Method and findings of the PhD study Narration and identity in interactions between nursing home residents with Alzheimer’s dementia and nursing staff are described.
Transcribed audio recordings of daily interactions between nursing staff and eight nursing home residents with Alzheimer’s dementia were analysed in cases as to the occurrence of narrative configurations, and as to residents’ competence and engagement in the narrative configurations.
Four types of narrative configurations were described in the interactions. The residents showed greater communicative competence and engagement in the narrative configurations than in other communication. This was argued to be signs of the importance of the configurations in creating and maintaining narrative identity.
Considerations on the significance of the findings for nursing practice and research close the article.
Improving the quality of hand hygiene is a well-known challenge. A review of the literature shows compliance with hand hygiene to be below 50%. An evidence based clinical guideline concerning sufficient hand hygiene has been developed. Based on this guideline a campaign and an audit were carried out in 2004 at Aarhus University Hospital, Skejby Sygehus. Our initial monitoring system failed to demonstrate improvement in hand hygiene compliance. Therefore the purpose of this work is to demonstrate our latest attempt to train key hygiene nurses to do observation studies in their own wards. The educational program is demonstrated and the key nurse’s role as an observer is discussed.
Restructuring of the health care services is occurring in many countries in the industrialized world. There are studies which indicate that nursing is among the health care professions considered as the „loser“ in this restructuring process. By being more united in the key conception of what nursing is, nurses and nursing might be strengthened in the effort to gain more influence when important decisions are made.
Although the UK and Denmark have structurally similar systems, there are also some fundamental and crucial differences that reflect a difference in political philosophy. An exploration of this difference, and how European harmonisation may be an attempt to eliminate it, should lead us to a consideration of a more democratic European healthcare future: one that combines objective public information with localised control (or what I call „informed accountability“).
Today, there are great challenges to make nursing visible. There is a need to make visible that nursing is more than being the assistant for the physicians. This article will mainly focus on the responsibility nursing leaders have in areas such as implementing and developing different systems, documentation and development of competence. An example of a clinical competence program at Rikshopitalet, Norway, is presented.
Different kinds of pain reducing care are described. The care taking person has to lay a great emphasise on interaction with the patient to show that she is really taking care of the patient and to communicate: I have perceived your message. The Basic Stimulation methods can easily be incorporated in the normal daily care and can reduce or remove the patient’s feeling of pain.
Malnutrition is a common problem among apoplexia cerebri patients in Danish hospitals. In spite of procedures regarding sufficient nutrition, statistics show an increasing problem. The nature of nursing is determined by the scientific position of the nurse. This article advises nurses to widen their scientific horizon and to use human ecology as well as formalized procedures as a guide for nursing. Human ecology is based on the best knowledge from social, humanistic, and natural science with relevance to each unique situation.
This article is arguing for the nursing education to put a stronger emphasis on exploring and investigating students’ experiences in caring practice. In clinical supervision students’ experiences represent a potential to develop practical knowledge. There is a tendency in the use of didactically tools to put theoretical knowledge superior to interpretation and understanding practice. Our criticism is aimed at the neglect of experiences as valuable for knowledge development. It is a challenge in nursing education to bring forth experienced based knowledge through reflective thinking and to develop knowledge from practical caring situations.