Publikationer från Röda Korsets Högskola
Not a member yet
1218 research outputs found
Sort by
Dare to Ask! : A Model for Teaching Nursing Students about Identifying and Responding to Violence against Women and Domestic Violence
No full textThe role of nurses in identifying and responding to family violence and violence against women has long been established. However, nurses’ readiness to fully assume this role remains low due to various barriers and the sensitive nature of the subject. As part of capacity building to address this problem, an additional national qualitative learning target, i.e., to “show knowledge about men’s violence against women and violence in close relationships”, was introduced into the Swedish Higher Education Ordinance for nursing and seven other educational programs between 2017 and 2018. The aim of this paper is to describe how the national qualitative learning target is incorporated into the undergraduate nursing curriculum at the Swedish Red Cross University College. An overview of relevant teaching and learning activities and how they are organized is first presented, followed by the presentation of a proposed didactic model: Dare to Ask and Act! The model details a step-by-step progression from facts and figures, including the role of gender norms, to recognizing signs of abuse in complex clinical situations, as well as developing skills that enhance the courage to ask and act. Due to the sensitive nature of violence victimization, the proposed model reflects the importance of making the subject a reoccurring theme in undergraduate nursing education in order to boost nursing students’ interests and confidence to “Dare to Ask and Act!”. The model also shows that making the subject a recurring theme can be achieved with minimal disruptions to and without overcrowding an existing curriculum
Nurse's experiences of caring for people with symptoms of dementia in the end-of-life stages : A literature study
No full textBakgrund: Risken att utveckla demenssjukdomar ökar med stigande ålder och det sker en kontinuerlig ökning globalt. Sjukdomen förvärras progressivt över tid, är obotlig och dödlig. Det ställs större krav på vården att kunna möta upp det ökande vårdbehovet. Det är viktigt att kunna möta vårdbehovet och ge dessa patienter en adekvat och värdig vård, trotts sjukdomens komplexa natur. Syfte: Syftet med litteraturstudien var att beskriva sjuksköterskors erfarenheter av att vårda personer med symptom av demenssjukdom i livets slutskede. Metod: En allmän litteraturstudie genomfördes med stöd av Polit & Becks nio-stegsmodell. Denna studie analyserades i enlighet med Graneheim & Lundmans innehållsanalys. Resultaten utgick från nio orginalartiklar som söktes fram i databaserna CINAHL och PubMed. Resultat: Två huvudkategorier identifierades: personens välbefinnande och samverkan. Slutsats: Sjuksköterskorna stötte på utmaningar då patienterna inte kunde utrycka sina känslor och behov till följd av den kognitiva svikten som medföljer vid symptom av demenssjukdom i livets slutskede. En god relation mellan sjuksköterskorna och anhöriga är avgörande i givandet av adekvat vård. Vidare forskning inom demensvård krävs för att få en bättre förståelse och öka kunskapen inom vården. Background: The risk of developing dementia increases with age and there’s a continuous global rise. The disease worsens over time, is incurable and fatal. With greater demands on the healthcare system, it’s important to have the capacity to meet the healthcare needs of these patients and provide adequate and dignified care, despite the complexity of the disease. Aim: The purpose of this literature study was to describe nurses' experiences of caring for people with symptoms of dementia at the end of life. Method: A general literature study was carried out with the support of Polit & Beck's nine-step model. This study was analyzed in accordance with Graneheim & Lundman's content analysis. The results were based on nine original articles that were searched in the databases CINAHL and PubMed. Results: Two main categories were identified: Patient well-being and collaboration. Conclusions: The nurses encountered challenges as patients were unable to express their feelings and needs due to the cognitive impairment that accompanies end-of-life dementia. A good relationship between nurses and relatives is crucial in providing adequate care. Further research in dementia care is required to gain a better understanding and increase knowledge in care.
Patient's experiences of postoperative pain and pain relief : A general literature study
No full textBackground: Postoperative pain is expected and affects many patients who undergo surgery. To prevent complications and long-term pain, the nurse's role is to understand the patient's pain experience, assess the pain and treat it with both pharmacological and non-pharmacological treatments to relieve the patient's pain using a patient-centered approach. Purpose: The purpose was to investigate the experiences of adult patients with postoperative pain and pain relief. Method: A general literature study using a qualitative study design consisted of 10 scientific articles analyzed with an inductive approach according to Elo and Kyngäs. Results: Three categories were discovered: Postoperative experiences related to the patient, The patient's experience of postoperative pain treatment and the patient's experience of the care staff's response to postoperative pain. Conclusion: Postoperative pain is a complex and individual experience and pain descriptions can vary in intensity and form. Treatment choices, both pharmacological and non-pharmacological, affect how patients manage their pain. Nurses play an important role in patients' postoperative pain experience, which affects the outcome of pain management and pain relief.
People´s experience of lifestyle changes in type 2 diabetes : A qualitative literature study
No full textBakgrund: Diabetes är en folksjukdom som ökar i världen. För en framgångsrik behandling behöver personer med diagnosen diabetes typ 2 förutom medicinsk vård även ändra sin livsstil vilket främst innefattar förändrade vanor kring kost och fysisk aktivitet. Syfte: Syftet med denna studie var att beskriva personers upplevelser av livsstilsförändringar vid diabetes typ 2. Metod: Allmän litteraturöversikt. Systematiska sökningar gjordes i databaserna CINAHL och PubMed. Kvalitativ innehållsanalys genomfördes för analys. En tematisk analys gjordes av nio forskningsartiklar och dess resultat. Resultat: Resultatet genererade två teman med respektive två subteman, Motivation - Motiverade till livsstilsförändringar och Omotiverade till livsstilsförändringar, Ändra och bibehålla vanor - Beteendeförändringar och Praktiska utmaningar Slutsats: Resultaten pekade på att motivation, bibehållandet av livsstilsförändringar över tid, känslor relaterade till diagnosen och socialt sammanhang var avgörande för livsstilsförändring. Sjuksköterskor har en viktig funktion att förstå patienters unika livssituationer och levnadsvillkor för att effektivt kunna stödja dem i att göra nödvändiga livsstilsförändring. Fortsatt forskning: Studien understryker även behovet av fortsatt forskning för personer med diabetes typ 2 med fokus på den yngre befolkningens omvårdnadsbehov och livsstilsförändringar. Nyckelord: Diabetes mellitus typ 2, livsstilsförändring, omvårdnad, personer, personcentrerad vård, upplevelserBackground: Diabetes is a common disease that is increasing worldwide. For successful treatment, individuals diagnosed with type 2 diabetes need not only medical care but also to change their lifestyle, which mainly involves changing habits related to diet and physical activity. Purpose: The purpose of this study was to describe individuals' experiences with lifestyle changes in type 2 diabetes. Method: General literature review. Systematic searches were conducted in the CINAHL and PubMed databases. Qualitative content analysis was performed for analysis. A thematic analysis was done of nine research articles and their results. Results: The results generated four themes two subthemes each, Motivation - Motivated for Lifestyle Changes and Unmotivated for Lifestyle Changes, Changing and Maintaining Habits - Behavioral Changes and Practical Challenges. Conclusion: The results indicated that motivation, maintaining lifestyle changes over time, emotions related to the diagnosis, and social context was crucial for succeeding with lifestyle changes. Nurses play a significant role in understanding patients' unique life situations and living conditions to effectively support them in making necessary lifestyle changes. Continued Research: The study also emphasizes the need for further research on individuals with type 2 diabetes, focusing on the care needs and lifestyle changes of the younger population. Keywords: Experiences, lifestyle changes, nursing, person-centered care, persons, type 2 diabetes mellitus
Nurses' experiences of caring for adult patients with intensive care delirium. : A litterature review
No full textBakgrund: Delirium har en utbredd förekomst inom olika vårdmiljöer, särskilt på intensivvårdsavdelningar. Detta kan leda till flera negativa konsekvenser, inklusive förlängda vårdtider på intensivvårdsavdelningen och i sjukhusmiljön. Syftet: med studien var att beskriva sjuksköterskors upplevelser av att vårda vuxna patienter med intensivvårdsdelirium. Metoden: för detta var en litteraturstudie som genomfördes enligt Polit och Becks niostegsmodell. Studien baserades på 18 kvalitativa artiklar som analyserades med Braun och Clarkes tematiska analys. Resultat: författarna identifierade två teman: att identifiera och behandla delirium, samt att möta utmaningar och osäkerhet i vården av patienter med delirium. Sex subtema delades sedan in i bedömningsinstrument för att identifiera delirium, utmaningar med läkemedelsbehandling och omvårdnadsåtgärder vid ickeläkemedelsbehandling, bristande kunskap, vikten av att optimera vårdmiljö och kommunikationssvårigheter. Detta ledde fram till slutsatserna att det fanns brister i bedömningen av intensivvårdspatienter med delirium delvis på grund av tidsbrist och kunskapsbrist. Läkemedelsbehandling användes i stor utsträckning vilket ledde till mer övervakning och tillsyn i stället för att använda icke-läkemedelsbehandlingsåtgärder. Tillräckligt med kunskap om delirium saknades och behov av mer utbildning efterfrågades för att öka kompetensen kring deliriumvård. Miljön påverkade arbetet och modifiering av miljön skapades för en tryggare arbetsplats och för att förebygga deliriumBackground: Delirium is widespread in various healthcare settings, particularly in intensive care units (ICUs). This condition can lead to several negative consequences, including prolonged stays in the ICU and the hospital. Aim: The study aimed to describe nurses' experiences of caring for adult patients with ICU delirium. Method: A literature review was conducted following Polit and Beck's nine-step model. The study was based on 18 qualitative articles analyzed using Braun and Clarke's thematic analysis. Results: The authors identified two main themes: identifying and treating delirium and facing challenges and uncertainties in caring for patients with delirium. Six sub-themes were categorized into assessment tools for identifying delirium, challenges with pharmacological treatment and nursing interventions for non-pharmacological treatment, lack of knowledge, the importance of optimizing the care environment, and communication difficulties. The conclusions drawn were that there were deficiencies in the assessment of ICU patients with delirium, partly due to time constraints and lack of knowledge. Pharmacological treatment was extensively used, leading to more monitoring and supervision instead of utilizing non-pharmacological treatment measures. Adequate knowledge about delirium was lacking, and more education was needed to increase competence in delirium care. The environment impacted the work, and modifications were made to create a safer workplace and prevent delirium
Patient experiences of care during the first episode of psychosis : A literature study
No full textBakgrund: Psykossjukdom är en av de allvarligaste psykiatriska sjukdomarna. Trots att det finns effektiva behandlingsstrategier får inte alla med psykossjukdom specialiserad vård, vilket kan ha allvarliga konsekvenser för deras livslängd och välbefinnande. Diskriminering och stigma kring psykossjukdom kan påverka patientens hälsa och prognos. Det är viktigt att tidigt upptäcka och behandla psykossjukdomar för att minimera funktionsnedsättning och förbättra prognosen. En utmaning inom vården för personer med förstagångsinsjuknande är att bibehålla terapeutisk allians och främja återhämtning. Syfte: Syftet var att beskriva patienters erfarenheter av vården vid förstagångsinsjuknande i psykos. Metod: En litteraturstudie med strukturerat tillvägagångssätt och kvalitativ ansats. 15 originalartiklar inkluderades och tematisk dataanalys genomfördes enligt Braun och Clarke. Resultat: Litteraturstudien sammanställer tidigare forskning inom området och efter dataanalys framkom tre teman: Värdefulla relationer, Hjälpande insatser, Hinder och utmaningar för delaktighet med respektive subteman. Slutsats: Erfarenheterna från vården för personer med förstagångsinsjuknande med psykos berör relationer till personal och medpatienter, praktiskt stöd och psykoedukation, och faktorer som rädsla för vården, bristande tillit och kontinuitet.Background: Psychotic disorders are among the most severe psychiatric illnesses. Despite the availability of effective treatment strategies, not all individuals with psychotic disorders receive specialized care, which can have serious consequences for their longevity and well-being. Discrimination and stigma surrounding psychotic disorders can impact the patient's health and prognosis. Early detection and treatment of psychotic disorders are crucial to minimize disability and improve prognosis. One challenge in the care of individuals experiencing first-episode psychosis is maintaining therapeutic alliance and promoting recovery. Aim: The objective was to describe patients' experiences of care during first-episode psychosis. Method: A literature study with a structured approach and qualitative approach. 15 original articles were included and thematic data analysis was conducted according to Braun and Clarke. Results: The literature review compiles previous research in the field, and after data analysis, three themes emerged: Valuable relationships, Supportive interventions, and Barriers and challenges to engagement, each with respective sub themes. Conclusions: The experiences of healthcare for individuals with first-episode psychosis involve relationships with staff and fellow patients, practical support and psychoeducation, as well as factors such as fear of healthcare, lack of trust, and continuity
Nurses' experiences of encountering children with autism : A literature study
No full textBakgrund: Autism är en funktionsnedsättning som kan orsaka stora hälsokonsekvenser både fysiskt, psykiskt och socialt om ett individuellt stöd inte ges. Autism kan te sig olika för varje person, vilket ökar komplexiteten i att möta och vårda dessa personer. Sjuksköterskan utgör en central roll i mötet med autistiska barn. Syfte: Att beskriva sjuksköterskors erfarenheter av att möta barn med autism i åldrarna 0-17 år och deras familjer. Metod: En litteraturöversikt med en kvalitativ ansats, och ett systematiskt arbetssätt baserat på Polit och Becks (2020) niostegsmodell användes. Nio studier inkluderades och analyserades med en tematisk analys enligt Braun och Clarkes (2006) sexstegsmodell. Resultat: Två teman med fyra underteman genererades. En utmanande vård med underteman Att identifiera begränsningar i sjuksköterskans kompetens och Att identifiera brister i vården, samt Ett komplext vårdmöte, med underteman Att skapa relationer och Att erbjuda vård på lika villkor. Slutsatser: Sjuksköterskorna identifierade brister inom vården, och att ett anpassat stöd är avgörande för att barn med autism ska uppnå en god hälsa. Resultaten kan bidra till ökad kunskap om autism och förbättrat folkhälsoarbete på lokal- och samhällsnivå. Background: Autism is a disability that can cause major health consequences physically, mentally and socially if individualized support is not provided. Autism can present differently for each person, adding to the complexity of meeting and caring for these individuals. The nurse plays a central role in the encounter with autistic children. Aim: To describe nurses' experiences of meeting children with autism aged 0-17 years and their families. Method: A literature review with a qualitative approach, and a systematic method based on Polit and Beck's (2020) nine-step model was used. Nine studies were included and analyzed with an thematic analysis according to Braun and Clarke's (2006) six-step model. Results: Two themes with four subthemes were generated. A challenging care with subthemes Identifying limitations in the nurse's competence and Identifying deficiencies in care, and A complex care encounter, with subthemes Creating relationships and Offering care on equal terms. Conclusions: Nurses identified gaps in care, and that adapted support is crucial for children with autism to achieve good health. The results can contribute to increased knowledge about autism and improved public health work at local and community level.
Nurses’ experiences of caring for women who have been subjected to genital mutilation
No full textBackground: Nurses today meet people from all parts of the world due to increased globalization. Female genital mutilation (FGM) is an illegal procedure in Sweden but is performed all around the world. Nurses encounter these women who may have short- or long-term complications, mental as wellas physical. The experiences of the care encounter are complex but important to emphasize for the future establishment of good care. Aim: To describe nurses' experiences of caring for women who have been subjected to genital mutilation. Method: A qualitative interview study with an inductive approach where nurses were interviewed and data analyzed with thematic analysis. Results: Previous knowledge and understanding, as well as the importance of communication, are factors that play a role in nurses' experiences of the encounter. Having the courage to ask a question about FGM and having the knowledge to address the answer leads to the problem being identified and generates better care. Conclusion: The encounter with people from another culture places higher demands on the nurse's knowledge of cultural aspects in nursing. Nurses have an expressed desire for more understanding of women's exposure to FGM.
Older persons experiences of living with depression : A general literature study
No full textBakgrund: Globalt ökar populationen med äldre depressiva personer i behov av sjukvård. Depressionen ger fysiska och psykiska symtom som kan leda till suicidala beteenden. Sjuksköterskan bör främst stödja och öka förståelsen för sjukdomen och behandling, främst genom personcentrerade samtal. Däremot anses det största hindret för behandling vara avsaknad av vårdsökande. Syfte: Att belysa äldre personers erfarenheter av att leva med depression. Metod: Allmän litteraturöversikt med en tematisk analysmetod. Artikelsökning utfördes i databaserna CINAHL och PubMed. Sökningarna genererade åtta artiklar med kvalitativ metod och en artikel med mixad metod. Resultat: Resulterade i ett tema, Ensam i sitt eget universum, med fyrasubteman urskildes, Upplevelsen av isolering och ensamhet, Upplevelser av depression och dess konsekvenser, Att känna sig som ”det svarta fåret” samt Upplevelsen av bristande kännedom hindrar behandling. Slutsats: Utöver en omfattande känsla av ensamhet upplevde äldre att det var bristande kunskap inom sjukvården, samhället och individuellt. En ökad förstående och ett gott socialt nätverk ledde till minskade depressiva symtom och vårdbehov, förhoppningsvis även avsaknad av självmord.Background: Globally, the population of elderly depressed people in need of medical care is increasing. The depression produced physical and psychological symptoms which could lead to suicidal behavior. The nurse should primarily support and increase understanding of the disease and treatment, primarily through person-centered conversations. However, the biggest obstacle to treatment is a lack of care seekers. Aim: To highlight older persons experiences of living with depression. Method: General literature review with a thematic analysis method. Article searches were performed in the databases CINAHL and PubMed. The searches generated eight articles with a qualitative method and one article with a mixed method. Results: Resulted in a theme, Alone in his own universe, with four sub-themes, The experience of isolation and loneliness, Experiences of depression and its consequences, Feeling like the "black sheep and The experience of lack of knowledge hinders treatment. Conclusion: In addition to an extensive feeling of loneliness, elderly felt there was a lack of knowledge within healthcare, society and individually. An increased understanding and a good social network led to reduced depressive symptoms and need for care, hopefully also an absence of suicide
Head- and neck cancer patient’s experience of inpatient- and outpatient cancer care
No full textBackground: Patients with head and neck cancer (HH-cancer are a group of patients who undergo extensive radiotherapy, often in combination with chemotherapy. It is therefore a group of patients who have a great need for care both during the treatment phase and the rehabilitation phase.Purpose: The purpose of this study is to describe head and neck cancer patients' experiences of nursing in inpatient and outpatient cancer careMethod: A literature study with a qualitative approach that follows the nine-step model by Polit and Beck. Fifteen articles were included in this study and analysed using thematic analysis.Results: The result yielded three themes with two sub-themes each that consistently showed the patients' either positive or negative experiences of selected themes: Information to the patient, with sub-themes Security and Stress and fear. Communication and treatment, with sub-themes Compassion and commitment and Objectification. The role of the nurse with sub-themes Partnership and Abandonment. In each theme in this study, factors were identified that support the patient's participation- and trust in the care process but also factors that counteracted this. Within each theme, areas of improvement that could support a more person-centred care were identified. Supporting factors included the care staff's commitment and ability to communicate, verbally and non-verbally, in such a way that the patient felt respected as a person. The contact nurse could be experienced by the patient as a safe partner in care. The negative factors patients responded to included staff stress and lack of time in the care meeting.Conclusion: The study showed that there is a need for more individually tailored information to patients and relatives about the disease, treatment and side effects, as well as a need for better follow-up during the patient's rehabilitation where the cancer nurse's role as the HH cancer patient's care contact after discharge from the hospital needs to be strengthened