Smertekartlegging og smertelindring hos pasienter med demens: utfordringer og dilemmaer

Aim: to explore nurses' experiences with pain assessment and pain relieving in patient with dementia. Background: research shows that patients with dementia are still suffering from unnecessary pain. The reason it may be nurses difficulty to interpret and map patients’ pain. Method: data were collected through three different focus group interviews. A semi – structured interview guide was developed to answer the research question. Data were analyzed by using a content analysis in four steps. Findings: The findings are divided into three sub – categories with a focus on: patients age, comorbiditet and polyfarmasi, routines for pain assessment and pain relieving, and ethical dilemmas in pain relieving in patients with dementia. Conclusions: Pain assessment and pain relieving in patients with dementia are challenging. Common procedures for pain assessment and individual pain relieving may be good prospects for patients get effective pain relieving. Regular use of pain assessment instruments tailored for the patient group will contribute to effective pain assessment and pain relieving in patients with dementi

Nursing Students’ Learning about Person-centred Dementia Care in a Nursing Home: A Qualitative Study

It is unclear to what extent nursing students are able to apply person-centred care in practice, despite a mixture of educational support approaches. The aim of this study was to explore nursing students’ experiences of learning about person-centred dementia care after they participated in an adopted education programme in a nursing home. The education programme presented the main concepts of person-centred care. A qualitative explorative design was chosen where 32 bachelor-level nursing students participated in seven focus groups. The study is reported according to the COREQ checklist. Qualitative thematic content analysis revealed two main themes: care culture in the nursing home as joyful and inclusive, and the nursing student role as ambivalent and challenging. The nursing home management, staff members and patients, together with the programme, seemed to enhance students’ learning about person-centred dementia care.publishedVersio

En fenomenologisk inngang til profesjonsetikken : Tillit i praksis - forutsetning eller fortjeneste?

Accepted version of an article from the journal: Nordisk sygeplejeforskningTema for artikkelen er tilliten i pasient-behandler-relasjonen. Det tas utgangspunkt i profesjonsetikk og profesjonsmoral, og hva dette innebærer, før profesjonsmoralen belyses via et grunnleggende fenomen som tillit. Et sentralt spørsmål er om tillit er en grunnleggende forutsetning mellom mennesker som bare «er» der eller om tillit er en fortjeneste som helsearbeideren har gjort seg fortjent til i egenskap av profesjonstilhørighet. Tillit som grunnfenomen hos Løgstrup og noen kritiske røster til Løgstrups syn på tillit diskuteres. Med utgangspunkt i Grimens tenkning diskuteres nærmere relasjonen og den asymmetri som finnes mellom tjenestemottaker og tjenesteyter. Det konkluderes med at den fenomenologiske forståelsen av fenomenet spontan tillit i Løgstrups mening er en nødvendig forståelse for at en relasjon mellom pasient og profesjonsutøver kan oppstå og der helsearbeiderens profesjonsmoral sikrer at tilliten tas i mot på en forsvarlig måte slik at den i neste omgang også blir en fortjent tillit

Social Innovation Toward a Meaningful Everyday Life for Nursing Home Residents: An Ethnographic Study

Background: The literature shows that innovation, which includes culture change, may be important to create a meaningful everyday life for nursing home residents. However, there is a gap in how social innovation practices may contribute to this. The theoretical discourse for the study is person-centered care. Aim: The main aim was to explore phenomena within social innovation that can contribute to improving nursing home residents’ everyday lives. Design and Method: This study uses an ethnographic design with observations and interviews in two nursing homes in Southern Norway. Findings: The main theme was that social innovation within working practices in nursing homes includes phenomena that contribute to a meaningful everyday life for the residents. This main theme includes five subthemes: (1) opening the nursing home to the surroundings; (2) expanding and strengthening the community of practice; (3) facilitating customized activities; (4) ensuring sufficient nutrition and facilitating enjoyable mealtimes; and (5) preventing unrest and disturbing behavior. Conclusion: The study reveals that innovation practices grounded in person-centered care in nursing homes may contribute to opening the nursing home to the community and establishing a common community practice for all members of the nursing home. This enables residents to experience meaningful everyday life through customized activities, sufficient nutrition, and a pleasant milieu during mealtimes. Disturbing behavior is also prevented, making it possible to promote meaningful lives in nursing homes.publishedVersio

Enablers of the successful implementation of simulation exercises: a qualitative study among nurse teachers in undergraduate nursing education

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Dannelse og samskaping av utdanning mellom akademia og sykehjem: En kritisk etnografisk studie

Cultivation and co-creation of education between academy and nursing home - a critical ethnography study   Collaboration between academy and practice in education is emphasized. In this study, we explored and described boundary-crossing spaces, when co-creating an adjusted educational program for nursing students in a nursing home in Norway. Our aim was to explore how to learn person-centered dementia care through the participants in a learning community. A critical ethnographic approach and method with observations, field n otes, minutes of board, spontaneous meetings, and focus groups particularly with the students were used. Data were analyzed with six-step thematic analysis by Braun and Clarke. There were two main themes: 1) Creating a room for learning communities and 2) The room of the cultivation and border-crossing in learning communities. We further suggest, learning communities’ co-creation in elderly care, might potentiate innovative research and development methods for the future

Learning activities in bachelor nursing education to learn pre- and postoperative nursing care—A scoping review

The aim of this scoping review was to systematically map and summarise the existing literature on learning activities in pre- and postoperative nursing care for undergraduate nursing students. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses–Extension for Scoping Reviews (PRISMA-ScR) and the Johanna Briggs Institute guidelines were applied. Eleven articles were included in the scoping review. The learning activities involved simulation-based learning (including human patient simulation and virtual simulation), web-based learning and case studies. A range of pre- and postoperative content was applied in the learning activities. Students’ knowledge, skills, clinical decision making, clinical reasoning, experiences and stress and anxiety were measured. The review highlights findings for nursing educators planning teaching methods for pre- and postoperative nursing care.publishedVersio

”IT’S ABOUT MY LIFE”. CANCER PATIENTS’COPING POTENTIAL, AS EXPRESSED THROUGH THEIR MESSAGES IN AN ONLINE DISCUSSION FORUM

Background: Online support groups carry great potential for cancer patients and have become an increasingly common way of communication. However, more research is needed to learn how participation in such forums may benefit patients. Aim: To understand cancer patients’ coping potential as expressed through their descriptions in an online discussion forum. Method: This study is part of a larger study were a selective group of breast and prostate cancer patients communicated in a secure online discussion forum. 711 forum messages were analyzed using qualitative content analysis. Antonovsky’s theory of health served as theoretical framework for interpretation of results. Findings: Forum messages revealed: 1) a need to be the central character in one’s life’s drama 2) a need to be an active participant and mobilise one’s strength and 3) a need for storytelling and exchanging of experiences. Conclusion: Expressing oneself through storytelling and exchanging of experiences appears to be an important coping strategy by making the patients` world more comprehensible, manageable and meaningful. It can provide patients with a "sens

Older Women’s Experience Of Everyday Life In Old Age: Past, Present And Future

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Everyday uses of standardized test information in a geriatric setting : a qualitative study exploring occupational therapist and physiotherapist test administrators' justifications

Background: Health professionals are required to collect data from standardized tests when assessing older patients' functional ability. Such data provide quantifiable documentation on health outcomes. Little is known, however, about how physiotherapists and occupational therapists who administer standardized tests use test information in their daily clinical work. This article aims to investigate how test administrators in a geriatric setting justify the everyday use of standardized test information. Methods. Qualitative study of physiotherapists and occupational therapists on two geriatric hospital wards in Norway that routinely tested their patients with standardized tests. Data draw on seven months of fieldwork, semi-structured interviews with eight physiotherapists and six occupational therapists (12 female, two male), as well as observations of 26 test situations. Data were analyzed using Systematic Text Condensation. Results: We identified two test information components in everyday use among physiotherapist and occupational therapist test administrators. While the primary component drew on the test administrators' subjective observations during testing, the secondary component encompassed the communication of objective test results and test performance. Conclusions: The results of this study illustrate the overlap between objective and subjective data in everyday practice. In clinical practice, by way of the clinicians' gaze on how the patient functions, the subjective and objective components of test information are merged, allowing individual characteristics to be noticed and made relevant as test performance justifications and as rationales in the overall communication of patient needs