratives are: Approaching everyday life in a balanced way—feeling harmonious; approaching everyday life with ambiguity—feeling confused; approaching everyday life as an intellectual project—striving for control; approaching everyday life as a struggle—feeling forlorn. In addition, a comprehensive understanding was developed by using the lifeworld dimensions: lived body, lived room, lived time, and lived relations. These dimensions may deepen the understanding of important parts of those living conditions which are meaningful for the girls’ health and well-being. By using the dimensions, complex living conditions have been explored and the meaning of different parts clarified. The girls’ thoughts and feelings are often ambiguous and sometimes contradictory, depending on the situation. The health of adolescent girls needs to be understood against the background of their experiences of living conditions. One way to support their health and well-being seems to be to supply them with forums where they can talk about their living conditions.

  • 73. Larsson, Margaretha
    et al.
    Sundler J, Annelie
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, M
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Beyond Self-Rated Health: The Adolescent Girl's Lived Experience of Health in Sweden2013Inngår i: Journal of School Nursing, ISSN 1059-8405, E-ISSN 1546-8364, Vol. 29, nr 1, s. 71-79Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The aim of this phenomenological study was to describe the phenomenon of health as experienced by adolescent girls in Sweden. Fifteen adolescent girls were interviewed with a focus on what made them feel well in their everyday life. This study reveals that the adolescent girl's health is a complex phenomenon interwoven with their lives. Health arises in meaningful contexts, in an adolescent girl's relations to others as well as in her ability to manage her life. Health is shaped in their everyday life and can be understood as a mood of "being" well that involves actions and practices. The results show that it is important to meet these girls from an open approach in order to support and strengthen their health and well-being. The health of adolescent girls can be supported, and it is a challenge for professionals, particularly school nurses, who meet these girls in everyday life to improve their health.

  • 74. Larsson, Margaretha
    et al.
    Sundler J, Annelie
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Björk, Maria
    Altering the Parenting Role: Parents’ Experience of Supporting the Health and Well-Being of Their Adolescent Girls. 2015Inngår i: Child and Youth Care Forum, ISSN 1053-1890, E-ISSN 1573-3319, Vol. 44, nr 3, s. 419-432Artikkel i tidsskrift (Fagfellevurdert)
  • 75.
    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 philosophy2015Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 10, s. 1-10Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 76.
    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.2013Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8, nr 1Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 77.
    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’ perspective2013Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 8Artikkel i tidsskrift (Fagfellevurdert)
    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.

  • 78. Magnusson, Carl
    et al.
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jutengren, Göran
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Knutsson, Susanne
    Patientnärmre vård: En observationsstudie av sjuksköterskans tid för patientnära vård...PATIENTFOCUSED CARE: AN OBSERVATIONAL STUDY OF REGISTERED NURSES’TIME FOR DIRECT PATIENT CARE2014Inngår i: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 34, nr 4, s. 4-9Artikkel i tidsskrift (Fagfellevurdert)
  • 79.
    Margareta, Ekebergh
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Knowledge for Caring Science: Directions and Options2011Konferanseproceedings (Annet vitenskapelig)
  • 80.
    Olausson, Sepideh
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindahl, Berit
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margareta
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    The ICU patient room: Views and meanings as experienced by the next of kin: A phenomenological hermeneutical study2012Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 28, nr 3, s. 176-184Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The rooms in Intensive Care Units are considered as high-tech environments and believed to affect recovery process and wellbeing of patients. Moreover, the design and interiors affect the interplay between the patient and the next of kin. Objective The aim of this study was to describe and interpret the meanings of the intensive care patient room as experienced by next of kin. Design Next of kin (n = 14) from two different intensive care units participated. Data were collected through photo-voice and analysed using aphenomenological hermeneutical method. Results Three major themes emerged; dwelling in the room and time, becoming at home and extension of the room. The results show that the room is perceived as a lived and extended place and space. The design, interiors and furnishing in the patient room are fundamental in shaping the next of kin's experiences in the room and affect wellbeing. Conclusions How intensive care patient rooms are designed, the place given to next of kin and the way they are received in the room are decisive for the support given to the loved one. Simple interventions can make the patient room a more healing environment.

  • 81.
    Olausson, Sepideh
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindahl, Berit
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    A phenomenological study of being cared for in a critical care setting: The meanings of the patient room as a place of care.2013Inngår i: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 29, nr 4, s. 234-243Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Summary Previous research highlights the impact of care and treatment in ICUs on the patient recovery process and wellbeing. However, little is known about how the interior design in the ICU settings may affect patients’ wellbeing. Objective The aim of this study is, by using a lifeworld perspective, to reveal the meanings of the ICU settings as a place of care. Design Nine patients from three ICUs in Sweden participated. Data were collected using photo-voice methodology and were analysed using a reflective lifeworld phenomenological approach. Results The ICU setting as a place of care for critically ill patients is a complex and multidimensional phenomenon. The place is constituted of patients, staff and technical equipment. The struggle for life and occurrences taking place there determine how the room is perceived. The tone and touch of caring together with interior design are fundamental for the room as lived. The room is experienced in various moods; a place of vulnerability, a place inbetween, a place of trust and security, a life-affirming place, a place of tenderness and care and an embodied place. Conclusion Promoting patients’ well-being and satisfaction of care involves integrating a good design and a caring attitude and paying attention to patients’ needs.

  • 82.
    Olausson, Sepideh
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindahl, Berit
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Giving voice to loved ones: Using photo-voice as a data collection method in ICU2011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The Intensive Care Unit (ICU) is a place of care for the most critically ill patients. The ICU rooms are considered to be one of the most complicated rooms to design. Providing successful intensive care requires that human, technologies and spatial resources are integrated in a rigorous way. Research shows that being a patient or next-of-kin in ICU is a traumatic experience not only because of the illness but also because of one’s human existence is threatened. Literature suggests that the presence of next-of-kin and the design of ICU affect the patients’ recovery and wellbeing.

  • 83.
    Olausson, Sepideh
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindahl, Berit
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Patient safety in relation to the design of the patient room2011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    he demographic changes in Western countries, with an aging population and medical and technological progresses, have meant an increased demand on treating multi-morbid patients in intensive care units (Rashid, 2006). Intensive care room is the core of all activities in providing care for the most critically ill patients. According to European Society of intensive Care Medicine, providing a safe and high quality care requires an integration of human, technological and spatial recourses. The patient rooms in ICU are usually crowded places, characterized by high prevalence of stressors such as high levels of sound and strong lighting and constant activity with a negative effect on the patients’ recovery process. Previous research indicates that the design of patient rooms in ICU can be one of the causes of developing ICU delirium (Dubois, Bergeron, Dumont, Dial och Skrobik 2001). Furthermore, it is highlighted that there is an increase risk of medical errors in ICU environment due to high levels of sound (Christensen, 2002). Patient safety means preventing suffering or damages of any kind, caused by the health care provider or due to milieu related factors. The design and interior of ICU can have an impact on the patient safety and treatment outcomes. The presentation will focus on how design and interior of ICU rooms can meet the demands of patient safety.

  • 84.
    Olausson, Sepideh
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindahl, Berit
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Photo-Voice as a Data Collection Method in ICU2011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    The demographic changes in Western countries, with an aging population and medical and technological progresses, have meant an increased demand on treating multi-morbid patients in intensive care units (Rashid, 2006). Intensive care room is the core of all activities in providing care for the most critically ill patients. According to European Society of intensive Care Medicine, providing a safe and high quality care requires an integration of human, technological and spatial recourses. The patient rooms in ICU are usually crowded places, characterized by high prevalence of stressors such as high levels of sound and strong lighting and constant activity with a negative effect on the patients’ recovery process. Previous research indicates that the design of patient rooms in ICU can be one of the causes of developing ICU delirium (Dubois, Bergeron, Dumont, Dial och Skrobik 2001). Furthermore, it is highlighted that there is an increase risk of medical errors in ICU environment due to high levels of sound (Christensen, 2002). Patient safety means preventing suffering or damages of any kind, caused by the health care provider or due to milieu related factors. The design and interior of ICU can have an impact on the patient safety and treatment outcomes. The presentation will focus on how design and interior of ICU rooms can meet the demands of patient safety.

  • 85.
    Olausson, Sepideh
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindahl, Berit
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    The ICU patient room: Views and meanings as experienced by the next of kin2011Konferansepaper (Fagfellevurdert)
    Abstract [en]

    Intensive care unit, ICU, is considered to be one the most complicated area for care of critically ill patients. The rooms in ICU are small and narrow and the high tech environment believes to affect patients and next-of-kin wellbeing. Previous research reveals that a large number of patients suffer from unreal experiences, often very traumatic during their stay in ICU. Unpleasant memories and risk of developing post traumatic stress after discharge from ICU is rather common. In this context next-of-kin play an important and crucial role for supporting the patient though the process of illness and recovery. Next-of-kin in ICU are considered to be a lifeline for patients. Furthermore, the design and interiors of ICU affect the interplay between the patient and the next-of-kin.

  • 86.
    Olausson, Sepideh
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lindahl, Berit
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Almerud Österberg, Sofia
    Patient safety in relation to the design of the patient rooms in Intensive Care Units: Staff’s lived experiences of their working environment in high technological settings2012Konferansepaper (Fagfellevurdert)
  • 87.
    Sundler J, Annelie
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Dahlberg, Karin
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Living with experiences following a myocardial infarction.2003Inngår i: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 2, nr 3, s. 229-236Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    Coronary heart disease is a major cause of sudden death and morbidity in the developed world, as well as a cause of great suffering. Research within this area has primarily focused symptoms, risk factors and treatment. The aim of this paper was to explore women's experiences following a myocardial infarction (MI). Eight women were interviewed; the interviews were audiotaped and transcribed into text and analysed using a phenomenological approach. To explore the meaning that is experienced in the lived world of the patient a method of reflective lifeworld research, based upon phenomenological epistemology has been used. The results indicate that the body is vital for the women in their lifeworlds. After a MI the patient's natural and unreflective relationship with the body and the lived world is interrupted. Uncertainty about life and death as well as the body is experienced as a suffering in the women's lifeworlds. In relation to this, the women's existence is characterised by an uncertainty and a loss of context. It is through reconciliation with their bodies and their illnesses that the women can achieve a sense of well-being and harmony in life. In that process the women can re-establish a natural relationship with their bodies and lifeworlds.

  • 88.
    Sundler J, Annelie
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ekebergh, Margaretha
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    The Meaning of Well-being and Participation in the Process of Health and Care: Women’s experiences following a myocardial infarction.2006Inngår i: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 1, nr 2, s. 100-108Artikkel i tidsskrift (Fagfellevurdert)
  • 89. Vicente, Veronica
    et al.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Castren, Maaret
    Sjöstrand, Fredrik
    Svensson, Leif
    Wireklint Sundström, Birgitta
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Differentiating frailty in older people using the Swedish ambulance service: A retrospective audit2012Inngår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 20, nr 4, s. 228-235Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    The elderly population in Sweden is increasing. This will lead to an increased need for healthcare resources and put extra demands on healthcare professionals. Consequently, ambulance personnel will be faced with the challenge of meeting extra demands from increasing numbers of older people with complex and atypical clinical presentations. Therefore we highlight that great problems exist for ambulance personnel to understand and meet these patients’ care needs. Using a caring science approach, we apply the patient’s perspective, and the aim of this study is to identify and illuminate the conditions that affect elderly people assessed with the assessment category “general affected health condition”. Thus, we have analyzed the characteristics belonging to this specific condition. The method is a retrospective audit, involving a qualitative content analysis of a total of 88 emergency service records. The conclusion is that by using caring science, the concept of frailty which is based on a comprehensive understanding of human life can clarify the state of “general affected health condition”, as either illness or ill-health. This offers a new assessment category and outlines care and treatment that strengthen and support the health and wellbeing of the individual elderly person. Furthermore, the concept of frailty ought to be included in “The International Statistical Classification of Diseases and Related Health Problems” (ICD-10).

  • 90. Wiklund Gustin, Lena
    et al.
    Bergbom, Ingegerd
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Vårdvetenskapliga begrepp i teori och praktik2012Bok (Annet vitenskapelig)
  • 91.
    Wireklint Sundström, Birgitta
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Ekebergh, Margaretha
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    How caring assessment is learnt: reflective writing on the examination of Specialist Ambulance Nurses in Sweden2013Inngår i: Reflective Practice, ISSN 1462-3943, E-ISSN 1470-1103, Vol. 14, nr 2, s. 271-287Artikkel i tidsskrift (Fagfellevurdert)
    Abstract [en]

    This paper presents a research study that aims to describe and analyse how caring assessment is learnt in the Specialist Nursing, Prehospital Care Programme for educating specialist ambulance nurses. The study is based on a contextual and didactic model for learning. The focus was on the final course, Prehospital Emergency Care, with clinical studies and clinical practice amounting to 15 credits, plus one of two theoretical examinations. We are testing the model to explore what characterises the students’ learning when the model is applied. The informants were 37 students (registered nurses). Written data from all 37 examinations were analysed by means of the phenomenological Reflective lifeworld research approach. The results stress the significance of a didactic model constructed according to the specific circumstances prevailing in the learning context. With the help of the model an attitude of reflective awareness is adopted, showing that knowledge in caring science and medical science are equally valuable and, are applied simultaneously. Furthermore, the model generates knowledge that underlines the significance of the encounter with the patient in the care-giving context of the prehospital environment, in order for the student to be able to develop understanding and to learn caring assessment in prehospital emergency care. Thus the result reveals that it is the encounter with the patient that is most effective for the student’s learning process. Keywords: didactic model; reflections; reflective awareness; specialist ambulance nurses; nursing training

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