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5265 Uppsatser om Primary care nurses - Sida 11 av 351
Sjuksköterskors attityder till och upplevelser av att vårda personer med emotionellt instabil personlighetsstörning
Background: Patients with borderline personality disorder represent a large group in healthcare who are struggling with painful emotions in life. Caring should be based on strengthening health processes by focusing on the patients, but research made by the patient's perspective has shown that this population rather felt that their health processes was counteracted, than promoted. The patients felt that the nurses displayed a negative attitude towards them. Attitudes are defined as a system of values, emotions and actions towards others. Aim: the purpose of this study was to highlight the attitudes and experiences of nurses towards caring for people with borderline personality disorder Methods: A study on the literature based on nine scientific papers was performed. The articles have been analyzed, systematically coded and compiled into a new unit. Results: This study shows that nurses have an overall negative attitude towards patients with borderline personality disorder.
Sjuksköterskors upplevelser av hot och våld inom akutsjukvård
Background: An indisputable right for nurses is to have a safe and secure work environment so they can deliver a high quality care. To bring a clear definition of what threat and violence are, is an important part in the work to prevent threat and violence. One part of the problem is that the experience and understanding of threat and violence can be different from one person to another. Aim: The aim of this quality study was to emphasize Nurses experience of threat and violence at workplace. Method: The method used in this study was qualitative interviews in the sense to bring out the nurses experience.
Gör jag rätt eller fel? : En systematisk litteraturstudie kring sjuksköterskors upplevelser av att medverka vid inducerade aborter.
Background: According to the Swedish Social Board induced abortions are increasing in the modern day society. Nurses who work with in the gynecological department can come across patients seeking care for an induced abortion.Theoretical framework: The findings of the study will be discussed in relation to Peplau's nursing theory, ethical concepts and nursing concepts.Aim: The aim of the literature review was to illuminate the experiences of nurses working with induced abortion.Method: A systematic literature review with an inductive approach was chosen. The findings are based on seven qualitative and two quantitative studies. The articles were assessed through two different modified templates based on qualitative or quantitative design.Findings: Nurses and midwives experienced their work with induced abortions as emotionally stressful. However, it was highlighted that all women have the right whether to choose abortion or to proceed with the pregnancy.
Att sticka ett oroligt barn - sjuksköterskans möjligheter att lindra / To prick children : Nurses' possibilities to relieve distress
Background: Children frequently exhibit high levels of distress while undergoing routine blood sampling or injections. If the child is not treated with appropriate care, the feelings of distress may increase over time and result in needle-phobia. Objective: The purpose of this study was to describe nurses´ possibilities to relieve distress in children undergoing needle sticks. Method: A systematic literature review was conducted through database search and screening of reference lists. Ten research articles with a quantitative approach were included, coded for quality and then analyzed.
Omvårdnadsdokumentation : granskning av omvårdnadsjournaler inom psykiatrisk slutenvård
Background Swedish nurses are required by law to document nursing care. Studies have proved scarce in nursing documentation with regard to written language, the nursing process and the nurse´s caring perspective. Educating nurses in using the VIPS model have improved nursing documentation. Few studies have included nursing documentation of psychiatric care.Aim The aim of this study was to describe nursing documentation within psychiatric care of inpatient settings.Method A quantitative, retrospective descriptive research design was applied. A total of 60 nursing journals from a psychiatric department of six wards were studied.
Att beskriva och jämföra en expertgrupp och intensivvårdssjuksköterskors överensstämmelse i att detektera delirium hos intuberade, respiratorbehandlade patienter med sedering/analgesi, före och efter en utbildningsintervention : En kvasiexperimentell stud
The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.
Svårläkta sår : Sjuksköterskans kunskaper om omvårdnadsåtgärder vid svårläkta sår
In the nurse's profession ulcer care is a common nursing intervention. Being inserted in methods of treatment and updated with evidence-based knowledge is therefore an important part of the nurse's work. Chronic ulcers are expensive for health care and occupy a lot of time. Knowledge is therefore important for ulcer healing, for the patient comfort and to reduce costs. The aim of the study was to illustrate the nurse's knowledge of nursing interventions of chronic ulcer.
Hinder och möjligheter för att lindra smärta hos äldre personer - en empirisk studieObstacles and opportunities in dealing with pain management amongst older people - an empirical study
BACKGROUND: There is a high incidence of pain amongst older people. Several studies have shown that between 50 to 80 % of older people, who require domestic care or live in care homes, suffer from pain. Despite this many older people are under treated. AIM: The aim of this study was to explore what care providers perceive to be obstacles and opportunities of managing pain in older people. METHOD: A qualitative approach was used and the date was semi-structured interviews with open-ended questions.
Utbrändhet - En litteraturstudie om utbrändhetsfaktorer bland sjuksköterskor
The aim of this literature study was to find out how nurses experience their work-situation and work environment and which the risk factors where. We also wanted to examine what kind of influence those risk factors had on nurses work satisfaction. This was done by the following question: What are the risk factors that can lead to burnout in work environment of nurses? The method was by critical examination of ten scientifically articles. The articles were critically studied by the criterions of Polit, Beck & Hungler.
Främjande av egenvård för patienter med typ 2-diabetes inom primärvården - diabetessjuksköterskans upplevelser
ABSTRACTBackground: The incidence of type 2 diabetes is increasing worldwide. Early intervention in form of medication, advice on self-management and lifestyle changes is necessary to avoid complications. Few Swedish studies are made on the diabetes nurse?s views on promotion of self- management.Purpose: To examine the diabetes specialist nurse?s experience of promoting self-management to patients with type 2 diabetes in primary care. Method: A qualitative explorative study where eight diabetes nurses were interviewed. The interview guide consisted of semistructed questions concerning the promotion of self-management.Results: The diabetes nurse?s role in promoting patient self-management is significant, if resources are available in the form of adequate time for the patient and good team work.
Sjuksköterskors upplevelser av att vårda äldre personer som uppvisar beteendemässiga och psykologiska symtom vid demenssjukdom : en intervjustudie
The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.
Trycksår : ? undersköterskors kunskaper om att förebygga trycksår
Background and aims: The population of older people in our society is increasing. Agerelated changes in the skin results in a diminished perception of pain and pressure and a decreased microcirculation in the skin affects its ability to adapt to injury. Occurrence of pressure sore on geriatrikal clinics are 5-10%, witch means that between five and ten thousand patients gets daily treat for pressure sores. When the patient gets a pressure sore the need for help increases. A common apprehension is that if the patient?s affects with pressure sores it?s because of deficiency in care.
Vilken omvårdnad får den polikliniska patienten vid cytostatikabehandling för att uppleva livskvalitet
Every year an avorage of 40 000 Swedes fall ill with different forms of cancer.
Chemotheraphy has an effect on the tumour cells as well as the healthy cells in
the body, this causes many side effects which can be very problematic for the
patient. The study was carried out in order to indicate the care measures that
are taken to deal with the side effects i. e stomatit, loss of hair and
sickness/vomiting, that are connected with chemotheraphy so that the
outpatients will experience a quality of life. The method used was a
qualitative interview with six nurses from the South if Sweden, all of whom are
working with chemotheraphy patients.
Verksamhetsförändring : Sociologiska perspektiv på implementeringen av barnkonventionen inom BVC
This study aims to create an understanding of how employees relate to directives that come from a level above them in the hierarchy and is to be implemented in their working activities. This is studied by examining a case where a work group has tried to implement orders, given to them by the government and through a work group in the level above them in the organizations, concerning how employees working with child health care is to educate parents regarding the child convention. The method that have been use in this study is group interviews with 19 child health care nurses and the two main questions that are asked is why has it been difficult to implement the orders and how have the child health care nurses expressed their resistance to the changes, this since only five of the nurses had begun working with the child convention. The theories that have been used focus on how resistance towards change is expressed, organizational incapability and reluctance towards change, as well as how grass root bureaucrats relates to change. The conclusion that can be drawn from this study is that it is important to let the concerned parties participate from the beginning of the process, to minimize their reluctance to the changing process.
Bemötande efter plötsligt dödsfall. En litteraturstudie om närståendes behov.
The idea of this study was to critically examine and account for the result found in scientific articles from databases. The aim of this literature review was to investi-gate how nurses can encounter a bereaved person in a crisis situation. Also the encounter of a person at risk of losing someone. Additionally, we investigated if the nursing staff fulfilled these needs. This literature review foremost addresses registered nurses.