Aktiv empati : sjuksköterskors strategier för att frammana empati i mötet med patienter som av sjuksköterskan upplevs vara svårbemötta

The aim of this study is to describe nurses´ strategies to bring out empathy when encountering patients who are felt difficult to empathize with. The study is empirical and based on qualitative semi-structured interviews with registered nurses at a surgical ward. The data material was analyzed using content analysis. The result of the study shows that nurses employ different types of deliberate strategies in order to secure an empathetic treatment of these patients. In the study, the strategies are summarized in four head categories: strategies focusing on the patient, to decide upon one's set of mind, strategies focusing on oneself and indirect factors

Aktiv empati : sjuksköterskors strategier för att frammana empati i mötet med patienter som av sjuksköterskan upplevs vara svårbemötta

The aim of this study is to describe nurses´ strategies to bring out empathy when encountering patients who are felt difficult to empathize with. The study is empirical and based on qualitative semi-structured interviews with registered nurses at a surgical ward. The data material was analyzed using content analysis. The result of the study shows that nurses employ different types of deliberate strategies in order to secure an empathetic treatment of these patients. In the study, the strategies are summarized in four head categories: strategies focusing on the patient, to decide upon one's set of mind, strategies focusing on oneself and indirect factors

Comprehensive and Structured 3-month Stroke Follow-up Using the Post-stroke Checklist (The Struct-FU study) : A Feasibility and Explorative Study

Background: There is recent evidence supporting that a comprehensive post-stroke treatment program improves outcome. However, the prevalence of stroke-related health problems and the extent of needed interventions have not been well-delineated. The Struct-FU study aims to assess the feasibility of a comprehensive stroke follow-up model and to map stroke-related problems and subsequent multidisciplinary interventions using a modified Post-stroke Checklist (PSC). Methods: We consecutively screened all acute stroke patients at Skåne University Hospital, Sweden during an eight-month period in 2018–2019. Patients discharged to own home were eligible for inclusion. We defined a stroke-related health problem as a health- or social issue corresponding to one of the 14 items in the modified PSC, and with onset after the stroke event. Three-months post-stroke, a semi-structured interview using a 14-item modified PSC was completed to map the prevalence of stroke-related health problems, as well as any subsequent multidisciplinary stroke team interventions prompted by the visit. Results: The number of included patients was 200. Of these, 165 (82.9%) completed three-month follow-up, one died, and 34 were lost to follow-up. All patients completed the full PSC, and the majority (92.7%) reported stroke-related problems identified using the PSC, with the median number being three per patient, and half having four or more problems. Patients 65 years (n=121) (5 vs. 3, p=0.003). The median number of interventions was two per patient. Doctor's interventions (changes in medication, referrals or further work-up) were done in 53% of patients, 77% needed a nurse's or other stroke team professional's intervention (tailored advice, information, audits, rehabilitation assessments) and 15% needed no intervention. Only 3.6% of patients reported other stroke-related challenges (PSC item 14) than those specified in item 1–13. Conclusion: We report a high burden of stroke-related health problems in community dwelling stroke patients with mild to moderate stroke. Multidisciplinary interventions were prompted in the vast majority (85%). Only 3.6% of patients reported challenges not captured with the Post-stroke Checklist, reflecting that the comprehensive approach captures the majority of stroke-related health problems, and gives a good estimate of the total stroke-related health burden for each individual