22 research outputs found
Nursesâ and Doctorsâ Experiences of Transferring Adolescents or Young Adults With Long-Term Health Conditions From Pediatric to Adult Care: A Metasynthesis
The transfer of adolescents and young adults (AYA) with long-term health conditions from pediatric to adult care is a multidisciplinary enterprise where nurses and doctors play an important role. This review aimed to identify and synthesize evidence from qualitative primary reports on how nurses and doctors experience the transfer of AYA aged 13 to 24 years with long-term health conditions to an adult hospital setting. We systematically searched seven electronic databases for reports published between January 2005 and November 2021 and reporting nursesâ and doctorsâ experiences. We meta-summarized data from 13 reports derived from 11 studies published worldwide. Using qualitative content analysis, we metasynthesized nursesâ and doctorsâ experiences into the theme âbeing boosters.â Boosting AYAâs transfer was characterized by supporting AYAâs and their parentsâ changing roles, smoothening AYAâs transition from pediatric to adult care, and handling AYAâs encounters with a different care culture.publishedVersio
Parentsâ experiences of transitioning to home with a very-low-birthweight infant: A meta-ethnography
Medical-technological advances and neurodevelopmental care have improved the survival of extremely- and very-low-birthweight infants born before 32 weeksâ gestation. After months in neonatal care, the infants are discharged, and parents exited but full of anxiety. This review is designed as a meta-ethnography, addressing parentsâ discharge experiences to comprehend the synthesised research, which includes 12 eligible studies. From the analysis, we constructed three themes: âapproaching discharge with both uncertainty and confidenceâ; âdischarge as a longed-for though disordering turning pointâ; and âfacing joys, worries and multiple challenges when at homeâ. The overarching interpretation was âdischarge as double-edged swordâ. We conclude that bringing home very-low-birthweight infants is a joyful event, yet parents also experience discharge as never- endingly worrying, as a time filled with challenges to which parents must adapt and as necessitating contin- uous support from knowledgeable providers.publishedVersio
Time and change: A typology for presenting research findings in qualitative longitudinal research
Background: Qualitative longitudinal research (QLR) is an emerging methodology used in health research. The method literature states that the change in a phenomenon through time should be the focus of any QLR study, but in empirical studies, the analysis of changes through time is often poorly described, and the emphasis on time/change in the findings varies greatly. This inconsistency might depend on limitations in the existing method literature in terms of describing how QLR studies can present findings. The aim of this study was to develop and describe a typology of alternative approaches for integrating time and/or change in QLR findings.
Methods: In this method study, we used an adapted scoping review design. Articles were identified using EBSCOhost. In total, methods and results sections from 299 QLR articles in the field of health research were analyzed with inspiration from content analysis.
Results: We constructed a typology of three types and seven subtypes. The types were based on the underlying structural principles of how time/change was presented: Type A) Findings have a low utilization of longitudinal data, Type B) Findings are structured according to chronological time, and Type C) Findings focus on changes through time. These types differed in 1) the way the main focus was on time, change or neither; 2) the level of interpretation in the findings; and 3) how theoretical understandings of time/change were articulated in the articles. Each type encompassed two or three subtypes that represented distinct approaches to the aim and results presentation of QLR findings.
Conclusions: This method study is the first to describe a coherent and comprehensive typology of alternative approaches for integrating time/change into QLR findings in health research. By providing examples of various subtypes that can be used for results presentations, it can help researchers make informed decisions suitable to their research intent.publishedVersio
Jord- og vannovervÄking i landbruket (JOVA). Feltrapporter fra programmet i 2008
Program for Jord- og vannovervĂ„king i landbruket (JOVA) ledes av Bioforsk Jord og miljĂž, og utfĂžres i samarbeid med flere andre institusjoner. Programmet rapporterer Ă„rlig overvĂ„kingsresultater fra jordbruksdominerte nedbĂžrfelt over hele landet. Feltene representerer ulike driftsformer, jordbunnsforhold, og hydrologiske og klimatiske forhold. De Ă„rlige feltrapportene beskriver jordbruksdrift, og avrenning og tap av nĂŠringsstoffer og partikler i de ulike feltene. Tap av partikler og nĂŠringsstoffer rapporteres for agrohydrologisk Ă„r, 1. mai â 1. mai, mens tap av plantevernmidler rapporteres for kalenderĂ„r.publishedVersio
Jord- og vannovervÄking i landbruket (JOVA). Feltrapporter fra programmet i 2006.
Program for Jord- og vannovervÄking i landbruket (JOVA) ledes av Bioforsk Jord og miljÞ, og utfÞres i samarbeid med en rekke andre institusjoner. Programmet rapporterer Ärlig overvÄkingsresultater fra jordbruksdominerte nedbÞrfelt over hele landet. Feltene representerer ulike driftsformer, jordbunnsforhold, og hydrologiske og klimatiske forhold. De Ärlige feltrapportene beskriver jordbruksdrift, og avrenning og tap av nÊringsstoffer og partikler i de ulike feltene. Tap av partikler og nÊringsstoffer rapporteres for agrohydrologisk Är, 1. mai - 30. april, mens tap av pesticider rapporteres for kalenderÄr.publishedVersio
Differences in External and Internal Cortical Strain with Prosthesis in the Femur
The contact between a femoral stem prosthesis and the internal surface of the cortical bone with the stress in the interface is of crucial importance with respect to loosening. However, there are no reports of strain patterns at this site, and the main aim of the current study was to investigate differences of internal and external cortical strain in the proximal femur after insertion of a stem prosthesis. The external cortical strain of a human cadaveric femur was measured with strain gauges before and after implantation of a stem prosthesis. By use of optical fibres embedded longitudinally in the endosteal cortex, deformations at the implantâinternal cortex interface could also be measured. The main external deformation during loading of the intact femur occurred as compression of the medial cortex; both at the proximal and distal levels. The direction of the principal strain on the medial and lateral aspects was close to the longitudinal axis of the bone. After resection of the femoral neck and insertion of a stem prosthesis, the changes in external strain values were greatest medially at the proximal level, where the magnitude of deformation in compression was reduced to about half the values measured on the intact specimen. Otherwise, there were rather small changes in external principal strain. However, by comparing vertical strain in the external and internal cortex of the proximal femur, there were great differences in values and patterns at all positions. The transcortical differences in strain varied from compression on one side to distraction on the other and vice versa in some of the positions with a correlation coefficient of 0.07. Our results show that differences exist between the external and internal cortical strain when loading a stem prosthesis. Hence, strain at the internal cortex does not correspond and can not be deducted from measured strain at the external cortex