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Leder
(side 3)
av Kirsten Eeg
(side 4-14)
av Elisabeth O.C. Hall
Engelsk sammendrag
The aim of this study was to describe Danish parents’ experiences when their newborn or small child was critically ill. Thirteen parents were interviewed. Data were analysed using qualitative content analysis.

The child’s transfer to the PICU meant either help or death for the parents. The back transfer was experienced as joy and despair.

The parents had confidence in most nurses; they were kind, helpful, informative and capable. Less capable and distressed nurses made the parents feel uncomfortable and insecure.

Parents need help and support during their child’s transfer to and from the PICU. Critical care nurses have to discuss the policy of family-centred care.2
(side 15-23)
av Susan Rydahl Hansen
Illness – suffering and Total Pain
Engelsk sammendrag
More than 700,000 Danes have to live with chronic pain. This paper presents and discusses Saunders’ idea of Total Pain and various perspectives of pain and suffering in order to create a pattern of the implications the various ideas can have on the nurse’s attitude and on the alleviation of the patient’s pain and suffering – on Total Pain. This paper gives examples of how Total Pain can be identified and described as a meaningful sign in the interpersonal relations between nurse and patient, and in the nursing diagnosis.
(side 35-41)
av Linda N. Bakken, Anners Lerdal, Gerd-Ellen Øverby og Kari Steinseth Hamborg
Preventing diabetic foot ulcers
Engelsk sammendrag
The progression of diabetes is often accompanied by complications which can include leg and foot ulcers. The increase in the prevalence and incidence of diabetes has serious implications for the management of subsequent complications.

The purpose of this article is to elaborate on major risk factors and assessment for nurses caring for patients with diabetes, and to outline nursing intervention in order to prevent diabetic ulcers. Effective intervention saves the patient from unnecessary pain and problems and might, in the best case, prevent amputation. This article is based upon the investigations and experiences of two nursing students in finding the best evidence for preventing diabetic ulcers during their clinical practice in a home care setting.
(side 42-48)
av Sonja Møgelsvang og Annemarie Dalsgaard
The use of power in clinical practice
Engelsk sammendrag
We do not use the term ‘power’ in a negative or destructive sense but as a basic condition in society, and a necessity in a structured community. However, in situations where conflicts of values are present the use of power can have a negative impact on the persons involved.

Situations involving conflicts of values and the use of power exist in the primary as well as in the secondary health care sector. These conflicts arise typically in the daily contact between professionals and the recipients of health care.
(side 49-58)
av Birthe Kamp Nielsen
Engelsk sammendrag
This article is the last one of three describing the Finish nursing theorist, Professor Katie Eriksson’s thinking and research in nursing and caring. The focus in this article is the suffering human being and how suffering can affect the whole life both in a positive and in a negative way. Eriksson also combines the concepts of health and suffering, She has developed a new paradigm for nursing and describes her ideas about evidence in nursing.
(side 59-69)
av Karen Wistoft og Bjarne Bruun Jensen
Health visitor’s practice – valuable prevention and health promotion
Engelsk sammendrag
The aim of this project is to develop a new conceptual framework and language describing and embracing prevention and health promotion as two closely related, interdependent areas in the practice of many health visitors. The focus is thereby on challenging and reflecting the main discourse in health areas where prevention and health promotion are often emphasized as two ideologically different perspectives embedded in different educational paradigms.

The project focuses on values and clarification of values in relation to the practice and competence of school health visitors. The results from the first phase of the research project are outlined and their implications for prevention and health promotion are discussed. One conclusion is that health promotion and prevention activities are often based on the same educational principles, and that they cannot be seen to be contradictory, let alone as belonging to two different paradigms.
(side 70-77)
av Mette Trads og Lene S. Sørensen
Implementation of Basic Stimulation
Engelsk sammendrag
It this we describe how we have dealt with the project of implementing the nursing concept of Basic Stimulation since it was chosen as a main growth area at our neurosurgical unit.

Preparation of the organization is necessary including schedules, long and short term goals and economy.

We describe three stages in the process of implementation: introduction and preparation, testing and effectuation.

In choosing the nursing concept of Basic Stimulation we seek to improve the nursing of the brain damaged patient. By means of a structured process we have given the nursing staff theoretical and practical taining, introduced the principles of Basic Stimulation, composed clinical guide lines, and worked with changes of attitude towards the individual patient.

We discuss the present situation and considerations regarding future work in this field.
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