av Bengt Karlson
„I think it was the way she spoke to me“ – insight into a patient’s situation based on experience gained on an acute psykiatric wardEngelsk sammendrag
The objectives of this study were to describe and understand the phenomna of mania and being a patient. This ambition made it necessary to acquire systematic insigth into the patient’s knowledge of these phenomenas. The study is based on qualitative interviews and hermeneutic analysis and interpretation of the experiences of 11 former patients. The patients described mania as a powerful psychological and physical experience of being alive or feeling paralysed by self-destructive forces. The experiences fluctuate between elated mastery and paralysed anxious isolation. The experiences of having, or not having, of being deprived of control over one’s own life, and not being respected by others, are central dimensions of mania. The person’s dignity and integrity are related to experiences of being humiliated and infringed by the staff. Some patients experienced hospitalization as a protection in terms of safety and care and as an asylum. Others experienced hospitalization as a violation of their integrity and a loss of liberty – similar to power abuse and disregard for their own ability to cope.
av Jan Kåre Hummelvoll
A holistic-existential approach to psychiatric nursing in the perspective of a local communityEngelsk sammendrag
A holistic-existential model for psychiatric nursing is presented in this article. The aim is to present some basic characteristics of the holistic-existential approach to psychiatric nursing, and to show how a specific holistic-existential model can be implemented in psychiatric nursing and mental health care in the local community. An excerpt of a knowledge dialogue between professionals and users on basic values in community mental health care is included in order to see if their views correspond to an holistic-existential approach. Finally, some practical implications of this approach are outlined and related to mental health care in the local community.
av Jens Bydam
The demands of the moment – strategies of management and profession in the futureEngelsk sammendrag
From the year 2020 this article describes how the health service has developed due to a redefinition of evidence based practice in nursing. It returns to the beginning of this century when the foundation of the new nursing profession was laid, and show’s us how Jürgen Habermas’ theory of communicative rationality made this redefinition possible.
av Else Carlstedt
Counselling in Cancer Society of DenmarkEngelsk sammendrag
The Nordic Cancer Union, which was founded in 1949, is a collaborative body for the Nordic Cancer Societies. The aim of the Nordic Cancer Union is a collaboration to improve knowledge and understanding of cancer diseases, to improve prevention, to inform an results of cancer treatment and rehabilitation; and to enhance their effective application in the Nordic area.
Councelling centres are situated in Copenhagen, Frederiksberg and in the 14 counties throughout Denmark. These centres are open to everyone with a cancer related problem and offer support and clarification of these problems. The centre in Frederiksborg has approximately 500 new clients each year. The centre offers a variety of support including consultations for couples, families, groups and individuals together with patient education. The centre has, due to its unique milleu compared to hospitals, often the possibility to give the consultations depth and meaning of existential character. The article contains examples describing this.
av Bjørg Th. Landmark og Nina Saastad
Palliation – tradition and valuesEngelsk sammendrag
Modern palliation builds on a well-founded philosophy that aims to provide the patient with high-quality care when cure is no longer a possibility. The terms hospice, nursing care and palliative medicine are frequently used equilaterally. However, doubt has arisen as to whether the term palliative medicine covers nursing challenges. We suggest that nursing and caring functions should be a part of the concepts of treatment and palliation irrespective of the definition of palliation chosen. Interest and engagement in palliation are growing, but incidents of insufficient pain relief and symptom control are still reported, and evidence of poorly developed systems for communication and coordination still remains. The present situation suggests that there are still numerous challenges connected to treatment and nursing care of seriously ill and dying patients. New knowledge, insight and understanding have been accumulated in recent years, but there are still many unsolved problems in the palliative field.
av Kristine U. Jensen og Poul Bruun
Concord – a method of changing practice?Engelsk sammendrag
This article describes a research and development method called the Delphi-Survey. It is a consensual method used internationally within nursing, and fields of application are mentioned.
Various types of Delphi-Surveys as well as characteristics of this method are described.
Advantages and disadvantages of the Delphi-Survey are discussed based on international research literature. The article concludes with a description of the method that will, hopefully, serve as a kind of application manual. Finally, the authors give examples of how to apply the method within Danish health care.
av Eva Marianne Hudecek
Is the culture stuck in the health system?Engelsk sammendrag
The notion that the culture of foreingers is problematic and a barrier to interaction is prevails among health care professionals in the Danish health care system. Various perspectives on culture, a wider view, and new solutions are necessary in solving the problems. The argument is based on anthropological fieldwork and theories on ethnicity, identity and classification.
av Birthe Kamp Nielsen
Katie Eriksson – a Nordic nursing theorist IIEngelsk sammendrag
This article focused on some of the central concepts in Katie Eriksson’s philosophy of nursing and caring: tending, playing and learning in the spirit of love, belief and hope. This is what caring is. Health is another important concept in her production as well as development of the specific body of knowledge about nursing and caring. Education, teaching, and how to learn nursing and caring are underlined also in this article, which is the second of three articles and includes the period from 1985 to 1991.
av Trille Kjær
Dirty work in clinical practiceEngelsk sammendrag
Dealing with patients’ bodily waste products is part of a nurses’ job, and it is considered an important and necessary task. Despite this, the work represents a dilemma in the nurses’ everyday work because it is considered time-consuming, and for various cultural, historical and prestigeious reasons it is also considered very low status. This work is therefore hidden, taboo, and not prioritized, and many nurses leave it to be done by others. The nurse and her patient are at risk of becoming strangers because the nurse takes over many doctor related work tasks and leaves basic nursing tasks to others. This will have consequences for nursing as a profession because the nurse is thereby at risk of loolsing the social mandate given to her by the general public. The nurse will also lose control in the direct care situation, and this will have consequences for the patients.
av Kirsten Frederiksen
av Bente Hoeck