Malmö University Publications
Change search
Refine search result
12 1 - 50 of 66
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Rows per page
  • 5
  • 10
  • 20
  • 50
  • 100
  • 250
Sort
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
  • Standard (Relevance)
  • Author A-Ö
  • Author Ö-A
  • Title A-Ö
  • Title Ö-A
  • Publication type A-Ö
  • Publication type Ö-A
  • Issued (Oldest first)
  • Issued (Newest first)
  • Created (Oldest first)
  • Created (Newest first)
  • Last updated (Oldest first)
  • Last updated (Newest first)
  • Disputation date (earliest first)
  • Disputation date (latest first)
Select
The maximal number of hits you can export is 250. When you want to export more records please use the Create feeds function.
  • 1. Andersson, E. K.
    et al.
    Strand, A. Sjostrom
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Conceptions of caring among a group of coronary care nurses2014In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 13, p. S62-S62Article in journal (Other academic)
    Abstract [en]

    Background: During the last decade fundamental changes have taken place at coronary care units (CCUs) with regard to medical treatment and advanced technology in order to improve care for patients with coronary heart disease. In the past, caring in a coronary care context was described in qualitative studies mostly from the patients’ point of view. Coronary care nurses (CCNs) are considered to play a crucial role in this care although research into nurses’ conceptions of caring in this area is still scarce. Extended knowledge from the CCNs’ perspective could be of help in developing and implementing new, nurse-led interventions in a coronary care context. Aim: This study aims to describe the conceptions of caring among a group of coronary care nurses. Methods: This is an interview study. Phenomenographic interviews with open-ended questions were conducted with 21 purposefully sampled CCNs from CCUs at two different county hospitals. The audio-taped interviews took place between March and May 2013 and the data consist of 365 double-spaced pages. The age of the CCNs ranged from 23 to 63 years, the length of experience working as a registered nurse ranged from 1 to 42 years and experience as a CCN ranged from 0.5 to 27 years. A phenomenographic analysis according to the steps described by åkerlind was used. The interviews were read several times in order to gain an overall impression of the data. The central elements of the CCNs’ responses that focus on ’what’ and ’how’ were identified, condensed and summarised as a preliminary means of understanding a phenomenon. Similar responses were carefully grouped or classified and a comparison of the categories was made in order to establish the borders between them. The descriptive categories were created on the basis of similarities and differences. An iterative process was used throughout the data analysis to check interpretation against the interviews that had been transcribed verbatim and the description categories. The description categories were used to develop an ‘outcome space’ that described the wholeness of the findings. Results: The analysis is ongoing. At the beginning of 2014 we expect to present preliminary results and answer questions about qualitatively different conceptions of caring found among a group of CCNs working in CCUs and how the different conceptions of these individuals can be understood.

  • 2. Andersson, Ewa K
    et al.
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjöström-Strand, Annika
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Standing alone when life takes an unexpected turn: being a midlife next of kin of a relative who has suffered a myocardial infarction2013In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 27, no 4, p. 864-871Article in journal (Refereed)
    Abstract [en]

    Background Suffering a myocardial infarction (MI) is a life-threatening event that impacts not only on the individual concerned but also on the next of kin. However, there seems to be a paucity of naturalistic inquiries that focus specifically on midlife next of kin and their experience of being close to a relative who has suffered an MI. This study aims to elucidate the experience of being a midlife next of kin of a relative who has suffered a myocardial infarction. Method Nine women and four men in midlife participated in the focused interviews, which were conducted and analysed during 2010/2011 using Lindseths and Norbergs' description of the phenomenological hermeneutical method. Findings Four themes – Solely responsible, Lurking unease, Left out of the picture and Life on hold – formed the basis of the core theme Standing alone when life takes an unexpected turn. The core theme was interpreted as a central phenomenon encompassing the experience of being solely responsible for the well-being of their relative and the family, thus putting their own life on hold. The core theme also reflected the next of kin's experience of being left out of the picture when it came to the relative's care before and after the MI. Conclusion The next of kin's negative feelings of standing alone were further intensified by their experience of being left out of the picture by the healthcare professionals concerning their relative's care. As a cardiac nurse, it would seem essential to have knowledge about the experiences of next of kin in connection with a relative's MI event. Such knowledge can facilitate the planning and organisation of nursing care and at the same time address the next of kin's role in the recovery and rehabilitation process.

  • 3. Andersson, Ewa K
    et al.
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    The Experience of Younger Adults Following Myocardial Infarction2013In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 23, no 6, p. 762-772Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to elucidate the meaning of the experience of younger people (younger then 55 years) during their first year following a myocardial infarction. We analyzed 17 interviews using a phenomenological-hermeneutic method. The core theme and central phenomenon was the everyday fight to redress the balance in Life, which encompassed an existential, physical, and emotional battle to regain a foothold in Daily Life. The aftermath of a Life-threatening event involved a process of transition while at the same time creating a new meaning in Life. Lack of energy and its impact on the complex interplay of midlife combined with unreasonable demands from employers and Health care professionelas seemed to color the experince of the informants. The knowledge gained in this study can constitute a valuable contribution to overall quality Assurance in nursing care and the development of nursing interventions for the cardiac rehabilitation of younger patients.

    Download full text (pdf)
    FULLTEXT01
  • 4. Andersson, Ewa K
    et al.
    Sjöström-Strand, Annica
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Registered nurses views of caring in coronary care: a deductive and inductive content analysis2015In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 24, no 23-24, p. 3481-3493Article in journal (Refereed)
    Abstract [en]

    Aim and objectives. To extend nurses' descriptions of how they understood caring, as reflected in the findings of an earlier study (i.e. the hierarchical outcome space) and to gain additional understandings and perspectives of nurses' views of caring in relation to a coronary care patient case. Background. Scientific literature from the 1970s-1990s contains descriptions of caring in nursing. In contrast, the contemporary literature on this topic- particularly in the context of coronary care - is very sparse, and the few studies that do contain descriptions rarely do so from the perspective of nurses. Design. Qualitative descriptive study. Methods. Twenty-one nurses were interviewed using the stimulated recall interview technique. The data were analysed using deductive and inductive qualitative content analysis. Result. The results of the iterative and integrated content analysis showed that the data mainly reproduced the content of the hierarchical outcome space describing how nurses could understand caring; however, in the outcome space, the relationship broke up (i.e. flipped). The nurses' views of caring could now also be understood as person-centredness"lurking" in the shadows; limited "potential" for safeguarding patients' best interests; counselling as virtually the "only" nursing intervention; and caring preceded by the "almighty" context. Their views offered alternative and, at times, contrasting perspectives of caring, thereby adding to our understanding of it. Conclusion. Caring was described as operating somewhere between the nurses caring values and the contextual conditions in which caring occured. This challenged their ability to sustain caring in accordance with their values and the patients' preferences. Relevance to clinical practice. To ensure that the essentials of caring are met at all times, nurses need to plan and deliver caring in a systematic way. The use of systematic structures in caring, as the nursing process, can help nurses to work in a person-centred way, while sustaining their professional values.

  • 5. Andersson, Ewa Kazimiera
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sjostrom-Strand, Annica
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Registered nurses' descriptions of caring: a phenomenographic interview study2015In: BMC Nursing, ISSN 1472-6955, E-ISSN 1472-6955, Vol. 14, no 16, article id 16Article in journal (Refereed)
    Abstract [en]

    BACKGROUND: Nursing has come a long way since the days of Florence Nightingale and even though no consensus exists it would seem reasonable to assume that caring still remains the inner core, the essence of nursing. In the light of the societal, contextual and political changes that have taken place during the 21st century, it is important to explore whether these might have influenced the essence of nursing. The aim of this study was to describe registered nurses' conceptions of caring. METHODS: A qualitative design with a phenomenographic approach was used. The interviews with twenty-one nurses took place between March and May 2013 and the transcripts were analysed inspired by Marton and Booth's description of phenomenography. RESULTS: The analysis mirrored four qualitatively different ways of understanding caring from the nurses' perspective: caring as person-centredness, caring as safeguarding the patient's best interests, caring as nursing interventions and caring as contextually intertwined. CONCLUSION: The most comprehensive feature of the nurses' collective understanding of caring was their recognition and acknowledgment of the person behind the patient, i.e. person-centredness. However, caring was described as being part of an intricate interplay in the care context, which has impacted on all the described conceptions of caring. Greater emphasis on the care context, i.e. the environment in which caring takes place, are warranted as this could mitigate the possibility that essential care is left unaddressed, thus contributing to better quality of care and safer patient care.

    Download full text (pdf)
    FULLTEXT01
  • 6. Andersson, Åsa
    et al.
    Frank, Catharina
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sandman, Per-Olof
    Hansebo, Görel
    Adverse events in nursing: a retrospective study of reports of patient and relative experiences2015In: International Nursing Review, ISSN 0020-8132, E-ISSN 1466-7657, Vol. 62, no 3, p. 377-385Article in journal (Refereed)
    Abstract [en]

    Patient safety is an important global issue. While it is well known that patients can suffer from adverse events in nursing care, there is a lack of knowledge as to how they experience them. The aim was to examine adverse events in nursing care as they are experienced by patients and relatives. This was a retrospective study taking both a qualitative and quantitative approach. It was based on data regarding 242 adverse events in nursing care, as reported by patients and relatives to Sweden's Medical Responsibility Board, content analysis was used to analys the reports. Patients' and relatives' experiences were analysed into four categories of adverse events, as concerning participation, clinical judgement, nursing intervention and the essentials of care. The reports were classified by the Medical Responsibility Board, without a standardized system. The adverse events reported were few in number and were reported by patients and relatives only. Lack of participation has negative consquences and contributes to adverse events. Adverse events occur through missed care as well as through carer errors. Nurses need to improve their skills that support patient participation. Patient participation needs to be incorporated into nurses' duties. Resources for patients to participate in their own care needs to be a priority underpinning policy-making in health systems. Nursing education systems need to teach students about the value and benefits of involving patients in their care.

  • 7. Andersson, Åsa
    et al.
    Frank, Catharina
    Willman, Ania
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sandman, Per-Olof
    Hansebo, Görel
    Factors contributing to serious adverse events in nursing homes2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 1-2, p. e354-e362Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: The aim of this study was to identify the most common serious adverse events that occurred in nursing homes and their most frequent contributing factors to contribute to improvement of safe nursing care. BACKGROUND: There is a need to improve safe nursing care in nursing homes. Residents are often frail and vulnerable with extensive needs for nursing care. A relatively minor adverse event in nursing care can cause serious injury that could have been preventable. DESIGN: This was a retrospective study, with a total sample of data regarding adverse events (n=173) in nursing homes, concerning nursing care reported by health care providers in Sweden to the Health and Social Care Inspectorate. The reports were analysed with content analysis and the frequencies of the adverse events, and their contributing factors, were described with descriptive statistics. RESULTS: Medication errors, falls, delayed or inappropriate intervention and missed nursing care caused the vast majority (89%) of the serious adverse events. A total of 693 possible contributing factors were identified. The most common contributing factors were 1) lack of competence 2) incomplete, or lack of documentation 3) teamwork failure 4) and inadequate communication. CONCLUSIONS: The contributing factors frequently interacted yet they varied between different groups of serious adverse events. The resident's safety depends on the availability of staff's competence as well as adequate documentation about the resident's condition. Lack of competence was underestimated by health care providers. RELEVANCE TO CLINICAL PRACTICE: Registered Nurses and assistant nurses need to have awareness of contributing factors to adverse events in nursing care. A holistic approach to improve patient safety in nursing homes requires competence of the staff, safe environments as well as resident's and relative's participation. This article is protected by copyright. All rights reserved.

  • 8. Annersten, Magdalena
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    is: a literature review2005In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X, E-ISSN 1741-6787, Vol. 2, no 3, p. 122-130Article, review/survey (Other academic)
    Abstract [en]

    Background: Persons using daily subcutaneous injections to administer medicine perform them in different ways and thereby increase the risk of skin complications related to the injection. It is often part of nurses’ role to administer medicine and educate the patient in injection technique. Course literature in nursing education, commercial patient education pamphlets, and instructional leaflets do not give consistent advice regarding subcutaneous injection technique. Aim: The aim of this review was to identify the scientific foundation for the technical performance of subcutaneous injections. The question to be answered was: How should a subcutaneous injection be administered to achieve the right dose in the right place with minimum complications? Method: The review included a search in three databases, a screening process at abstract level, followed by a quality assessment of included articles. The quality assessment was done independently by two people and followed specific protocols. Result: A total of 38 articles were assessed for quality and covered information on dose, location, and complications of subcutaneous injection. The assessed studies are heterogeneous in design and describe different aspects of the subcutaneous injection technique. Therefore, the scientific foundation for technical performance is weak. However, several studies indicate that the amount of subcutaneous fat and appropriate needle length are of high importance for the drug to reach the target tissue. Conclusion: More research regarding effective subcutaneous injection technique needs to be done.

    Download full text (pdf)
    FULLTEXT01
  • 9.
    Bahtsevani, Christel
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Khalaf, Azzam
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Evaluating psychiatric nurses' awareness of evidence-based nursing publications2005In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X, E-ISSN 1741-6787, Vol. 2, no 4, p. 196-207Article in journal (Refereed)
  • 10.
    Bahtsevani, Christel
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Udén, Giggi
    Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Outcomes of evidence-based clinical practice guidelines: A systematic review2004In: International Journal of Technology Assessment in Health Care, ISSN 0266-4623, E-ISSN 1471-6348, Vol. 20, no 04, p. 427-433Article, review/survey (Refereed)
    Abstract [en]

    Objectives: This study aimed to investigate whether evidence-based clinical practice in health care improves outcomes for patients, personnel, and/or organizations.

    Methods: A systematic review of studies was conducted with various quantitative and qualitative methods up to the Spring of 2002. Protocols were used in quality assessment. Data synthesis is descriptive in a narrative form.

    Results: Of 305 assessed articles, eight studies were included. The outcomes in the included studies were related to the experiences of patients and personnel and to organization concerning changed patient care and resource utilization. Because the included studies are heterogeneous in design, focus of research area, and scientific quality, the scientific foundation for the findings is weak. There is some support that evidence-based clinical practice guidelines, when put to use, improve outcomes (i) for patients—less likelihood of showing worsening of skin condition and disruption of skin condition improves more rapidly for infants; (ii) for personnel—support in daily work situation; and (iii) for organizations—decreased admission rates and length of stay, less resource utilization and reduced costs.

    Conclusions: There is a need for further research as the findings are based on a rather limited number of studies. There is a tendency toward support for the idea that outcomes improve for patients, personnel, or organizations if clinical practice in health care is evidence-based, that is, if evidence-based clinical practice guidelines are used, although these findings could be specific to the settings and context of the studies reported in this systematic review.

  • 11.
    Bahtsevani, Christel
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Udén, Giggi
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Outcomes of using evidence-based clinical practice2004Conference paper (Other (popular science, discussion, etc.))
  • 12.
    Bahtsevani, Christel
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Khalaf, Azzam
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Developing an instrument for evaluating implementation of clinical practice guidelines: a test-retest study2008In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, no xxArticle in journal (Refereed)
    Abstract [en]

    Rationale and aims: This study focuses on the development of an instrument for the evaluation of clinical practice guidelines and is one part of a research project about the implementation and use of such guidelines among hospitals in the southern region of Sweden. The aim of the present paper was to investigate the test-retest reliability of a questionnaire. Method: A questionnaire was designed to gather data about guidelines that have been implemented as well as information about factors, which, according to the Promoting Action on Research Implementation in Health Service (PARIHS)-model, influence the success of implementation. Thirty-nine professionals at one of the hospitals included in the survey completed the questionnaire on two occations within a mean time of 5.5 weeks. The test-retest reliability was analyzed by means of Cohen's Kapps and percentage concordance. Results: Eight items had good agreement in terms of strength and high percentage concordance. With regard to the Kappa values 13 items show moderate and two fair agreement. Conclusions: The test-retest reliability scores show mainly acceptable results indicating a reasonable stability, thus suggesting the possibility of further developing the instrument. The factors described in the PARIHS-model seem relevant for use in evaluating implementation and use of guidelines. The instrument could benefit from a revision of the language in order to enhance clarity and make it less abstract.

  • 13.
    Bahtsevani, Christel
    et al.
    Malmö högskola, Faculty of Odontology (OD). Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Rohlin, Madeleine
    Malmö högskola, Faculty of Odontology (OD).
    Levi, Ragnar
    Evidensbaserad vård - att använda vetenskaplig kunskap i det dagliga vårdarbetet2006In: Omvårdnadsmagasinet, ISSN 1652-0858, no 5, p. 18-24Article in journal (Other academic)
    Abstract [sv]

    En av de största utmaningarna just nu är att åstadkomma en evidensbaserad vård i det dagliga vårdarbetet. I princip handlar denna utmaning om att hantera en stor mäng föränderlig information, främst vetenskaplig sådan, och att systematiskt tillämpa den i det dagliga arbetet. Denna artikel avser dels att tydliggöra innebörden av begreppet evidensbaserad vård, dels att visa på möjliga vägar att åstadkomma en evidensbaserad vård.

  • 14.
    Bahtsevani, Christel
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Stoltz, Peter
    Malmö högskola, Faculty of Health and Society (HS).
    Östman, Margareta
    Malmö högskola, Faculty of Health and Society (HS).
    Experiences of the implementation of clinical practice guidelines: interviews with nurse managers and nurses in hospital care2010In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 24, no 3, p. 514-522Article in journal (Refereed)
    Abstract [en]

    The implementation of clinical practice guidelines (CPGs) has become an increasingly common element of clinical care, but little qualitative research has been conducted in real-life clinical settings. The aim was to elucidate experiences and factors of importance for the implementation of CPGs in hospital care. Twenty interviews were conducted, audio-taped and transcribed verbatim. A manifest and latent content analysis was performed to interpret the text. A system of subcategories related to five categories and one overall theme were developed. The data reveal that the implementation of CPGs is continuous processes of creating reliable and tenable routines that involve all staff members and expect to lead to better and safer patient care as well as to increased knowledge and confidence among staff. The process is initiated by internal or external demands and represents a way to keep abreast of knowledge development. Several factors facilitate the implementation and have an influence on the use and compliance with CPGs. To increase support for and willingness to use the CPG, it appears important to involve all staffs in the implementation process as well as to follow up and give feedback continuously to staff and management. It seems necessary to evaluate the process to supervise compliance with CPGs and to balance priorities and costs. Evaluation can also demonstrate importance of the application.

  • 15. Berlin, Anita
    et al.
    Alinaghizadeh, Hassan
    Törnkvist, Lena
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Nilsson, Gunnar
    Psychometric characteristics of a modified Sympathy-Acceptance-Understanding-Caring competence model questionnaire among foreign-born parents encountering nurses in primary child health care services2016In: Primary Health Care Research and Development, ISSN 1463-4236, E-ISSN 1477-1128, Vol. 17, no 3, p. 298-310Article in journal (Refereed)
    Abstract [en]

    The aim was to determine the psychometric properties of the Sumpathy-Acceptance-Understanding-Caring Competence (SAUK) model questionnaire for foreign-born parents evaluating nursing encounters in the Swedish Primary Child Health Care (PCHC) services. Multicultural encounters in child health care from the nursing perspectives are challenging and problematic worlwide. A suitable theory-based and validated questionnaire is needed for foreign-born parents to assess the quality of their encounters with nurses. The SAUC questionnaire, modified for use by new, foreign-born parents using the Swedish PCHC services, was evaluated for its congruence with the theory of Confirming Encounter. The study was ethically approved and data were collected between March and August 2009 from 83 new foreign-born parents seen at 50 clinics. Exploratory factor analysis was used to identifiy related factors, and goodness-of-fit tests were used to estimate theoretical consistency. Confirmatory Factor Analysis was used to verify the results. The questionnaire had satisfactory theoretical consistency with the theory of Confirming Encounter. Three factors identified by exploratory factor analysis and confirmed by confirmatory factor analysis - person support, self-support, and self-perspective support - indicated internal consistency and validated the three factors implicit in the Confirming Encounter. In addition, a new factor, concordance, was identified that is compatible with the theory. To conclude, despite the fact that a modified questionnaire have its limitations results demonstrate that the SAUC-model questionnaire seems to be a reliable and valid nursing quality-control measure with which foreign-born parents can evaluate the qualities of a confirming encounter with nurses. However, we suggest the need for testing the questionnaire in a larger population.

  • 16.
    Bijelic, Tessa
    et al.
    Malmö University, Faculty of Odontology (OD).
    Ekberg, EwaCarin
    Malmö University, Faculty of Odontology (OD).
    Willman, Ania
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV). School of Health Science, Blekinge Institute of Technology, Karlskrona, Sweden.
    Nilsson, Ing-Marie
    Malmö University, Faculty of Odontology (OD). Center for Oral Rehabilitation, Norrköping, Sweden.
    Expectations and Experiences of Internet-Based Therapy for Adolescents with TMD Pain2022In: The Journal of Oral & Facial Pain and Headache, ISSN 2333-0384 , E-ISSN 2333-0376 , Vol. 36, no 3, p. 237-252Article in journal (Refereed)
    Abstract [en]

    Aims: To investigate expectations and experiences of internet-based therapy (IBT) in adolescents with temporomandibular disorder (TMD) pain. Methods: Seven adolescents were strategically selected for this study. All patients had received IBT for their TMD pain in a previous randomized controlled trial. Oneon- one interviews were conducted in a nonclinical setting. The interviews were semi-structured, following an interview guide with six domains. The recorded interviews were transcribed, and a qualitative inductive content analysis was then performed. Results: Content analysis indicated that the expectations of the adolescents and their experiences of IBT as a treatment for TMD pain can be understood in light of three main categories: (1) To become better; (2) An ambivalent experience; and (3) A personal challenge. The adolescents expressed expectations of less TMD pain after treatment, but also of improvement in general well-being and everyday life. Although their experiences of IBT varied, adolescents described having mixed feelings about treatment and feeling that it was personally challenging. Conclusion: Gained understanding of expectations and experiences is a necessary basis for revising the IBT program to meet the demands of adolescents and to improve treatment adherence. Furthermore, the content of the three categories clarifies the values of adolescents, and this understanding can in turn contribute to the development of new patient-centered treatment programs.

  • 17.
    Chaboyer, W
    et al.
    Research Centre for Clinical Practice Innovation, Griffith University Gold Coast Campus, PMB 50 Gold Coast Mail Centre, Bundall, Qld. 9726, Australia.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Johnsson, P
    Research Centre for Clinical Practice Innovation, Griffith University Gold Coast Campus, PMB 50 Gold Coast Mail Centre, Bundall, Qld. 9726, Australia.
    Stockhausen, L
    Research Centre for Clinical Practice Innovation, Griffith University Gold Coast Campus, PMB 50 Gold Coast Mail Centre, Bundall, Qld. 9726, Australia.
    Embedding Evidence-based Practice in a Nursing Curriculum - A benchmarking Project2004In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 4, no 3, p. 216-223Article in journal (Refereed)
    Abstract [en]

    The development of a new nursing curriculum in one Australian university provided the opportunity for academic staff to consider the best ways to integrate the requirements of evidence-based practice (EBP) into nursing education and culminated in the development and conduct of a specific benchmarking project. Data collection for the project included the use of university documents, observations and informal discussions with staff. An analysis of this information resulted in the emergence of five categories that were grouped into two major categories, namely infrastructure and processes. Within the major category of infrastructure, two minor categories, namely evidence-based nursing (EBN) Unit and EBN champions emerged. The major category of processes included three minor categories, namely integrating a research thread, immediate introduction to EBP and planning with local services. The outcome of the benchmarking project also offers a template for other health disciplines to adopt when trying to embed and value EBP in their department and curricula.

  • 18. Eiman Johansson, Maria
    et al.
    Pilhammar, Ewa
    Khalaf, Azzam
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV).
    Registered Nurses' Adherence to Clinical Guidelines Regarding Peripheral Venous Catheters: A Structured Observational Study2008In: Worldviews on Evidence-Based Nursing, ISSN 1545-102X, E-ISSN 1741-6787, Vol. 5, no 3, p. 148-159Article in journal (Refereed)
  • 19. Eiman Johansson, Maria
    et al.
    Pilhammar, Ewa
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Nurses’ clinical reasoning concerning management of peripheral venous cannulae2009In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 18, no 23, p. 3366-3375Article in journal (Refereed)
    Abstract [en]

    AIM: The aim was to describe nurses' clinical reasoning regarding peripheral venous cannulae management by focusing on the clinical information and circumstances considered during the decision-making process. BACKGROUND: On every shift nurses make several decisions, among others concerning the management of peripheral venous cannulae. Thrombophlebitis is a common complication associated with its use, although more severe complications can arise. There are clinical practice guidelines within the area, but they are not always adhered to. Previous studies have examined decisions related to the management of peripheral venous cannulae, but did not include observations in a naturalistic setting. DESIGN: A qualitative study combining observations and interviews. METHODS: Participant observation facilitated open interviews about the clinical reasoning behind decision-making in observed situations, as well as semi-structured interviews regarding clinical reasoning about the general management of peripheral venous cannulae. Transcribed interview texts were analysed with content analysis. RESULTS: Three main categories describe clinical information and circumstances: the individual patient situation, the nurse's work situation and experience of peripheral venous cannulae management. The overall theme of the interview texts was that the clinical reasoning was a balancing act between minimising patient discomfort and preventing complications from the peripheral venous cannulae. CONCLUSIONS: At all times the patients' well-being was considered, but the ways the nurses approached this differed depending on how they considered clinical information in the individual patient situation, circumstances in their own work situation and their experience of peripheral venous cannulae management. RELEVANCE TO CLINICAL PRACTICE: Knowledge of the clinical information and circumstances considered in naturalistic settings, is valuable when implementing and adjusting clinical practice guidelines to local settings. This knowledge is also useful in nursing education as student nurses' and nurses' ability to balance between preventing complications and avoiding discomfort is important for enhancing patient care.

  • 20. Engström, B
    et al.
    Nilsson, R
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Omvårdnad vid stroke: state of the art2005Book (Other academic)
  • 21. Gebru, Kerstin
    et al.
    Khalaf, Azzam
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Health and Welfare Studies (HV). Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Outcome analysis of a research-based didactic model for education to promote culturally competent nursing care in Sweden - a questionnaire study2008In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 22, no 22, p. 356-384Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To describe and analyse to what extent the goals of the education in promoting culturally competent nursing care have been achieved from a student perspective. Background: As Sweden has transformed into a multicultural society over the past 50 years, there is a need to specify, at all levels of the nursing programme, transcultural concepts for the success of integration. A research-based didactic model was designed for the nursing programme at Malmö University and this was followed by investigations of its outcome. Design and methods: The study is a prospective cohort study with an outcome analysis. A descriptive research study with a longitudinal design was performed, with the focus on Swedish nursing students' experiences of transcultural nursing knowledge and their attitudes before and after implementation of the didactic model. The students evaluate highly their competence to meet demands of multicultural health and medical service. Additionally, their ability to recognise and understand the consequences of international migration on health also received a high mean. Conclusions: The study revealed the knowledge and experience acquired by Swedish students in transcultural nursing. The assumption was that a visible development of knowledge should occur during the three years of education. Interpreting the findings, such effectiveness can be found and hopefully the students will be able to give holistic nursing care based on a person's individual culture.

  • 22. Gebru, Kerstin
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    A research-based didactic model for education to promote culturally competent nursing care in Sweden2003In: Journal of Transcultural Nursing, ISSN 1043-6596, E-ISSN 1552-7832, Vol. 14, no 1, p. 55-61Article in journal (Refereed)
    Abstract [en]

    As Sweden changes toward a multicultural society, scientific knowledge of transcultural nursing care becomes increasingly important. Earlier studies in Swedish nursing education have demonstrated a lack of knowledge base in transcultural nursing.Through an extensive review of literature, a didactic model was developed to help facilitate the establishment of this body of knowledge in transcultural nursing. The article demonstrates how the model applies the content and structure of Leininger's theory of culture care diversity and universality and ethnonursing method in a 3-year nursing program in theory as well as clinical education. The model includes a written guide for faculty members, with references to scientific articles and documents to be used.

  • 23. Gebru, Kerstin
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Education to promote culturally competent nursing care- A content analysis of student responses2009In: Nurse Education Today, ISSN 0260-6917, E-ISSN 1532-2793, Vol. 30, no 1, p. 54-60Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe and analyse the outcome of a 3-year study program from a student perspective for the purpose of promoting culturally congruent nursing care. Students were asked to complete questionnaires that included cases with open-ended questions at the beginning and end of the 3-year program. Two nursing situations were described and the students had to imagine how they would act in such cases. Ninety-two students completed the two questionnaires and the result of a manifest content analysis of their answers is presented. Four categories were formulated from the content analysis; an inviting attitude, a non-inviting attitude, a knowledge-driven attitude and a non-knowledge-driven attitude. An inviting attitude meant that the students found different strategies for approaching the patient and his/her spouse or parent. A non-inviting attitude implied that the students became frustrated with the situation and had more difficulty finding solutions that would enhance the relationship. A knowledge-driven attitude meant that the students described how they found it important to base nursing actions on knowledge of the patient. A non-knowledge-driven attitude meant that the students’ responses indicated that they did not consider knowledge to be the foundation of their nursing actions. The study demonstrates marked changes in the students’ approaches to culturally sensitive issues at the end of the education program.

  • 24. Gebru, Kerstin
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Sjuksköterskestudenters syn på utbildning i kulturkongruent omvårdnad2010In: Omvårdnad i mångkulturella rum: frågor om kultur, etik och reflektion / [ed] Carin Björngren Cuadra, Studentlitteratur AB, 2010, p. 339-358Chapter in book (Other academic)
  • 25. Gebru, Kerstin
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Transkulturell omvårdnad i sjuksköterskeutbildningen - en didaktisk modell2004In: Genus, miljö, migration och etnicitet: om konsten att arbeta med perspektiv, Malmö högskola, 2004, p. 79-84Chapter in book (Other academic)
  • 26. Gebru, Kerstin
    et al.
    Åhsberg, Elizabeth
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Nursing and medical documentation on patients' cultural background2007In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, no 16Article in journal (Refereed)
    Abstract [en]

    Aims and objectives: To investigate if, and to what extent, nursing and medical documentation in patient records include entries on cultural background. Background: Health care professionals in Sweden may have difficulties in providing satisfactory care, due to lack of knowledge about immigrants’ background. According to Swedish law the information needed to guarantee safe care must be specified in the patients’ records. It is, therefore, important to investigate what information nurses and physicians document on patients’ cultural background. Design and methods: In this descriptive study, archival data concerning older and terminally ill patients were analysed retrospectively. The sample consisted of records from 121 patients, ≥ 65 years at the time of death, who were born abroad and died during the year 1999. Content analysis was used to interrogate data collected from patient records, which related to the patient’s cultural background. Entries (sentences or portion of sentences) were identified and coded and categorized using Leininger’s Sunrise Model. Results: From the patient records, entries could be related to all the factors in the upper part of the Sunrise Model. Some factors were found in all records, and all factors except technological factors could be traced across the patients’ records. Information concerning folk/lay care could not be found. Conclusions: The results from this study indicate that nurses’ and physicians’ documentation in patient records included all factors in the Sunrise Model except technological. The overall impression is that the documentation is partly atomistic and insufficient as cultural assessment. Relevance to clinical practice: Even if the health care personnel want to reduce the amount of documentation produced, this study highlighted the importance of documentation on cultural factors. To save time the nursing documentation could be based on the Sunrise Model and structured according to the VIPS model.

  • 27.
    Gustafsson, Barbro
    et al.
    University Senior Lecturer, Department of Nursing, Karolinska Institute, Stockholm, Sweden.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Nurses' Self-relation - Becoming Theoretically Competent by Implementation of the SAUC model for Confirming Nursing2003In: Nursing Science Quarterly, ISSN 0894-3184, E-ISSN 1552-7409, Vol. 16, no 3, p. 265-271Article in journal (Refereed)
    Abstract [en]

    The purpose of this study was to acquire an understanding of how nurses' self-relation (view of themselves as nurses) was influenced in connection with implementation of a nursing theory, the sympathy-acceptance-understanding-competence model for confirming nursing. This model was developed by Gustafsson and Pörn. Twenty-two nurses' written statements evaluating mentoring during the six-month implementation process in elder care, were analyzed hermeneutically with the hypothetic-deductive method. An action-theoretic and confirmatory approach was used for facilitating theoretically specified hypotheses. The nurses increased their ability to describe nursing theoretically and gained a foundation of common nursing values. The results provided an understanding of how nurses' self-relation was strengthened by becoming theoretically competent.

  • 28. Gustafsson, Markus
    et al.
    Kristensson, Jimmie
    Holst, Göran
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bohman, Doris
    Case managers for older persons with multi-morbidity and their everyday work: a focused ethnography2013In: BMC Health Services Research, E-ISSN 1472-6963, Vol. 13, article id 496Article in journal (Refereed)
    Abstract [en]

    Background: Modern-day health systems are complex, making it difficult to assure continuity of care for older persons with multi-morbidity. One way of intervening in a health system that is leading to fragmented care is by utilising Case Management (CM). CM aims to improve co-ordination of healthcare and social services. To better understand and advance the development of CM, there is a need for additional research that provides rich descriptions of CM in practice. This knowledge is important as there could be unknown mechanisms, contextual or interpersonal, that contribute to the success or failure of a CM intervention. Furthermore, the CM intervention in this study is conducted in the context of the Swedish health system, which prior to this intervention was unfamiliar with this kind of coordinative service. The aim of this study was to explore the everyday work undertaken by case managers within a CM intervention, with a focus on their experiences. Methods: The study design was qualitative and inductive, utilising a focused ethnographic approach. Data collection consisted of participant observations with field notes as well as a group interview and individual interviews with nine case managers, conducted in 2012/2013. The interviews were recorded, transcribed Verbatim and subjected to thematic analysis. Results: An overarching theme emerged from the data: Challenging current professional identity, with Three sub-themes. The sub-themes were 1) Adjusting to familiar work in an unfamiliar role; 2) Striving to improve the health system through a new role; 3) Trust is vital to advocacy. Conclusions: Findings from this study shed some light on the complexity of CM for older persons with multi-morbidity, as seen from the perspective of case managers. The findings illustrate how their everyday work as case managers represents a challenge to their current professional identity. These findings could help to understand and promote the development of CM models aimed at a population of older persons with complex health needs.

    Download full text (pdf)
    FULLTEXT01
  • 29. Hellström, Amanda
    et al.
    Condelius, Anna
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Fagerström, Cecilia
    The Rhythm of the unit is the pace of life: a study of everyday activities and sleep in Swedish residential care2015In: Open Journal of Nursing, ISSN 2162-5336, E-ISSN 2162-5344, Vol. 5, no 8, p. 697-706Article in journal (Refereed)
    Abstract [en]

    Social and physical activities can improve sleep in older people. However, living in a residential care facility has been associated with a limited potential for activities and increased inactivity, reflected in poor sleep among residents. In turn, poor sleep can impair physical and mental functions. This paper explores sleep habits and everyday activities at three residential care facilities and investigates the link between sleep habits and everyday activities from the perspective of the residents. Data were collected through observations of daily life and interviews with residents. The results showed that fixed times during the day reduced daytime sleep and motivated them to go to the day room, thus enabling social interaction. More impaired residents spent more time in the day room napping or being less active. The residents stated that going outdoors was a desired activity, thought to improve sleep. However, the activity did not occur to the extent the residents wished for. Maintaining mobility and influence over daily activities together with regularity seemed to improve sleep. Awareness among staff of the need for stimulating and enriching activities, as well as access to bright light is requisite. Specific consideration should be given to residents who have difficulties communicating their wishes and/or impaired mobility.

    Download full text (pdf)
    FULLTEXT01
  • 30. Hellström, Amanda
    et al.
    Hellström, Patrik
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Fagerström, Cecilia
    Association between sleep disturbances and leisure activities in the elderly: a comparison between men and women2014In: Sleep Disorders, ISSN 2090-3545, E-ISSN 2090-3553, Vol. 2014, article id 595208Article in journal (Refereed)
    Abstract [en]

    It has been suggested that physical or social activity is associated with fewer sleep disturbances among elderly people. Women report more sleep disturbances than men, which could indicate a variation in activity patterns between the genders. The aim of this study was to investigate associations between sleep disturbances and leisure activities in men and women (n=945) aged over 60 years in a Swedish population. Sleep disturbances were measured using eight dichotomous questionns and seventeen variables, covering a wide range of leisure activities. Few leisure activities were found to be associated with sleep disturbances and their importance decreased when the models were adjusted for confunders and gender interactions. After clustering the leisure activities and investigating individual activities, sociointellectual activities were shown to be significant for sleep. However, following adjustment for confounders and gender interactions, home maintenance was the only activity significant for sleep. Being a female increased the effect of homemaintenance. Besides those leisure activities, poor/fair self-rated Health (OR 7.50, CI: 4.27-11.81) and being a female (OR 4.86, CI: 2.75-8.61) were found to have the highest association with poor sleep. Leisure activities pursued by elderly people should focus on activities of sociointellectual nature, especially among women, to promote poor sleep.

    Download full text (pdf)
    FULLTEXT01
  • 31. Hjelm, Markus
    et al.
    Holmgren, Ann-Charlotte
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bohman, Doris
    Holst, Göran
    Family members of older persons with multi-morbidity and their experiences of case managers in Sweden: an interpretive phenomenological approach2015In: International Journal of Integrated Care, E-ISSN 1568-4156, Vol. 15Article in journal (Refereed)
    Abstract [en]

    Family members of older persons (75+) with multi-morbidity are likely to benefit from utilising case management services performed by case managers. However, research has not yet explored their experiences of case managers. The aim of the study was to deepen the understandning of the importance of case managers to family members of older persons (75+) with multi-morbidity. The study design was based on an interpretive phenomenological approach. Data were collected through individual interviews with 16 family members in Sweden. The interviews were analysed by means of an interpretive phenomenological approach. The findings revealed one overarching theme: "Helps to fulfil my unmet needs", based on three sub-themes: (1) "Helps me feel secure - Experiencing a trusting relationship", (2) "Confirms and strengthens me - Challenging my sense of being alone" and (3) "Being my personal guide- Increasing my competence". The findings indicate that case managers were able to fulfil unmet needs of family members. The latter recognised the importance of case managers providing them with professional services tailored to their individual needs. The findings can contribute to the improvement of case management models not only for older persons but also for their family members.

    Download full text (pdf)
    FULLTEXT01
  • 32. Hjelm, Markus
    et al.
    Holst, Göran
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bohman, Doris
    Kristensson, Jimmie
    The work of case managers as experienced by older persons (+75) with multi-morbidity: a focused ethnography2015In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, article id 168Article in journal (Refereed)
    Abstract [en]

    Background Complex health systems make it difficult for older persons (75+) with multi-morbidity to achieve continuity of care. Case management could be one way to address this difficulty. Currently, there is a need to extend the knowledge regarding case management as experienced by those utilising the services, namely older persons (75+) with multi-morbidity. The study aimed to explore older persons’ (75+) with multi-morbidity experiences of case managers. Methods The study design was qualitative and used a focused ethnographic approach. Data was collected through individual interviews with 13 older persons and by participant observations with accompanying field notes, all conducted in 2012–2013. Results The data revealed four themes illustrating the older persons’ experiences of case managers: 1) Someone providing me with a trusting relationship; 2) Someone assisting me; 3) Someone who is on my side; and 4) Someone I do not need at present. Conclusions This study illustrates the importance of establishing trusting relationships between older persons and their case managers in order to truly provide assistance. The older persons valued the case managers acting as informed but unbiased facilitators. The findings could be of help in the development of case management interventions better designed for older persons with multi-morbidity.

    Download full text (pdf)
    FULLTEXT01
  • 33.
    Idvall, Ewa
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Inledning2013In: Kvalitetsindikatorer inom omvårdnad / [ed] Ewa Idvall, Gothia Förlag AB, 2013, p. 7-9Chapter in book (Other academic)
  • 34. Jönsson, Ann-Marie
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Development of a consultation and teaching concept for leg wound treatment in home health care2007In: Journal of Telemedicine and Telecare, ISSN 1357-633X, E-ISSN 1758-1109, Vol. 13, no 5, p. 236-240Article in journal (Refereed)
    Abstract [en]

    We developed a consultation and teaching concept about leg wounds and their care, for use by patients and caregivers in a home health-care setting. Descriptive data were gathered through a survey distributed to three groups, comprising 21 individuals (18 nurses and 3 health administrators). These participants provided answers regarding group activities, meeting frequency, meeting notes and meeting content, as well as responses to questions regarding the Website, Web materials, film and a pamphlet. Seventeen people answered the survey (81% response rate). They made predominantly positive comments. The combined total average score was 3.6 (1¼very bad to 4¼very good). The concept was implemented in one municipality in a health-care region in southern Sweden using high bandwidth videophones (640 kbit/s). The results showed that elderly persons at home and nurses working in home health care were interested in using the concept and communicating via videophone. A strength of the Web-based information and communication material is its adaptability to suit both patients and care givers.

    Download full text (pdf)
    FULLTEXT01
  • 35. Jönsson, Ann-Marie
    et al.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Implementation of Telenursing Within Home Healthcare2008In: Telemedicine journal and e-health, ISSN 1530-5627, E-ISSN 1556-3669, Vol. 14, no 10, p. 1057-1062Article in journal (Refereed)
    Abstract [en]

    The implementation of telenursing within home healthcare of leg wounds is an innovative development initiative that focuses on patients and to some extent next-of-kin in collaboration with nurses. Eleven patients and nine nurses participated in the study. The methods for data collection were surveys, field-notes descriptions, and care charts, as well as digital photos of leg wounds and videotaped observations. The results show that the utility of virtual concept is that continual learning takes place for both patients and nurses. The patients felt positively about being able to via videophone see the staff caring for them, and seeing a face inspired a sense of security, which had a calming effect. The learning for nurses lay in the everyday work with leg wounds and their care as experiences were taken advantage of with the assistance of the interactive technique. The nurses felt that their time at work was better utilized and that the virtual communication between patients and nurses constituted a humane complement in home healthcare. Key words: home healthcare, distance learning, telenursing, leg wounds, treatment

    Download full text (pdf)
    FULLTEXT01
  • 36. Lindberg, Catharina
    et al.
    Fagerström, Cecilia
    Sivberg, Bengt
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Concept analysis: patient autonomy in a caring context2014In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 10, no 70, p. 2208-2221Article in journal (Refereed)
    Abstract [en]

    This paper is a report of an analysis of the concept of patient autonomy. Many problems regarding patient autonomy in healthcare contexts derive from the patient´s dependent condition as well as the traditional authoritarian position of healthcare professionals. Existing knowledge and experince reveal a lack of consensus among nurses regarding the meaning of this ethical concept. This is a concept analysis with data sources: MedLine, CINAHL, The Cochrane Library and PsycINFO, searched 2005-June 2013 using the search blocks 'autonomy', 'patient', and 'nursing/caring'. A total of 41 articles were retrieved. The Evolutionary Method of Concept Analysis by Rodgers was used to identify and construct the meaning of the concept of patient autonomy in a caring context. Five attributes were identified, thus creating the following descriptive definition: 'Patient autonomy is a gradual, time-changing process of (re-)constructing autonomy through the interplay of to be seen as a person, the capacity to act and the obligation to take responsibility for one's actions'. Patient vulnerability was shown to be the antecedent of patient autonomy and arises due to an impairment of a person's physical and/or mental state. The consequences of patient autonomy were discussed in relation to preserving control and freedom. Conclusion: Patient autonomy in a caring context does not need to be the same before, during and after a care episod. A tentative model has been constructed, thus extending the understanding of this critical concept in a caring context.

  • 37. Lindberg, Catharina
    et al.
    Fagerström, Cecilia
    Willman, Ania
    Malmö University, Faculty of Health and Society (HS), Department of Care Science (VV).
    Patient autonomy in a high-tech care context: A theoretical framework2018In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 21-22, p. 4128-4140Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: To synthesise and interpret previous findings with the aim of developing a theoretical framework for patient autonomy in a high-tech care context. BACKGROUND: Putting the somewhat abstract concept of patient autonomy into practice can prove difficult as when it is highlighted in healthcare literature, the patient perspective is often invisible. Autonomy presumes that a person has experience, education, self-discipline and decision-making capacity. Reference to autonomy in relation to patients in high-tech care environments could therefore be considered paradoxical, as in most cases, these persons are vulnerable, with impaired physical and/or metacognitive capacity, thus making extended knowledge of patient autonomy for these persons even more important. DESIGN: Theory development. METHODS: The basic approaches in theory development by Walker and Avant were used to create a theoretical framework through an amalgamation of the results from three qualitative studies conducted previously by the same research group. RESULTS: A theoretical framework-the control-partnership-transition framework-was delineated disclosing different parts cocreating the prerequisites for patient autonomy in high-tech care environments. Assumptions and propositional statements that guide theory development were also outlined, as were guiding principles for use in day-to-day nursing care. Four strategies used by patients were revealed as follows: the strategy of control, the strategy of partnership, the strategy of trust and the strategy of transition. CONCLUSIONS: An extended knowledge base, founded on theoretical reasoning about patient autonomy, could facilitate nursing care that would allow people to remain/become autonomous in the role of patient in high-tech care environments. RELEVANCE TO CLINICAL PRACTICE: The control-partnership-transition framework would be of help in supporting and defending patient autonomy when caring for individual patients, as it provides an understanding of the strategies employed by patients to achieve autonomy in high-tech care contexts. The guiding principles for patient autonomy presented could be used in nursing guidelines.

  • 38. Lindberg, Catharina
    et al.
    Fagerström, Cecilia
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Sivberg, Bengt
    Befriending Everyday Life When Bringing Technology Into the Private Sphere2017In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 27, no 6, p. 843-854Article in journal (Refereed)
    Abstract [en]

    We present the findings of our phenomenological interview study concerning the meaning of being an autonomous person while dependent on advanced medical technology at home. This was elucidated in the participants’ narratives as befriending everyday life when bringing technology into the private sphere. We discovered four constituents of the phenomenon: befriending the lived body, depending on good relationships, keeping the home as a private sphere, and managing time. The most important finding was the overall position of the lived body by means of the illness limiting the control over one’s life. We found that the participants wanted to be involved in and have influence over their care to be able to enjoy autonomy. We therefore stress the importance of bringing the patients into the care process as chronic illness will be a part of their everyday life for a long time to come, hence challenging patient autonomy.

  • 39. Lindberg, Catharina
    et al.
    Sivberg, Bengt
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Fagerström, Cecilia
    A trajectory towards partnership in care: patient experiences of autonomy in intensive care, a qualitative study2015In: Intensive & Critical Care Nursing, ISSN 0964-3397, E-ISSN 1532-4036, Vol. 31, no 5, p. 294-302Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to describe and elucidate patient experinces of autonomy in an intensive care context from a caring perspective. Patients in intensive care units (ICUs) are critically ill and in a dependent and vulnerable position. There is thus a risk of staff taking command not only of the patients' vital functions but also of their decision-making. A qualitative design was selected. Individual interviews were conducted with 11 adult patients with an intensive care episode of two days or more at six Swedish ICUs. Data were analysed using Inductive Content Analysis. Patient autonomy in intensive care was shown to be "A trajectory towards partnership in care depending on state of health and mutual understanding". It was experienced through acknowledged dependence, being recognised as a person, invited participation and becoming a co-partner in care. Patients in need of intensive care wanted to be involved in making decisions about their care as this creates a trusting and healthy care environment. Greater awarness is required about the ICU patient not only being a passive care recipient but also an active agent and where involvment in decision-making and participation in care are crucial.

  • 40. Lindvall, Agneta
    et al.
    Kristensson, Jimmie
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Holst, Göran
    Informal Care Provided by Family Caregivers: Experiences of Older Adults With Multimorbidity2016In: Journal of Gerontological Nursing, ISSN 0098-9134, E-ISSN 1938-243X, Vol. 8, no 42, p. 24-31Article in journal (Refereed)
    Abstract [en]

    Informal care given by family caregivers is an important part of the total care provided to older adults with multimorbidity. The current study aimed to describe how older adults with multimorbidity experienced care from family caregivers. Interviews were conducted with 24 participants (mean age = 86 years). Older adults with multimorbidity felt gratitude toward family caregivers for their willingness to help with everyday life and for representing their interests in contacts with health care providers. Family caregivers also had a significant impact on older adults’ psychological well-being. However, the results also showed that older adults often felt they were a burden to their family caregivers and that their independence might be reduced. Older adults with multimorbidity should have the opportunity to be more involved in and have more influence over their health care so that they do not have to depend on representation by family caregivers.

  • 41. Nilsson, Ing-Marie
    et al.
    List, Thomas
    Malmö högskola, Faculty of Odontology (OD).
    Willman, Ania
    Adolescents with Temporomandibular Disorder Pain - The Living with TMD Pain Phenomenon2011In: Journal of Orofacial Pain, ISSN 1064-6655, E-ISSN 1945-3396, Vol. 25, no 2, p. 107-116Article in journal (Refereed)
    Abstract [en]

    AIMS: To acquire a deeper understanding of adolescents' experiences of living with temporomandibular disorder (TMD) pain. METHODS: Twenty-one adolescents with TMD pain, aged 15 to 19, were strategically selected from a group of patients referred to an orofacial pain clinic. The patients were examined and received diagnoses per the Research Diagnostic Criteria for TMD. One-on-one interviews that followed a semistructured protocol focused on the patient's experiences of living with TMD pain. The interviews were recorded and transcribed verbatim, followed by content analysis to obtain a deeper understanding of adolescents' experiences living with TMD pain. RESULTS: Content analysis led to the overall theme "Adolescents with TMD live with recurrent pain; physical problems and daily demands form a vicious circle that causes adolescents to oscillate between hope and despondency." The latent content forming the theme is grounded in three categories that evolved from 13 subcategories. For instance, five subcategories-headache; headache on awakening; jaw and tooth pain; constant thoughts of pain; and popping, cracking, clicking, and locking-formed the category that was labeled TMD pain is recurrent. The latent interpretation, ie, the meaning, of this category was that adolescents with TMD pain constantly thought about the pain, even when it was absent. CONCLUSION: TMD pain is a substantial problem for affected adolescents and has consequences for all aspects of their lives. In this study, the adolescents were able to talk openly and introduce issues outside of the interview protocol. Qualitative analysis deepens our understanding of the adolescent patient with TMD pain.

  • 42. Nilsson, Ing-Marie
    et al.
    List, Thomas
    Malmö högskola, Faculty of Odontology (OD).
    Willman, Ania
    ADOLESCENTS WITH TMD PAIN, IN SEARCH OF A DEEPER UNDERSTANDING2010In: Abstracts of the 13th World Congress of Pain, IASP (International Association for the Study of Pain and Omnipress) , 2010, article id PW137Conference paper (Other academic)
    Abstract [en]

    Aims: The aim of this study was to acquire a deeper understanding of adolescents’ experiences of living with temporomandibular disorder (TMD) pain. Method: Twenty-one adolescents with TMD pain, aged 15 to 19, were strategically selected from a group of patients referred to an orofacial pain clinic. The patients were examined and received diagnoses per the Research Diagnostic Criteria for Temporomandibular Disorders. One-on-one interviews that followed a semi-structured protocol focused on the patient’s experiences of living with TMD pain. The interviews were recorded and transcribed verbatim, followed by content analysis to get at a deeper understanding of adolescents’ experiences living with TMD pain. Results: The content analysis led to the overall theme “Adolescents with TMD live in constant pain; physical problems and daily demands form a vicious circle that causes adolescents to oscillate between hope and despondency”. The manifest content forming the theme consisted of three categories that evolved from 13 subcategories. For instance, five subcategories - headache; headache on wake-up; jaw and tooth pain; constant thoughts of pain; and popping, cracking, clicking, and locking - evolved into the Pain is constantly present category. The meaning of this category was that the adolescents constantly thought about the pain, even when it was absent. Conclusion: TMD pain is a substantial problem for affected adolescents and has consequences for their whole life. In this study, the adolescents were able to talk openly and introduce issues outside of the interview protocol. Qualitative analysis deepens our understanding of the adolescent patient with pain, thus making more individualized support and treatment possible.

  • 43.
    Nilsson, Ing-Marie
    et al.
    Stomatognathic Physiology, Center for Oral Rehabilitation, Norrköping, Sweden.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Treatment Seeking and Self-Constructed Explanations of Pain and Pain management Strategies Among Adolescents with Temporomandibular Disorder Pain2016In: Journal of Oral & Facial Pain Headache, ISSN 2333-0376, Vol. 30, no 2, p. 127-133Article, review/survey (Refereed)
    Abstract [en]

    Aims: To explore adolescents' explanations of their temporomandibular disorder (TMD) pain, their pain management strategies for TMD pain, and their treatmentseeking behavior. Methods: One-on-one interviews were conducted with 21 adolescents aged 15 to 19 years old who had TMD pain and followed a semistructured interview guide. Subjects were strategically selected from patients referred to orofacial pain clinic. All participants had been examined and received a pain diagnosis based on the Research Diagnostic Criteria for TMD. The interviews focused on the adolescents' experiences of TMD pain, their strategies for handling pain, and how they seek care. The interviews were recorded, transcribed verbatim, and analyzed using qualitative manifest content analysis. Results: Qualitative manifest content analysis revealed two categories: (1) self-constructed explanations, with three subcategories (situation-based explanatory model, physical/bilogic model, and psychological explanatory model); and (2) pain management strategies, with four subcategories (social support, treatment, relaxation/rest, and psychological strategies). Adolescents used physical activities and psychological and pharmacologic treatment to manage pain. Reasons for seeking treatment were to be cured, to obtain explanation for their pain, and because their symtoms bother others. Conclusion: Adolescents living with TMD pain develop self-constructed explanations and pain management strategies. With access to these descriptions, dentists can be better prepared to have a dialouge with their adolescent patients about their own explanations of pain, the nature of pain, and in wich sitations the pain appears. Dentists can also explore adolescent patients' pain management stategies and perhaps also suggest new treatment stategies at an earlier stage.

  • 44. Nilsson, Roland
    et al.
    Björdal, Chatarina
    Andersson, Matts
    Björdal, Jörn
    Nyberg, Anna
    Welin, Bengt
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Health risks and occupational exposure to volatile anaesthetics: a review with a systematic approach2005In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 14, no 2, p. 173-186Article, review/survey (Refereed)
    Abstract [en]

    Aims and objectives. To provide practicing nurse anaesthetists with evidence based knowledge as to whether they are at risk handling volatile anaesthetics by answering the question: What are the health risks threatening health care personnel occupationally exposed to volatile anaesthetics? Background.  The interpretations of results from specific scientific studies vary and preliminary research results indicate that occupational exposure to volatile anaesthetics affects the health of operating room personnel. Design.  Review of scientific literature with a systematic approach. Method.  The review included a systematic search in three major databases, a screening process of abstracts/articles followed by a quality assessment of the included studies. The screening process and the quality assessment were done independently by the six reviewers and followed specific protocols. Results.  A systematic search of The Cochrane Library, MedLine and CINAHL resulted in a screening of 413 abstracts of which 31 articles were assessed for quality, all done independently by the reviewers. Finally, the reviewers agreed upon how to interpret the results of the assessed articles. Conclusions.  The 31 articles assessed covered areas such as genotoxic effects, neurobehavioural effects, immunology, and general health effects. In the scientific literature reviewed there is no evidence of occupational exposure to volatile anaesthetics either being associated with health risks or being harmless. Studies indicating a potential health risk are all investigating circumstances ignorant of modern environmental regulations and/or with no scavenging equipment. Relevance to clinical practice.  Although no answer has been given, this review illuminates the methodological difficulties encountered in designing studies. The result of this review further stresses the need for scientific knowledge in this area and enhances the extensive use of scavenging equipment.

  • 45. Nystedt, A
    et al.
    Edvardsson, D
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Epidural analgesia for pain relief in labour and childbirth: a review with a systematic approach2004In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 13, no 4 May2004, p. 455-466Article in journal (Refereed)
  • 46.
    Sandström, Boel
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Svensson, Bengt
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    How do we know if this is the best?: mental health-care professionals' views on national guidelines for psychosocial interventions2014In: International Journal of Mental Health Nursing, ISSN 1445-8330, E-ISSN 1447-0349, Vol. 23, no 3, p. 221-231Article in journal (Refereed)
    Abstract [en]

    ABSTRACT: National guidelines are released regularly, and professionals are expected to adopt and implement them. However, studies dealing with mental health-care professionals’ views about guidelines are sparse. The aim of the present study was to highlight mental health-care staff ’s views on the Swedish national guidelines for ‘psychosocial interventions for schizophrenia or schizophrenia-type symptoms’ and their implementation. The study took place in the southeast parts of Sweden, and data were collected through five group interviews consisting of 16 professionals working either in the county council or in the municipalities. The transcribed text was analysed by content analysis, revealing two categories. The first category ‘a challenge to the practice of care as known’ reflected that the release of guidelines could be perceived as a challenge to prevailing care and culture. The second category ‘anticipating change to come from above’ mirrored views on how staff expected the implementation process to flow from top to bottom. To facilitate working in accordance with guidelines, we suggest that future guidelines should be accompanied by an implementation plan, where the educational needs of frontline staff are taken into account. There is also a need for policy makers and managers to assume responsibility in supporting the implementation of evidence-based practice.

  • 47.
    Sandström, Boel
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Svensson, Bengt
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Mapping attitudes and awareness with regard to national guidelines: an e-mail survey among decision makers.2014In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 22, no 7, p. 884-893Article in journal (Refereed)
    Abstract [en]

    Introduction The adoption of evidence-based guidelines within the mental health field has been slow. Changing inadequate practice is therefore a formidable challenge for mental health-care managers. Aim To explore decision-makers’ attitudes and awareness regarding the national guidelines for psychosocial interventions targeting people with schizophrenia. Method A questionnaire distributed by e-mail to 592 Swedish decision-makers was analysed using descriptive and comparative techniques. Results Significantly more of the top-level mental health-care managers than politicians stated that they knew about the national guidelines (i.e. their release and content) and they considered the guidelines to be a good source of support for planning and allocating resources. Conclusion If those responsible for allocating resources (i.e. politicians) are unaware of the dissemination of national guidelines or their content, and they do not perceive the national guidelines to be a good source of support for planning and allocating resources, this is likely to have a negative influence on the remit of nurse managers as well as nursing practice. Implications for nursing management Top-level mental health-care managers have a vital role to play in the implementation of national guidelines. However, our findings indicate that implementing national guidelines in practice could be virtually impossible without strategic government support. Keywords: attitude, electronic survey, evidence-based practice, guidelines, mental health

  • 48.
    Sandström, Boel
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Svensson, Bengt
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Borglin, Gunilla
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Perceptions of national guidelines and their (non) implementation in mental healthcare: a deductive and inductive content analysis2015In: Implementation Science, E-ISSN 1748-5908, Vol. 10, no 43, article id 43Article in journal (Refereed)
    Abstract [en]

    Background National guidelines are being produced at an increasing rate, and politicians and managers are expected to promote these guidelines and their implementation in clinical work. However, research seldom deals with how decision-makers can perceive these guidelines or their challenges in a cultural context. Therefore, the aim of this study was twofold: to investigate how well Promoting Action on Research Implementation in Health Services (PARIHS) reflected the empirical reality of mental healthcare and to gain an extended understanding of the perceptions of decision-makers operating within this context, in regard to the implementation of evidence-based guidelines. Methods The study took place in the southeast of Sweden and employed a qualitative design. The data were collected through 23 interviews with politicians and managers working either in the county council or in the municipalities. The transcribed text was analysed iteratively and in two distinct phases, first deductively and second inductively by means of qualitative content analysis. Results Our deductive analysis showed that the text strongly reflected two out of three categorisation matrices, i.e. evidence and context representing the PARIHS framework. However, the key element of facilitation was poorly mirrored in the text. Results from the inductive analysis can be seen in light of the main category sitting on the fence; thus, the informants’ perceptions reflected ambivalence and contradiction. This was illustrated by conflicting views and differences in culture and ideology, a feeling of security in tradition, a certain amount of resistance to change and a lack of role clarity and clear directions. Together, our two analyses provide a rich description of an organisational culture that is highly unlikely to facilitate the implementation of the national guidelines, together with a distrust of the source behind such guidelines, which stands in stark contrast to the high confidence in the knowledge of experienced people in authority within the organisational context. Conclusions Our findings have highlighted that, regardless of by whom guidelines are released, they are not likely to be utilised or implemented if those who are responsible for implementing them do not trust the source. This aspect (i.e. contextual trust) is not covered by PARIHS.

    Download full text (pdf)
    FULLTEXT01
  • 49.
    Stoltz, Peter
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Bahtsevani, Christel
    Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Comprehensive hermeneutics - an attempt to make human science in nursing research more digestible2005In: Theoria : journal of nursing theory, ISSN 1400-8033, Vol. 14, no 1, p. 15-22Article in journal (Refereed)
  • 50.
    Stoltz, Peter
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Lindholm, Maud
    Malmö högskola, Faculty of Health and Society (HS).
    Udén, Giggi
    Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    The meaning of being supportive for family carers as narrated by registered nurses working in palliative home care2006In: Nursing Science Quarterly, ISSN 0894-3184, E-ISSN 1552-7409, Vol. 19, no 2, p. 163-173Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to illuminate the meaning of being supportive to family carers who care for a relative at home as narrated by registered nurses. The context used to allow for the meaning of being supportive to be illuminated was palliative home care. The study uses a phenomenological hermeneutical method based on the philosophy of Paul Ricoeur. Data consisted of narrative interviews, transcribed verbatim into text which was analysed in three recurring phases: naive reading, structural analyses and interpreted whole. The total of 20 nurses who participated in the study were affiliated with three different hospitals in southern Sweden. Several subthemes and themes were formed from the rich material into two core themes: ‘Forming a relationship’ and ‘Keeping caregiving at home’. In the interpreted whole, dimensions to the meaning of being supportive as illuminated by the nurses narratives are discussed in relation to literature that has potential to open up for a widened and deepened understanding of the phenomenon.

12 1 - 50 of 66
CiteExportLink to result list
Permanent link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf