228 research outputs found
Insider Action research as an approach and a method â Exploring institutional encounters from within a birthing context
The aim of this paper was to describe the first person perspective of being a peer midwife and a novice researcher initiating collaborative AR in her own organization to develop knowledge about the first encounters between the labouring woman and her care-givers in a hospital birthing context. It was motivated by the authorâs longstanding professional clinical experience of observing and hearing parentsâ stories of vulnerability and fear of childbirth, and how staffâs attitudes affected the childbirth experience negatively.
Data were collected between 2010 and 2013 and included the researcherâs log with reflections from clinical work, as well as interviews, participant observation, and research group communications. A reflective interpretative lifeworld research approach was used to analyze the data. The experience of being a novice insider action researcher (IARr) consisted of three thematic meanings: ââthe struggle to initiate a clinical insider action research project,ââ ââstanding alone at the messy front line,ââ and ââbeing a catalytic counterbalance to the prevailing medico technical focus.ââ The comprehensive understanding was ââlearning how to clinically reflect on and to voice the tacit components of care.ââ The strategy used in undertaking this study was influenced by the philosophies of both midwifery care and AR
First-Line Nurse Managers' Challenges at the Crossroads of Norwegian Health Care Reforms
Norwegian municipal health care has large public service offerings, funded by tax revenues; however, the current Norwegian welfare model is not perceived as sustainable and future-oriented. First-line nurse managers in Norwegian municipal health care are challenged by changes due to major political and government-initiated reforms requiring expanded utilization of home nursing. The aim of this theoretical study was to describe challenges the first-line nurse managers in a Nordic welfare country have encountered on the basis of government-initiated reforms and to describe strategies to maintain their responsibilities in nursing care. First-line nurse managers' competence, clinical presence, and support from superiors were identified as prerequisites to maintain sight of the patients in leadership when reforms are implemented. The strategies first-line nurse managers in Norwegian municipal health care use to implement multiple reforms, regulations, and new acts require solid competencies in nursing, leadership, and administration. Competence in nursing enables focus on the patient while leading the staff. Supports from superiors and formal leadership networks are described as prerequisites for managing the challenges posed by change and to persist in leadership positions.publishedVersio
The nurse-patient relationship as a story of health enhancement in community care : A meta-ethnography
Author's accepted version (post-print).This is the peer reviewed version of the following article: StrandÄs, M. & Bondas, T. (2017). The nurse-patient relationship as a story of health enhancement in community care: a meta-ethnography. Journal of Advanced Nursing, which has been published in final form at http://dx.doi.org/10.1111/jan.13389. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.acceptedVersio
Suffering as a Lifelong Companion: A Phenomenological-hermeneutic Study of Men living With Severe Psychiatric Illness
publishedVersio
A decade of metasynthesis research in health sciences : A meta-method study
The overall aim of this study was to analyze the methods applied in previous metasynthesis research and to inform future researchers of epistemological and methodological issues based on this analysis. Meta-method analysis was applied to a decade of 45 published metasynthesis studies that pertain to nursing and allied health studies. The findings show that the metasynthesis research can be classified into three areas: (1) health, illness and suffering, (2) care and support, and (3) parenting, newborn and childcare. Meta ethnography dominates the research area. Metastudy, metasummary, qualitative metasynthesis, and grounded formal theory are emerging methods. The metasynthesis studies suffer from modifications without explications, use of secondary method references, missing sample and search data and differences in the type of findings and the meta-concepts depicting the findings. The worth of metasynthesis research is questioned when the core ideas of qualitative meta studies, theoretical and/or methodological development (ââsynthesisââ) combined with the potential of going beyond and behind the studies (ââmetaââ), is missing. Metasynthesis research requires knowledge in both the substance and the various qualitative methods, and systematic attendance to the method accompanied by the openness and the creativity of a qualitative approach. Conclusions and recommendations are presented as epistemological reflections and a guide for future metasynthesis research in health sciences
Balancing preterm infants' developmental needs with parent's readiness for skin-to-skin care: a phenomenological study
The aim of this article is to articulate the essence and constituents of neonatal intensive care unit (NICU) nurses’ experiences in enacting skin-to-skin care (SSC) for preterm newborns and their parents. SSC is commonly employed in high-tech NICUs, which entails a movement from maternal–infant separation. Parents’ opportunities for performing the practice have been addressed to NICU staff, with attitude and environment having crucial influence. The study was carried out with a reflective lifeworld research approach. Data were collected in Denmark, Sweden, and Norway by open-dialogue interviews with a purposive sample of 18 NICU nurses to achieve the essence of and variation within the phenomenon. NICU nurses experience balancing what they consider preterm newborns’ current and developmental needs, with readiness in both parents for SSC. They share an experience of a change in the history of NICU care to increased focus on the meaning of proximity and touch for the infants’ development. The phenomenon of enacting SSC is characterized by a double focus with steady attention to signals from both parents and newborns. Thereby, a challenge emerges from the threshold of getting started as the catalyst to SSC
Relationships influencing caring in firstâline nursing leadership: A visual hermeneutic study
Aim
To explore and interpret relationships that influence caring in nursing leadership, in the context of Nordic municipal health care, from first-line nurse managersâ perspectives.
Design and method
We chose a visual hermeneutic design. A three-stage interpretation process outlined by Drew and Guillemin, based on Rose, was used to analyse drawings and the following reflective dialogue from three focus groups, with a purposive sample of 11 first-line nurse managers. The study was conducted from February to May 2018.
Results
The findings demonstrated that first-line nurse managers struggled to balance their vision with administrative demands. Caring for patients implied caring for staff; however, they often felt as if they were drowning in contradictory demands. First-line nurse management could be a lonely position, where the first-line nurse managers longed for belonging based on increased self-awareness of their position within an organisation. Superiorsâ support enabled first-line nurse managersâ in their primary aim of caring for patients.
Conclusion
First-line nurse managers showed deep roots to their identities as nurses. Caring for patients included caring for staff and was their main concern, despite demanding reforms and demographic changes affecting leadership. Superiorsâ support was important for FLNMsâ self-confidence and independence in leadership, so the first-line nurse managers can enact their vision of the best possible patient care. This study adds knowledge of the significance of caring in nursing leadership and the caritative leadership theory.
Impact
In order to recognise FLNMs as vulnerable human beings and provide individual confirmation and support, a caring organisational culture is needed. FLNMs need knowledge based on caring and nursing sciences, administration and participation in formal leadership networks. These findings can serve as a foundation for developing educational programmes for nurse leaders at several organisational levels.publishedVersio
Through the depths and heights of darkness ; mothers as patients in psychiatric care
Author's accepted version (post-print).This is the peer reviewed version of the following article: Blegen, N., Eriksson, K. & Bondas, T. (2014). Through the depths and heights of darkness; mothers as patients in psychiatric care. Scandinavian Journal of Caring Sciences, 28(4), 852-860, which has been published in final form at http://dx.doi.org/10.1111/scs.1212
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