Using a Reflective Attitude when Meeting Older Chronically Ill Patients' Care Needs in Home Care Nursing

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International Nursing. Caring in Nursing Leadership- A meta-ethnography From the Nurse Leader`s Perspective

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To Attend or Not—The Reasoning Behind Nursing Students’ Attendance at Lectures : A Qualitative Study

There is a rising tendency for students in higher education not to attend lectures. Therefore, the aim of the study was to describe the reasoning behind nursing students’ decisions on whether or not to attend lectures. This qualitative study was performed in a nursing education programme at a Swedish University. One hundred and thirty-one students participated. Data were collected through a questionnaire comprising open-ended questions. Qualitative content analysis was performed. The results are presented in eight categories: four concerning reasons for attending lectures and four concerning reasons for not attending lectures. Decisions, both to attend and to not attend lectures, were based on conscious choices guided by the students’ self-governing of their own personal needs for learning.publishedVersionPaid Open Acces

The perioperative dialogue : coherence in a continuous whole

The traditional way of working in Swedish perioperative care, from the nurse anaesthetist’ and theatre nurse’s perspective, means that they will meet the patient at only one occasion, where they often are unprepared for the character of a patient’s worries or particular wishes. When the same nurse meets  the patient at three different occasions in a perioperative dialogue, i.e. a pre-, intra-, and postoperative conversation, the nurse has an opportunity to receive better knowledge about the goals of the patient. Aim The overall aim for the project was to identify expressions for health and well-being, which became evident through patients’ as well as nurse anaesthetists and theatre nurses’ experiences from the perioperative dialogue.  Methodology: The research is based on two studies where semi-structured interviews were carried out, with 18 patients and 20 nurses. Data from the interviews were analysed according to grounded theory. Results The results showed, that by using the perioperative dialogue, a continuity of care is created, both from a patient and nurse perspective. The continuity of the patient’s relationship with the nurse, and the nurse’s relationship with the patient, forms a coherent whole. When the nurse creates a caring relationship and involves the patient into the activities surrounding the surgery, the situation becomes more understandable, manageable and meaningful to the patient. Health and well-being for patients is promoted when nurses give them time and make them part of what is going to happen. Health and well-being for the nurses is promoted when they are allowed to care for the patient throughout the perioperative process. In the perioperative dialogue, the patient, in his or her relationship with the nurse, is guaranteed the responsibility of his or her own recovery and the movement towards health and wholeness. In the relationship with the patient, the nurse becomes responsible for creating a whole, a coherent whole. Conclusions The perioperative dialogue promotes the process of becoming in health and well-being through continuity of care and the sense of coherence, both for the patient and the nurse

Sharing the Same Reality, Healthy Relations Between Colleagues at Work : A Meta-Synthesis

Introduction: Good relations are important at work, leading to well-being among coworkers. Since the latest research in nursing is mostly about bullying, and lateral violence, it was important to study what healthy relations mean. Objectives: The aim was to identify and synthesize qualitative studies that describe healthy relations, creating health and well-being between colleagues at work. Methods: A meta-synthesis approach, inspired by Sherwood's steps of analysis, was chosen for this study. Ten articles from three continents, comprising 230 participants, were included. Results: Two themes were identified as follows: (a) creating a mutual bond on a personal level and a permissive atmosphere through the human warmth; and (b) sharing togetherness in a greater whole, offering unconditional help and devoting themselves to taking care of each other. An overarching metaphor implicating the home/homeness was abstracted from the two themes: "Healthy relations between colleagues at work constitute the community as a common world, containing feelings of being at home, implying acting in an expression of the ethos and dignity, a culture created that makes the ideal form of healthy relations visible." Conclusion: Nurses find their meaning when they work in a permissive environment, and when they are allowed to be themselves. Such meaning can be found through their engagement with one another, by offering each other unconditional help. Good relationships lead to a place they call their home, where there is trust and friendship

Reaching a tipping point : Perioperative nurse managers' narratives about reasons for leaving their employment-A qualitative study

Aim To describe reasons why nurse managers in perioperative settings decide to leave their employment. Background Current literature has shown that perioperative nurse managers' reasons to leave their positions are formed through an interaction of factors. Methods Individual in-depth interviews were performed with seven nurse managers, all women, in perioperative settings in Sweden. Data were analysed using systematic text condensation. Results Five key themes were identified: (a) to end where I started, as a frontline nurse; (b) I wanted to develop further to the next level in my career; (c) I ran out of ideas; (d) I lost trust in my head manager and did not believe in the new organisation and (e) I had had enough of being offended by my superior manager and my employees. Conclusion Nurse managers experienced feeling forced into a decision to leave because of being offended by their superiors or their employees. Furthermore, the findings indicate that nurse managers should be offered support from superior managers and the organisation together with time for discussions. Implications in Nursing Management The most essential element should be the influence of caritative leadership and the obvious expectation of being treated with dignity, respect and appreciation

The Meaning of the Common World in Perioperative Nursing Care; A Hermeneutic Study

The aim of this study is to bring forth the meaning of the common world as it appears in perioperative nursing care. We employed the epistemological standpoints of preunderstanding, the hermeneutic spiral and fusion of horizons grounded in Gadamer’s hermeneutic philosophy as well as Eriksson’s Theory of Caritative Caring based on the ontology of caring science, where caritas is the basic motive and ethos of caring. Four hermeneutic spiral activities were performed, consisting of a mimetic presentation bearing the ontological depth of the common world, its distinctive features, the universal and lasting and finally, the truth inherent in the common world. The inherent truth of the common world is the prevalence of harmony, wholeness and the idea of love, mercy and reverence for human dignity. The common world brings ethics to existence, achieved by the word of honour, which in its true being makes visible the universal and ontological horizons of a common reality. The common world is the creation of a hermeneutic movement inside each suffering human being, where the boundless life-giving time represents the inhabited movement of time, like coming home

Reaching a tipping point : Perioperative nurse managers’ narratives about reasons for leaving their employment—A qualitative study

Aim To describe reasons why nurse managers in perioperative settings decide to leave their employment. Background Current literature has shown that perioperative nurse managers’ reasons to leave their positions are formed through an interaction of factors. Methods Individual in‐depth interviews were performed with seven nurse managers, all women, in perioperative settings in Sweden. Data were analysed using systematic text condensation. Results Five key themes were identified: (a) to end where I started, as a frontline nurse; (b) I wanted to develop further to the next level in my career; (c) I ran out of ideas; (d) I lost trust in my head manager and did not believe in the new organisation and (e) I had had enough of being offended by my superior manager and my employees. Conclusion Nurse managers experienced feeling forced into a decision to leave because of being offended by their superiors or their employees. Furthermore, the findings indicate that nurse managers should be offered support from superior managers and the organisation together with time for discussions. Implications in Nursing Management The most essential element should be the influence of caritative leadership and the obvious expectation of being treated with dignity, respect and appreciation

Managerial challenges faced by Swedish nurse managers in perioperative settings : a qualitative study

Background: Nurse managers need to create cultures that are worthy, not only of the commitment of everyone who comes to work but also of the trust of everyone who comes to be served. The aim of our study was to describe the challenges faced by Swedish nurse managers in a perioperative setting. Methods: A qualitative study was conducted. The participants were chosen by convenience sampling, and individual in-depth interviews were conducted. Data were analysed by Systematic Text Condensation. The COREQ checklist was consulted throughout the study to optimise the quality. Results: Nineteen nurse managers (all women) participated. Six themes were identified: "striving to treat employees with consideration and solicitude"; "the obligation to take care of each employee's individual needs"; "convincing others was an uphill battle", "finding solutions when things seem impossible"; "staff recruitment, allocation, and management"; "working with constantly changing planning". Conclusions: The nurse managers faced challenges because of the overwhelming amount of work tasks, with almost no time for reflection. Having carefully chosen tasks and a realistic time schedule for each work task, plus time to find one's own path to inner peace, are essential for nurse managers. Organisations that provide these prerequisites show that they care about their nurse managers. The results of this study indicate the need for time to reflect, as well as support from superior managers and from the human resources department

Using a Reflective Attitude when Meeting Older Chronically Ill Patients' Care Needs in Home Care Nursing

Background: Current demographic developments have resulted in an increased focus on home care nursing, which can be defined as any form of assistance to a sick person (the patient) in her/his home by family and members of the community in cooperation with a qualified healthcare professional who provides advice and support. Aim: To describe what nurses take into account in order to meet the care needs of older chronically ill patients in home care nursing. Methods: Fourteen nurses with home care service experience employed at four different units in two municipalities in Norway participated in a qualitative study. Semi-structured interviews were conducted, transcribed verbatim and analysed by qualitative content analysis. Results: Four categories emerged from the analysis: Getting to know the patients, Helping patients to live their own life, Involving next of kin, and Making time for and comforting lonely patients. Conclusion: The nurses reflected on the importance of reading the patients’ faces as they expressed themselves. Following patients over time helped the nurses to understand their personal wishes for life and expectations of care