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  • 51.
    Stoltz, Peter
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Pilhammar Andersson, Ewa
    Willman, Ania
    Support in nursing: an evolutionary concept analysis2007In: International Journal of Nursing Studies, ISSN 0020-7489, E-ISSN 1873-491X, Vol. 44, no 8, p. 1478-1489Article in journal (Refereed)
    Abstract [en]

    This research into the concept of support was undertaken because of supports vital importance to family carers of older persons and its recurrent use in nursing re-search. Therefore, the aim of this study was to inductively develop a definition of support. Specifically in the context area of family care of frail aged persons. The study followed the evolutionary method of concept analysis. The study was based on data from scientific publications, encyclopaedias and dictionaries. In order to secure a representative sample, highly systematic means of sampling were used. From working with the data underpinning this study, it was possible to put forward a definition of support for family carers who care for a frail aged person at home. The two major dimensions, as described under attributes, were merged into the following definition: “Support partly entails the provision of general tangibles like informational-, educational-, economical aid, goods and external services. They are prerequisites for facilitating the family carers’ competence or capacity in care. Moreover it entails necessary qualities such as individualization, adaptability, lasting temporality, room for verbalizing emotions as well as an idea of reciprocal symmet-rical exchange between involved parties.”

  • 52.
    Stoltz, Peter
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Udén, Giggi
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Researching the meaning of support: an empirical study on the meaning of support for family carers who care for a senior person at home2004Conference paper (Refereed)
    Abstract [en]

    Nursing care of the elderly is believed to be one of the major future European healthcare challenges. Family carers are and will continue to be providing a considerable and increasing proportion of the care for elderly persons (i.e.>65 years) living at home. Support is a term not seldom seen in documents or literature relating to family carers. Support, it seems, is something that should be provided for family carers for alleviating their burden, stress and worry. However the meaning of Support for family carers is perhaps not as clear as one may be led to believe. The aim of this research project was to illuminate the meaning of support for family carers who care for an elderly person at home. Narrative interviews with 20 family carers and 20 registered nurses in palliative home care were conducted and analysed using a phenomenological hermeneutics inspired by the philosophy of Paul Ricoeur. The results indicate that the meaning of support for family carers was a sense of entrustment, an unwinding in the reassurance of shared responsibility in decisions. It is the respectfulness of others, being seen as a carer with attentiveness and genuine interest. It is sensing at togetherness in caring. For the registered nurses the meaning of being supportive was sensing, to bear witness giving time, daring to stay and listen, to see, hear and recognize. It is a pacing and paving the way for the family. It is to facilitate in uncovering possibilities and being an assurance that carries the family.

  • 53.
    Stoltz, Peter
    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).
    Support for family carers who care for an elderly person at home: a systematic literature review2004In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 18, no 2, p. 111-119Article, review/survey (Refereed)
    Abstract [en]

    Family carers are a major source of help and assistance to the persons they provide care for. They are also major contributors to the welfare system, balancing the national healthcare expenditure. Increasing attention, in research as well as government policy, is being paid to their role as informal caregivers. Support to family carers seems to be a new “buzz-word” in Swedish government policy. However, supporting family carers may prove to be a more complex endeavour than one initially might be led to believe. Support could here be understood as any services, assistances, education, information, attitudes, lay or professional persons provision for the benefit of the family carer. The aim of this systematic review was to identify modes of, and scientific evidence on, support for family carers of cohabiting elderly persons. The method followed a seven-step model: a focused research question was formulated creating a base for deriving search words and inclusion and exclusion criteria for studies. Systematic database searches identified several studies some of which were retrieved, critically appraised and classified by two independent reviewers. A total of 26 articles were finally included, revealing that family carers fear social isolation and wish to network in groups with peers, either for social or for learning needs purposes. Family carers also desire respite care. However, it is unclear whether they actually benefit from any of the above or how service provision should be attempted.

  • 54.
    Stoltz, Peter
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Overcoming Challenges in Teaching Qualitative Methods: an attempt to make human science research more digestible2006Conference paper (Other (popular science, discussion, etc.))
    Abstract [en]

    As regards qualitative methods, facilitating the teaching-learning process remains a vital challenge for educators today, thereby making human science research accessible for students at all university levels. In paving the way towards a deepened understanding of the human science paradigm, its boundaries, sensitivity, potentials and “spirit” students may experience themselves at a loss by the complexity of understanding, or doing, a project underpinned by qualitative methods. These challenges may be due to the predominance of the natural science perspective from early school years and onwards. Moreover, research methods derived from the human science paradigm are well anchored in western philosophy, hence basic knowledge in western philosophy is inevitable but an uphill climb for some students. Learning about qualitative methods does not seldom involve a change in students’ ways of thinking about research. A fundamental understanding of the human science paradigm, is a prerequisite that may have potential to seriously influence qualitative research production as well as research utilization improvements. At all events, it is not without relevance for qualitative methods that educators are able to arm students with no less than a common denominator of what they at least should know in order to fruitfully read results from, or better yet, be able to design a project where qualitative methods are involved. This presentation report on scholarly work combined with experience based knowledge from research, teaching-learning processes as well as didactic examples of ways for paving the way towards a deepened understanding of the human science paradigm. A phenomenological hermeneutic research method based on the philosophy of Paul Ricoeur is used as the case in point.

  • 55.
    Stoltz, Peter
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Udén, Giggi
    The meaning of support as narrated by family carers and registerad nurses in palliative homecare2004Conference paper (Other (popular science, discussion, etc.))
  • 56.
    Stoltz, Peter
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Udén, Giggi
    Malmö högskola, Faculty of Health and Society (HS).
    The meaning of support as narrated by family carers who care for a senior person at home2006In: Qualitative Health Research, ISSN 1049-7323, E-ISSN 1552-7557, Vol. 16, no 5, p. 594-610Article in journal (Refereed)
    Abstract [en]

    The aim of this study was to illuminate the meaning of support as narrated by family carers who care for a senior relative at home. This study originates from a context of advanced in-home palliative care in Sweden. Twenty (n=20) family carers, who cared for a senior relative at home, participated. Narrative interviews resulted in a text which was analysed in three recurring phases: naive understanding, structural analyses and comprehensive understanding using a phenomenological hermeneutical method, inspired by the philosophy of Ricoeur. Two themes were formulated from the analysis: “Experiencing a togetherness with others in caring” and “Sensing togetherness with oneself in caring”. The meaning of support was here understood as “Sensing togetherness”. In the comprehensive understanding this meaning was further illuminated by literature on the concepts of friendship, inner strength and manageability through the sense of coherence theory. Suggestions of relevance to practice and further research are given.

  • 57.
    Wann-Hansson, Christine
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Hagell, Peter
    Department of Health Sciences, Lund University, Lund, Sweden.
    Willman, Ania
    School of Health Science, Blekinge Institute of Technology, Blekinge, Sweden.
    Risk factors and prevention among patients with hospital-acquired and pre-existing pressure ulcers in an acute care hospital2008In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 17, no 13, p. 1718-1727Article in journal (Refereed)
    Abstract [en]

    AIMS AND OBJECTIVES: This study aimed to describe and identify risk factors associated with hospital-acquired pressure ulcers among adults in an acute care hospital compared with patients with pre-existing pressure ulcers present on admission. A further aim was to identify the preventive measures performed with both groups respectively. BACKGROUND: Pressure ulcers occur most often in older and immobile persons with severe acute illness and neurological deficits. However, few studies have addressed risk factors that are associated with hospital-acquired pressure ulcers compared with patients with pre-existing pressure ulcers. DESIGN: A point prevalence study with a cross-sectional survey design was conducted at a Swedish university hospital. METHOD: Data on 535 patients were recorded using a modified version of the protocol developed and tested by the European Pressure Ulcer Advisory Panel, including the Braden scale for risk assessment. RESULTS: The prevalence of pressure ulcers was 27% (95% confidence interval, 23-31%). Higher age and a total Braden score below 17 were significantly associated with the presence of pressure ulcers. Among individual risk factors higher age, limited activity level and friction and shear while seated or lying down were associated with hospital-acquired pressure ulcers, whereas only higher age and friction and shear were associated with the presence of pressure ulcers in the overall sample. There was an overall sparse use of preventive measures to relieve pressure. CONCLUSION: The findings of the present study revealed that pressure ulcers and the insufficient use of preventive measure to relieve pressure is still a problem in acute care settings. A continued focus must be placed on staff training in identifying patients at risk for pressure ulcers development. RELEVANCE TO CLINICAL PRACTICE: Increasing the ability to identify patients who are at risk for pressure ulcer development can assist in preventing unnecessary complications and suffering as well as reduce costs.

  • 58. Westergren, Albert
    et al.
    Broman, Jan-Erik
    Hellström, Amanda
    Fagerström, Cecilia
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Hagell, Peter
    Measurement properties of the minimal insomnia symptom scale as insomnia screening tool for adults and the elderly2015In: Sleep Medicine, ISSN 1389-9457, E-ISSN 1878-5506, Vol. 16, no 3, p. 379-384Article in journal (Refereed)
    Abstract [en]

    Background The psychometric properties of the three-item Minimal Insomnia Symptom Scale (MISS) were evaluated using the classical test theory. Different cut-offs for identifying insomnia were suggested in two age groups (≥6 and ≥7 among adult and elderly people, respectively). The aim of the present study was to test the measurement properties of the MISS using the Rasch measurement model, with special emphasis on differential item functioning by gender and age. Methods Cross-sectional MISS data from adult (age 20–64 years, n = 1075) and elderly (age 65+, n = 548) populations were analysed using the Rasch measurement model. Results Data generally met Rasch model requirements and the scale could separate between two distinct groups of people. Differential item functioning was found by age but not gender. The difference between the adult and elderly samples was lower for the originally recommended ≥6 points cut-off (0.09 logits) than for the ≥7 points cut-off (0.23 logits), but greater at the lower and higher ends of the scale. Conclusions This study provides general support for the measurement properties of the MISS. Caution should be exercised in comparing raw MISS scores between age groups, but applying a ≥6 cut-off appears to allow for valid comparisons between adults and the elderly regarding the presence of insomnia. Nevertheless, additional studies are needed to determine the clinically optimal cut-score for identification of insomnia.

  • 59.
    Willman, Ania
    Malmö högskola, Faculty of Health and Society (HS).
    Omvårdnad - i praktik, utbildning och forskning2003In: Theoria, Journal of Nursing Theory, ISSN 1400-8033, Vol. 12, p. 19-25Article in journal (Refereed)
  • 60.
    Willman, Ania
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Bahtsevani, Christel
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Nilsson, Roland
    Sandström, Boel
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Evidensbaserad omvårdnad: en bro mellan forskning och klinisk verksamhe2016 (ed. 4., [rev.] uppl.)Book (Other academic)
    Abstract [sv]

    Evidensbaserad omvårdnad definieras i denna bok som både ett förhållningssätt och en process. Förhållningssättet innebär en vilja att använda bästa tillgängliga vetenskapliga bevis som underlag för vårdbeslut. Processen består i hur man praktiskt går tillväga för att finna, sammanställa, kritiskt värdera och implementera detta underlag. Evidensbaserad omvårdnad handlar således om en strävan att bedriva omvårdnad på en god och säker grund och att tillgodose samhällets krav på att forskningsresultat utnyttjas på bästa sätt. Denna fjärde upplaga har förtydligats och alla länkar samt webbadresser har uppdaterats. Ett nytt avsnitt om ledarskapets betydelse för implementering av evidens har tillkommit. På bokens webbsida finns en film som visar evidensbaserad omvårdnad i klinisk verksamhet.

  • 61.
    Willman, Ania
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Forsberg, A
    Carlsson, Anna
    Malmö högskola, Faculty of Health and Society (HS).
    Identifiera omvårdnadens metoder - en nödvändighet för implementering av evidensbaserad omvårdnad2005In: Vård i Norden, ISSN 0107-4083, E-ISSN 1890-4238, Vol. 25, no 4, p. 51-55Article in journal (Other (popular science, discussion, etc.))
  • 62.
    Willman, Ania
    et al.
    Malmö högskola, Faculty of Health and Society (HS), Department of Care Science (VV).
    Gustafsson, Barbro
    Hälsofrämjande omvårdnad: bekräftande vägledning för att skapa sin egen hälsa2015Book (Other academic)
    Abstract [sv]

    Hälsofrämjande omvårdnad handlar om kunskap kring processer som leder till hälsa och avsikten är att förbättra människans upplevda hälsa, till skillnad från prevention som bygger på kunskaper om vad som orsakar sjukdom. Alla människor har rätt att avgöra, och är kapabla att avgöra, vad hälsa innebär för den egna personen. Om hälsa ses som en helhet, en samverkan mellan personens mål, förmågor och miljö kan vi också förstå att en livsstilsförändring kan ses som ett hot eller en utmaning. Vår vilja att anta en utmaning förutsätter att vi ser oss själva som ett subjekt, en aktör i vårt eget liv och att vi tror oss ha resurser att genomföra en förändring. Bakgrunden till den här boken är SAUK-modellen, som utgör en möjlig struktur för att skapa sin egen hälsa. Innehållet består av två delar; en teoribok och en guidebok. Boken kan användas både av en person som väljer att vägleda sig själv och av en person som fungerar som vägledare för någon annan. Målgruppen är i första hand blivande eller redan yrkesverksamma sjuksköterskor.

  • 63.
    Willman, Ania
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Nilsson, Roland
    Eiman, Maria
    Carlsson, Sara
    Björdal, Chatarina
    Ett projekt för att implementera evidensbaserad omvårdnad2003Report (Other academic)
    Abstract [sv]

    För att bidra till sjuksköterskornas engagemang för en god vård startade Malmö högskola, Hälsa och samhälle, hösten 1999, Enheten för evidensbaserad omvårdnad. Efter en omorganisation i november 2002 ingår verksamheten i Enheten för biomedicinsk laboratorievetenskap, folkhälsovetenskap och omvårdnad. Ett av nio mål är att i samarbete med nyckelgrupper identifiera och implementera effektiva strategier för spridning och tillämpning av forskningsresultat. Vid Universitetssjukhuset MAS (UMAS) har ett visionsdokument kallat "Målbild 2005" utarbetats. Ett av målen för UMAS verksamhet är att en lärande organisation och en evidensbaserad vård ska införas vid sjukhuset (Enheten för verksamhetsutveckling - Informationsenheten UMAS, 2001). Som en del i att förverkliga målbilden, startades ett projekt mellan UMAS och Malmö högskola. Samarbetsprojektet syftade till att förverkliga en del av målbildsarbetet på UMAS, öka Malmö högskolas samarbete med det omgivande samhället samt utveckla projektdeltagarnas kompetens. Fyra legitimerade sjuksköterskor från tre olika vårdenheter vid UMAS har deltagit i projektet. Projektet var tidsbegränsat till sex månader, under år 2002. Varje deltagare har avsatt 20 % av sin heltidstjänstgöring, vilket innebär en arbetsdag per vecka, för projektet. Tidsfördelningen har varit lika mellan Malmö högskola och UMAS. Projektet skulle öka sjuksköterskornas möjligheter att följa utvecklingen inom omvårdnadsforskningens område, vilket i sin förlängning förväntades öka kvaliteten på verksamheten och den vård som ges till patienterna. Med hjälp av nya kunskaper har projektdeltagarna förmedlat budskapet på sjukhuset och kunnat ge arbetskamrater introduktion och vägledning i ämnet evidensbaserad omvårdnad. Genom att projektdeltagarna arbetar kliniskt finns kompetensen aktiv ute på avdelningarna och då kan också intresset spridas på ett naturligt sätt i det dagliga arbetet till andra bland personalen. Projektdeltagarnas övergripande och gemensamma erfarenhet är att det är en stor tillgång att få kombinera kliniskt arbete med forskning. Vårdenhetscheferna har positiva erfarenheter av samarbetsprojektet. De anser att målen för projektet är uppfyllda och att projektdeltagarna har fått en ökad kompetens. Intresset för evidensbaserad omvårdnad har väckts bland medarbetarna, men ännu kan det inte märkas några synbara effekter av den ökade medvetenheten om evidensbaserad omvårdnad i deras arbetssätt. Den fråga som vårdenhetscheferna nu anser vara viktig att fortsätta arbeta med är, hur implementeringen av evidensbaserad omvårdnad ska ske i framtiden.

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  • 64.
    Willman, Ania
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Stoltz, Peter
    Yes, No or Perhaps, reflections on Swedish human science nursing research development2002In: Nursing Science Quarterly, ISSN 0894-3184, E-ISSN 1552-7409, Vol. 15, no 1, p. 66-70Article in journal (Refereed)
    Abstract [en]

    This article attempts to describe and analyze whether or not Swedish nursing research development belongs in a human science perspective. Traditionally, nursing in Sweden has been taught and practiced as a medical science, however another worldview seems to characterize Swedish nursing research today. This trend was identified through a study of the latest Swedish theoretical developments, in comparison with different international standpoints and views on the human science perspective. The conclusion is that Swedish nursing research is developing toward, and perhaps belongs in, a human science nursing perspective.

  • 65.
    Willman, Ania
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Stoltz, Peter
    Malmö högskola, Faculty of Health and Society (HS).
    Bahtsevani, Christel
    Malmö högskola, Faculty of Health and Society (HS).
    Evidensbaserad omvårdnad: en bro mellan forskning och klinisk verksamhet2006Book (Other academic)
    Abstract [sv]

    Evidensbaserad omvårdnad definieras i denna bok som både ett förhållningssätt och en process. Förhållningssättet innebär en vilja att använda bästa tillgängliga vetenskapliga bevis som underlag för vårdbeslut. Processen består i hur man praktiskt går till väga för att finna, sammanställa, kritiskt värdera och implementera detta underlag. Evidensbaserad omvårdnad handlar således om en strävan att bedriva omvårdnad på en god och säker grund och att tillgodose samhällets krav på att forskningsresultat utnyttjas på bästa sätt. I denna andra upplaga har bland annat två helt nya kapitel om implementering, kliniska riktlinjer och standardvårdplaner tillkommit. Boken vänder sig främst till studerande vid sjuksköterskeprogrammet samt kliniskt verksamma sjuksköterskor men även till alla som vill veta hur man gör systematiska litteraturstudier.

  • 66.
    Willman, Ania
    et al.
    Malmö högskola, Faculty of Health and Society (HS).
    Strömberg, A
    Forsberg, A
    Metoder i omvårdnad och i sjuksköterskans arbete. Inventering som underlag för SBU Alerts utvärderingar2003Book (Other academic)
    Download full text (pdf)
    FULLTEXT01
12 51 - 66 of 66
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