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  • 1.
    Eckerström, Joachim
    et al.
    The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet, Stockholm County Council.
    Allenius, Emelie
    Stockholm County Council.
    Helleman, Marjolein
    Hanze University of Applied Sciences, Groningen, Netherlands.
    Flyckt, Lena
    Karolinska Institutet.
    Perseius, Kent-Inge
    The Swedish Red Cross University College. Karolinska Institutet.
    Omerov, Pernilla
    Ersta Sköndal Bräcke University College.
    Brief admission (BA) for patients with emotional instability and self-harm: nurses’ perspectives - person-centred care in clinical practice2019In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 14, no 1, article id 1667133Article in journal (Refereed)
    Abstract [en]

    Purpose: Emotional instability and self-harm pose major problems for society and health care. There are effective interventions in outpatient care, but when patients need inpatient care, nurses often struggle meeting their patient’s needs. Brief admission (BA) is a newly implemented crisis intervention and novel form of inpatient care. The aim of this study is to describe nurses’ experiences working with BA related to patients with emotional instability and self-harm.

    Methods: Eight nurses were interviewed according to a semi-structured interview guide. The data was analysed using qualitative content analysis.

    Results: Four main categories emerged regarding nurses’ experiences with BA: provides security and continuity, fosters caring relationships, shifts focus towards patient’s health and empowers the patient. The nurse’s role shifted from “handling problems” to establishing caring relationships with a focus on the person’s health and possibilities for recovering instead of psychiatric symptoms.

    Conclusions: Previous studies on patients’ perspective of BA describe positive experiences such as increased autonomy and participation in the healthcare process. This study supports those findings, albeit from the perspective of nurses. Our findings suggest that BA may reduce work-related stress experienced by nurses while caring for persons with emotional instability and self-harm. BA may also support nurses in their ability to provide more meaningful and constructive psychiatric inpatient care.

  • 2.
    Rydeman, IngBritt
    et al.
    Department of Neurobiology, Care Science and Society, Centre for Family Medicine, Karolinska Institutet; Department of Neurobiology, Centre for Family Medicine, Karolinska Institutet.
    Törnkvist, Lena
    Department of Neurobiology, Care Science and Society, Centre for Family Medicine, Karolinska Institutet.
    Agreus, Lars
    Department of Neurobiology, Care Science and Society, Centre for Family Medicine, Karolinska Institutet.
    Dahlberg, Karin
    Linnaeus University, Department of Caring Science, Växjö.
    Being in-between and lost in the discharge process: An excursus of two empirical studies of older persons', their relatives', and care professionals' experience2012In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 7, p. Article ID: 19678-Article in journal (Refereed)
    Abstract [en]

    The discharge process (DP) is full of well-known risks, and a comprehensive and well-executed DP is especially important for older people with multiple health problems and continuing care needs, as well as for their relatives. Few studies focus on the experiences with the DP by older people in need of home care nursing and their relatives. Therefore, the aim was to deepen the understanding of the DP as a phenomenon described by older people, their relatives, and care professionals. The method is an excursus of the findings of two previously published research studies. By using the Reflective Lifeworld Research approach, the empirical findings were further interpreted with lifeworld theory. The results describe the essential meaning of the phenomenon of DP in relation to healthcare needs. The illness and the DP can be viewed as a course of action where the familiar becomes unfamiliar for older people and their relatives, entailing an insecure future existence characterized by the experience of being in-between. The DP is marked by bodily and existential needs. The older persons and their relatives are lost in the hospital context and trying to influence life and adapt to life circumstances, while being relentlessly dependent on care professionals. Care professionals work from both an organizational and a medical approach. Disharmony and disagreement seem to arise easily among the professionals regarding the planning negatively affecting the patients and their relatives. More efforts are needed in the DP to empower older people and their relatives to go on with their life at home. The caring practice needs to more clearly meet and address the individual needs of older people and their relatives and their understanding of their illness. It needs to give them lifeworld and life goals to alleviate their suffering and to help them adjust to their new situation.

  • 3.
    Salzmann-Erikson, Martin
    et al.
    Oslo University Hospital, Ullevål, Division of Mental Health and Addiction, Department of Acute Psychiatry, Oslo, Norway.
    Eriksson, Henrik
    Mälardalens University, School of Health, Care and Social Welfare, Eskilstuna.
    Torrenting values, feelings, and thoughts: Cyber nursing and virtual self-care in a breast augmentation forum2011In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2623, E-ISSN 1748-2631, Vol. 6, no 4, p. 1-13Article in journal (Refereed)
    Abstract [en]

    Earlier research shows that breast augmentation is positively correlated with positive psychological states. The aim of this study was to explore the shared values, feelings, and thoughts within the culture of breast enlargement among women visiting Internet-based forums when considering and/or undergoing esthetic plastic surgery. The study used a netnographic method for gathering and analyzing data. The findings show that the women used the Internet forum to provide emotional support to other women. Through electronic postings, they cared for and nursed each others' anxiety and feelings throughout the whole process. Apart from the process, another central issue was that the women's relationships were frequently discussed; specifically their relationship to themselves, their environment, and with the surgeons. The findings suggest that Internet forums represent a channel through which posters can share values, feelings, and thoughts from the position of an agent of action as well as from a position as the object of action. These dual positions and the medium endow the women with a virtual nursing competence that would otherwise be unavailable. By introducing the concept of torrenting as a means of sharing important self-care information, the authors provide a concept that can be further explored in relation to post modern self-care strategies within contemporary nursing theories and practice.

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