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What is fatigue, and how can it be described and explained? Despite the fact that nurses often care for patients with fatigue, fatigue has not held a prominent place in nursing research and textbooks. This article presents an empirically developed theoretical model for understanding fatigue. Energy is used as a key term to describe and explain patients’ fatigue and related phenomena. Energy-generating and -economizing are suggested as central strategies for helping patients with fatigue. Nurses need to assess fatigue systematically in order to plan and carry out effective nursing interventions based on the patients’ individual symptom experience.
Chronic non-malignant pain is often characterized as a condition of essential reduction in quality of life having an affect on the physical, psychological and social function level without a reduced lifetime. Apart from the serious social and economic consequences, patients with chronic non-malignant pain often experience problems related to their sexuality. Sexuality is closely connected to human identity and therefore sexuality is both biological, existential, social and cultural. The patients’ experience influence on their sexuality in respect to their physical sex life, their body, their personal experience and their relations. The influences appear as negative feelings about the body and poor self-esteem. The patients find an active sex life less important than the healthy controls.
The statement in this article is that nursing management is needed, however, rethinking is required. The traditional ways of organizing nursing practice have to be adjusted to the constantly changing conditions in health services. The purpose for nursing practice is to give the best contributions to the patients’ outcome. Today financial circumstances limit the efforts. This gives nursing leaders great challenges. They must despite of limitations take actions to ensure that an adequate nursing staff is available to protect patients and to improve the quality of care. The nursing leaders have to secure that nursing practice is evidencebased or based on best knowledge available. This requires nursing management and the need for competence as well as organizing and planning.
Society and nursing are build upon heterosexuality. A literature study shows that lesbians are, stay and feel invisible in interaction with nurses. It is imparative to strengthen the trust, acknowledgement and knowledge in this interaction.
If the nurses meet the lesbians in a hermeneutic and thereby an open manner they get the opportunity to understand and to bring forward their understanding. Showing this understanding gives the lesbians the feeling of acceptance because their identity and lifestyle are recognized and acknowledged.
The practising of health education in hospitals is widespread. Apparently, there is some discrepancy between the targets set and targets achieved. Based on qualitative interviews and a literature review in the field of health pedagogy is discussed. The starting point is somatic hospitals in Denmark and the „action competence approach“ developed by The Danish University of Education.
Knowledge and the different aspects of knowledge are discussed. Education and different definitions of education are explored and compared with success criteria in health education.
Client education is central to the philosophy of nursing practice today, and may be viewed as both an intervention and as an evolving body of theory and concepts. It is also responsive to the current health care climate that supports the nurse’s role as a promoter of health and wellness. Using qualitative data obtained through a critical ethnographic study this article addresses the issue of client education through the stories of three experienced nurses who work within the community setting in a large New Zealand city. The study describes the day-to-day practices which represents their professional reality. The results of the study provide implications for policy development and professional practice. Together with concerns that underpin the provision of client education, the study also highlights nurses’ ability to provide information to clients that enable them to take the necessary action to control and enhance their own lives.
The aim of the study which this article describes was to gain a deeper understanding of factors related to how older frail people successfully master changes in their daily lives. A group of 85-year old people from a Danish population study were interviewed in their homes. Out of 187 frail participants, 91 expressed satisfaction in everyday life despite limited mobility and loss of daily activities. In analysing the data a mixed methodology was chosen, using quantitative as well as qualitative strategies. The analyses did not aim at finding cause-effect relationships, but search for patterns and differences in the ways changes were mastered.
The ability to use computers is an essential skill for nursing students and computers are working tools for the nursing profession. At the skills laboratory at The Nursing School in Århus the students have access to computers/internet, and thus new opportunities for the teachers are offered. Different kinds of e-learning/multimedia learning packages have been developed, and this article describes the experiences of computer assisted learning (CAL). Focus is on the importance of having didactic considerations adjusted to the curriculum. To qualify the use of CAL all teachers are asked to describe a pedagogic scenario that illustrates how they integrate CAL into the curriculum teaching/learning programme.
Diabetes has a great impact on a person’s life and it is expensive both for the individual and for the society. Diabetes is a disease with political focus on preventing both the disease and its complications.
Patients with diabetes have photographs taken of the retinas in order to detect the diabetic changes needing treatment. The patients have their eyes examined by nurses and nurses inform the patients about the condition of their eyes.
This article describes how nurses are educated in ophthalmology and in reading the photographs of the retina. The digital camera has changed the possibilities for nurses to inform the patients and has increased the demands for added nursing skills.