Publikationer från Röda Korsets Högskola
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Handover in intensive care : The nurse’s perspective
No full textBackground: In intensive care, there is a constant flow of information between healthcare staff where there are gaps in communication. A lack of communication has devastating consequences where the patient suffers and patient safety is threatened. Purpose: The aim of this study was to compile nurses' experiences of over-reporting during handover of patients and shift change between intensive care nurses. Method: A literature review was carried out in a systematic way, the data analysis was carried out using Burnard's method (1991), a thematic analysis with an inductive approach based on Bettany Saltikov & McSherry (2016). Results: In total, eleven articles of qualitative study design were included, the results resulted in six subthemes: over-reporting, receiving information, the importance of communication tools, lack of communication, routines and lack of time, experience of coordination between nurses and outcomes of lack of time and lack of routines. Themes: the complexity of getting and sharing information in intensive care and barriers between professional roles. Conclusion: Fixed procedures are required when handing over patients. With the help of elaborate communication tools, the risks of patient information being missed are reduced. A structure can guide nurses to report in a structured way. There are obstacles in case of over-reporting between nurses with different care facilities, which can have a negative impact on patient safety. Through good coordination and by building a good relationship between nurses, the risk of missed patient information can be reduced and improved
Experiences of self-care among persons suffering from Type 2 Diabetes Mellitus : A general literature review
No full textBakgrund: Diabetes Mellitus typ 2 (DM2) är en global hälsoutmaning med ökande prevalens. Trots evidensbaserade riktlinjer för egenvård finns många fall av bristande följsamhet. Genom att undersöka personernas upplevelser av den förskrivna egenvården är förhoppningen att en djupare förståelse kan uppnås och integrera detta i framtida omvårdnadspraxis. Syfte: Syftet med detta arbete är att beskriva egenvårdsupplevelser hos personer som lider av Diabetes Mellitus Typ 2. Metod: Allmän litteraturstudie med kvalitativ design som följer Polit och Becks niostegsmodell. Originalartiklar inhämtades från databaserna Pubmed och Cinahl och analyserades med Braun och Clarks modell för tematisk analys. Resultat: Resultatet bygger på data från åtta originalartiklar och identifierar tre huvudteman, formulerade som relationer: ”Relationen till hälso- & sjukvården”, ”De sociala relationernas betydelse” samt ”Relationen till sig själv”, vilka i sin tur beskrivs utifrån två underteman vardera. Slutsats: Studien visade att originalstudiernas deltagare upplevde både emotionella och praktiska utmaningar, men också känslor av hopp och framgång. Familje- och närståendestöd var viktiga trygghetsfaktorer, och kontinuitet i kontakten med vårdpersonal visade sig ha en betydande inverkan på hur egenvården upplevdes. Fortsatt forskning behövs för att förstå dessa upplevelser bättre och hur de påverkar egenvårdsförmågan hos de personer som lider av DM2, och bidra till en förbättrad och mer jämlik vård, särskilt för dem som upplever svårigheter med egenvården. Background: Diabetes Mellitus type 2 is a global health challenge with increasing prevalence. Despite evidence-based guidelines for self-care, there are many cases of lacking compliance. By exploring people's experiences of prescribed self-care, the hope is to achieve a deeper understanding and integrate this into future nursing practices. Aim: The purpose of this study is to describe self-care experiences among persons suffering from Diabetes Mellitus Type 2. Method: A general literature review with a qualitative design that follows Polit and Beck's nine-step model. The data was collected from original studies found in the databases Pubmed and Cinahl and was analyzed using Braun and Clark's model for thematic analysis. Results: The results are based on eight original studies and identifies three main themes, expressed as Relationships: “The relationship to health care”, “The importance of social relationships" and “The relation to oneself", each theme is described as two sub-themes. Conclusion: The study revealed that participants in the original studies experienced both emotional and practical challenges, alongside feelings of hope and success. Family and peer support were crucial sources of comfort, and continuity in healthcare contacts significantly influenced the perception of self-care. Further research is needed to better understand these experiences and their impact on self-care abilities in people suffering from DM2, aiming to contribute to improved and more equitable healthcare, especially for those facing difficulties with self-care
Nurses’ experiences with palliative care in the end of life
No full textBakgrund: Palliativ vård tillämpas när patienter inte längre svarar på kurativ behandling och fokuserar på att förbättra livskvaliteten under livets slutskede. Sjuksköterskans uppgift är att ge en god omvårdnad, vilket de kan göra med hjälp av den palliativa vårdens 4 hörnstenar. Tidigare forskning visar att sjuksköterskor upplever en brist på kunskap och erfarenhet vilket kan leda till onödigt lidande. Syfte: Att undersöka sjuksköterskors erfarenhet av palliativ vård i livets slutskede. Metod: En litteraturöversikt baserad på 10 vetenskapliga artiklar, vilka analyserades genom induktiv tematisk innehållsanalys. Resultat: Det identifierades två teman, ”Att ge palliativ omvårdnad och stöd i livets slutskede” och ”Reflektion av yrkesrollen och faktorer som påverkar denna” samt fyra subteman. Slutsats: Personcentrerad vård är centralt i livets slutskede. Sjuksköterskor erfar att strukturella hinder som utbildnings-, personal- och tidsbrist påverkar deras möjligheter att hantera svåra situationer och upprätthålla en god vårdkvalitet. Det krävs mer forskning för att undersöka hur sjuksköterskor hanterar svåra situationer samt hur detta kan förbättras.Background: Palliative care is applied when the patient is no longer responding to curative treatment and focuses on giving a better quality of life. The nurse’s task is to give good nursing care, which can be done with the 4 cornerstones of palliative care. Previous research shows that nurses feel they lack knowledge and experience which can lead to needless suffering. Aim: To explore nurses experiences with palliative care in the end of life. Method: A literature review based on 10 scientific papers, which were analyzed using an inductive thematic content analysis. Results: Two themes were identified, “Providing palliative care and support at the end of life” and “Reflection of the professional role and the factors that affects it”, as well as four subthemes. Conclusion: Person centered care is central at the end of life. Nurses experience that structural barriers such as lack of education, staffing and time affects their ability to manage difficult situations and feelings that arise in end-of-life care, and therefore struggle to maintain a good quality care. More research is needed to explore how nurses cope with difficult situations and how this can be improved
Nurses experience with identifying domestic abuse : A literature study
No full textBakgrund: Våld i nära relation är ett problem som drabbar människor globalt. Sjuksköterskor är ofta de första inom vården som möter patienter med erfarenheter av våld i nära relation, att kunna identifiera dessa patienter är därför en central del i sjuksköterskans arbete. Syfte: Syftet är att beskriva sjuksköterskors upplevelser av identifieringen av patienter utsatta för våld i nära relation. Metod: Studien är en allmän litteraturstudie baserad på Polit och Becks niostegsmodell. Tio stycken originalartiklar analyserades enligt Graneheim och Lundmans kvalitativa innehållsanalys och kvalitet granskades med hjälp av SBU:s modell. Resultat: Studiens resultat innefattar två kategorier: Betydelsen av ett aktivt lyssnande och att etablera en relation med patienten samt vikten av kunskap och erfarenhet. Dessa två kategorier framtogs från de fem underkategorierna. Slutsats: Slutsatsen är att sjuksköterskors möjlighet att identifiera patienter som är drabbade av våld i nära relation är begränsad, på grund av tids- och kunskapsbrist. Att möjliggöra tid för identifiering samt erbjuda sjuksköterskor utbildning inom ämnet skapar en miljö som bidrar till enklare identifiering, bra bemötande och god omvårdnad för patienter drabbade av våld i nära relation.
Drained of energy : The patient's experiences of living with depression
No full textBackground: Depression is one of the most common illnesses in the world, which today affects 280 million people globally. Depression occurs at all ages and is the largest group of mental illnesses linked to suicide. Women and the elderly are the most prone to depression. Depression is considered a public disease and is a complex disease with many aspects that influence its course and onset. The research indicates that the care of depressive patients can be deficient and lead to patient suffering and mistrust of the healthcare system. Furthermore, previous research shows that there is a lack of patients' perceived experiences of depression. In order to improve patients' treatment results, it is important to gain more understanding of depressive patients by allowing their point of view to take a greater place. Aim: The aim was to describe adult patients' experiences of living with depression. Method: A structured literature study with a focus on qualitative research containing seventeen scientific articles that were analyzed thematically in accordance with Braun and Clarke's content analysis. Results: Two main themes and five subthemes were identified. The first main theme was Malaise with the subtheme Emotional experience and the subtheme Experiences of physical discomfort. The second main theme were Social aspects with the subtheme The social self-image, the subtheme Experiences of coping strategies and the subtheme Experiences of healthcare. Conclusion: Depression has a significant impact on the life of the sufferer. The disease entails a wide range of emotional and physical ailments that cause the depressive patient to feel unwell. The disease entails a changed self-image that causes suffering and affects social aspects in the patient's life. Coping strategies affect everyday life and have an effect on the patient in social contexts. Experiences with healthcare affected patients' depression. Specialist nurses have a central role in care and, with the help of nurturing communication, they can instill vitality and hope in the depressive patient. By gainingan increased understanding of the patient's malaise and social aspects surrounding the depressed patient, specialist nurses can identify symptoms of depression in good time and provide more empathetic care
How parents of children with ADHD experienceencounters in healthcare : A literature review
No full textBakgrund: Barn med ADHD kan ha svårigheter med att hålla fokus, impulskontroll och svårigheter att reglera känslor, vilket påverkar olika aspekter av deras liv. För att stödja dessa barn behöver sjuksköterskor ha en djup förståelse för deras behov och samarbeta nära med både barnet och deras föräldrar för att erbjuda individanpassad stöd och vård. Att förstå föräldrarnas upplevelser är också avgörande för att kunna erbjuda effektivt stöd till både barnet och familjen som helhet. Syfte: att beskriva hur föräldrar till barn med ADHD upplever möten i vården. Metod: En litteraturöversikt har genomförts med datainsamling från CINAHL och PubMed. Sökorden samt inklusions- och exklusionskriterierna är baserade på PEO-T modellen (People, Exposure, Outcome,Type of research ). De inkluderade artiklarna har sedan analyserats med hjälp av Braun och Clarke (2022) tematisk analysmetod. Resultat: Fyra huvudteman har identifierats;bristfällig information, behov av stöd och resurser i vården, kommunikationens betydelse i vården och mångfald i behandlingsalternativ. Brist på information och kommunikation ledde till föräldrarnas frustration och oro med negativa konsekvenser för barnens välbefinnande. Slutsats: Tydlig kommunikation underlättar för föräldrarna att förstå barnens hälsotillstånd och behandlingsalternativ, bygger förtroende för vårdteamet och främjar kontinuerliga relationer mellan föräldrar och vårdpersonal
Experience of being a patient in forensic psychiatry : A literature review on the experience of being a patient in forensic psychiatry
No full textBakgrund: Personer som begår brott under påverkan av en allvarlig psykisk störning kan dömas till rättspsykiatrisk vård. Den rättspsykiatriska vården har som mål att förbättra patientens psykiska hälsa, ge patienten möjlighet att bli fri från missbruk samt att förebygga och minska risken för att patienten återfaller i allvarlig brottslighet. Men det finns dock begränsningar inom rättspsykiatrin som kan påverka patientens integritet och autonomi. Syfte: Syftet med denna litteraturstudie var att syntetisera och granska kvalitativa studier som utforskat patienternas levde upplevelser av att vara patient inom rättspsykiatri. Metod: Till denna studie valdes en strukturerad litteraturstudie med en kvalitativ design. Systematisk sökning utfördes med en induktiv ansats baserad på tidigare forskning i databaserna Cinahl, Pubmed och Psycinfo. Resultat: Resultatet baseras på 15 kvalitativa artiklar. Analysen av dessa 15 artiklar ledde till två teman och fem subteman som svarade på studiens syfte. Tre subteman framkom under teman att anpassa sig efter andras villkor: vårdrelationen, vårdmiljö och upplevelsen av tvångsvård. Två subteman framkom under att påverka sin vård efter egna villkor: betydelsen av återhämtning och vikten av delaktighet. Slutsats: Att vara patient inom rättspsykiatrin innebär många utmaningar. Det ställs stora krav på patienterna för att kunna anpassa sig till vårdmiljön och de begränsningar som finns inom rättspsykiatrin
Ambient light and pupillary response : An investigation of neurological Pupil Index among sedated patients in an intensive care unit
No full textBackground: Neurocritical care requires rapid and accurate monitoring to prevent secondary brain injuries in patients with neurological diseases. Automatic pupillometry is a tool for assessing pupillary response (Neurological Pupil index). The role of nurses is central in monitoring and caring for the patient's neurological status to minimize secondary brain injuries and suffering. Currently, it is unclear if ambient light can influence the Neurological Pupil index. Objective: The aim was to evaluate if the Neurological Pupil index is affected of ambient light during automatic pupillometry in unconscious or sedated intensive care patients. Method: A crossover design where pupillometry measurements were performed in bright and dark rooms at six time points on 20 intensive care patients. The results were analyzed using the Wilcoxon signed-rank test and presented with descriptive statistics. Results: Significant differences in the Neurological Pupil index were observed between dark and bright conditions. The majority of participants showed higher NPi in dark environments compared to light. There was individual variation in NPi measurements, with some participants showing larger differences than others. Conclusion: NPi is higher in dark environments compared to bright ones, and there are also individual differences. The results can guide clinical practice to improve the critical care nurse's assessment of neurological status in patients. Consistent lighting conditions during neurologic assessments of patients may potentially enhance the assessment of pupillary reactions and potentially enhanced nursing care for the patient
Care in the eye of the storm : To care for adolescents in residential care institutions organized by The Swedish National Board of Institutional Care (SiS)
No full textBackground: Adolescents in need of care that cannot be provided by Child and Adolescent Psychiatry, or by other aid provided by the Social service can be placed and cared for at the youth facilities of the Swedish National Board of Institutional Care (SiS). Adolescents being cared for at the youth facilities of SiS have complex needs of care, including both psychiatric conditions and psychosocial issues. At every institution at least one nurse with responsibility of the adolescents' care is employed. There is a lack of research on how these nurses experience the care which they provide at the youth facilities. Purpose: The aim of the study was to describe the experiences of the nurses caring for adolescents in the SiS. Method: A qualitative interview study was conducted. Eight nurses employed by the SiS were interviewed. The data was then analyzed according to Lundberg and Graneheim's model for qualitative content analysis. Results: The results are presented in three main themes and nine subthemes: Challenges and opportunities with working within SiS. Lack of collaboration and information, resources and competence and the work environment within SiS. The role of the nurse. Experience of working under different laws and assuming different work roles, leading and training other staff. Meeting the care needs of adolescents. To be able to see the entire adolescent, create an alliance and educate the youth about their own health. Conclusion: The nurses experienced an inexplicit health care assignment within SiS. They experienced a lack of health care competence among the staff working at the wards. A better collaboration with other health care departments, such as Child and Adolescent Psychiatry and primary care centers, was considered desirable. The adolescents are considered to present with great suffering and complexcare needs, and their psychiatric needs are considered the most difficult to meet. The nurses need to create an alliance with the adolescents, and to see the individual beyond criminal history, diagnosis and social issues. This essay contributes to the visibility of the nurses' perspective and of how they can contribute to the development of health care within the institutions, but more studies and more extensive research on the subject are sorely needed.
Psychological treatments for temporomandibular disorder pain—A systematic review
No full textObjective: Temporomandibular disorders (TMD) are common. They affect abilities for carrying out daily tasks and influence different psychological aspects. In addition to standard treatment, psychological treatments have been suggested. The aim was to investigate the effects of psychological treatments on patients with painful TMD in a short- and long-term perspective. Materials and Methods: An electronic search was conducted in the databases MEDLINE, CINAHL, EMBASE, the Cochrane Central Registry of Controlled Trials (CENTRAL), and Web of Science for randomized clinical trials (RCTs) reporting psychological interventions for TMD. Registered beforehand in PROSPERO (CRD42022320106). In total, 18 RCTs were included; six RCTs that could be used in the meta-analysis, and all 18 RCTs were used in the narrative synthesis. Risk of bias was assessed by the Cochrane's tool for assessing risk of bias and certainty of evidence by GRADE. Results: The narrative synthesis indicates that psychological treatment options seem equivalent to standard treatment for painful TMD. The meta-analysis showed that a combination of psychological treatment and standard treatment and manual treatment (very low-quality evidence) are significantly better in pain reduction than just counselling and standard treatments of TMD. Conclusion:This study indicates that psychological treatments seem to reduce pain intensity in individuals with painful TMD, and that the effect seems to be equally good as standard treatment. However, a combination of psychological treatments and standard treatments seems to have an even better effect. This indicates that psychological treatments are promising as an additional treatment approach for painful TMDs