av Finn Nortvedt
When pain turns to sufferingEngelsk sammendrag
The article presents subjective and personal experiences of life with phantom pain.
By discussing material from a Ph.D. study of men with phantom pain after traumatic accidents the article reveals the close relationship between pain and suffering.
Phantom pain has a profound impact on a person’s life. Their relationship to others and their feeling of being-in-the-world are altered dramatically through the pain experience.
Phantom pain seems to anchor the body; which means that pain provides body, or has body itself. The pain becomes a reminder of the former whole, functioning body. The ambiguity between the past and present body is a disturbing experience that is difficult to comprehend. The phantom pain is also expressed through a language that is metaphorical. The metaphors are visual and give a precise description of the pain, but they are also very violent and reveal an experience of immense suffering.
av Sølvi Karlstad
Values at riskEngelsk sammendrag
This article reflects the author’s own views on developing trends in hospice/palliative care in post modern society. It is the author’s concern that important holistic values regarding both the patient and his/her relatives are being neglected in our health care system today. The ongoing demands of efficiency and profit are threatening the health care professionals’ possibilities of a holistic approach. Today, the attitude and practice of modern medicine limits the time for preparation for death. Patients are being medicated and treated more aggressively than before, and the important time for summing up and saying goodbye to their loved ones is being denied them.
av Grethe M. Dåvøy
Professional judgement is evidentEngelsk sammendrag
This article is based on qualitative research into how theatre nurses develop and use their professional judgement in practice. Newly qualified and experienced theatre nurses, as well as experienced surgeons were interviewed in order to gain insight into the subject.
The theoretical frame is based on Aristotle’s concept of phronesis, or practical wisdom. This research shows that professional judgement happens neither by chance nor by coincidence. Much theoretical and professional practice lies behind excellent professional judgement. Personal quality was also considered important.
Professional judgement and knowledge go hand in hand. Narrative and practical action are documentation of the evidence of professional judgement.
av Hanne Jakobsen
Psychiatric survivors as staff in the mental health setting – a tipping positionEngelsk sammendrag
Many psychiatric services employ psychiatric survivors (PS’s), i.e. staff who have previously been diagnosed with a psychiatric illness. The reason for employing PS’s is to use their personal knowledge and experience as psychiatric patients in nursing.
The purpose of this article is to further the debate regarding employment of PS’s in the psychiatric services. The underlying questions are whether personal experience of a psychiatric illness can be considered as a qualification for employment, and whether this experience benefits psychiatric patients. These questions were investigated using a hermeneutic approach, qualitative research interviews and thematic analysis.
The results show that the PS’s are placed at tipping position between the other staff and the patients. The article describes the limitations of employing PS’s, and discusses how the tipping position affects their nursing.
The conclusion is that PS’s have difficulty in strengthening the patient perspective and that the employment of PS’s can be perceived as stigmatization of professional expertise.
av Mads Ronald Dahl
Where do elderly Danes obtain their health information?Engelsk sammendrag
The internet has revolutionized the access options to health informatics. In contrast to other types of information sources, everybody who has access to the internet has access to health informatics on demand. The focus of this paper is the attitude and level of trust expressed by elderly Danes towards health information from different types of media compared with information given by health professionals. The study was conducted as a cross-sectional survey among 2 000 Danes over 60 years of age using a postal questionnaire compiled for the purpose. The theoretical foundation of the study was a constructive evaluation of the problem domain, followed by a quantitive evaluation.
The results showed that elderly internet users have confidence in the health information obtained on the internet. Furthermore, it showed that lack of motivation and doubt of usability are the main barriers against internet usage among the elderly.
av Mads Ronald Dahl
Elderly people with chronic diseases in the knowledge societyEngelsk sammendrag
The knowledge society sees knowledge as the solution to global, national and personal problems, often without differentiating knowledge. With access to the internet we have access to the largest knowledge database in the world, but do elderly people use it?
The focus of this paper is to evaluate whether elderly Danes with chronic diseases use the internet to seek knowledge on health information. The study was conducted among 2 000 Danes over 60 years of age as a cross-sectional survey using a postal questionnaire. The theoretical foundation of the study was a constructivistic evaluation of the problem domain followed by a quantitive evaluation. The results showed that elderly people with chronic diseases do not use the internet as a source of health information any differently from elderly people without chronic diseases. Thus, chronic diseases were not found to be a motivational factor or determinant for using the internet as a tool to increase personal knowledge of general health information. Furthermore, it showed that elderly people who reported that they were in good general health were more often users than elderly with a suboptimal general health.
av Else Møller og Iben Lovring
Nursing lecturers in clinical practiceEngelsk sammendrag
Critical voices claim that academic nursing lecturers have withdrawn from the clinical area, a situation which indicates a dissonance between the theoretical and clinical part of the nursing education both in Denmark as well as abroad.
This review is based on nine articles and reports and its aim is to describe the role of the nursing lecturer in clinical practice with regard to the nursing student’s education. It reveals several investigations in Norway and Sweden where there are differences in both the function and the organization of the role of the nursing lecturer. A situation in which nursing lecturers carry out functions in both theoretical and clinical areas was investigated. Their main function is to support the student’s learning and reflection in clinical settings where the student is nursing a patient, to cooperate with the clinical lecturers, to update their own clinical competence and skills, and finally to research and improve the quality of nursing.
av Linda N. Bakken
Development of knowledge among community health employeesEngelsk sammendrag
The plan for knowledge promotion for adults in Norway states that all employees have the right to professional development. In community health care it is difficult to arrange courses for the employees due to shiftwork, part-time positions and workload. This article suggests a way to include educational programmes as a part of the daily work by means of short lectures and supervision on the wards, and outlines considerations that are essential to success. The model was tested on employees at a nursing home, with the theme “Life story work as a method of creating good relations between patients and health care providers”.
av Hanne Sønder, Trine Bøje, Charlotte Delmar, Dorrit Dylmer, Lisbeth Forup, Christina Spåbæk Jakobsen, Majbritt Møller og Birthe D. Pedersen
Suffering as a shadow? – life with a chronic diseaseEngelsk sammendrag
This article presents partial findings of a research project focusing on what it means to live with chronic disease and suffering. The article focuses on suffering in relation to contracting and living with chronic disease.
The research is qualitative and the approach is phenomenological-hermeneutic.
Eighteen patients were interviewed. These were divided into groups of six, diagnosed with either diabetes type 1, colitis ulcerosa, or coronary occlusion in its rehabilitation phase.
Irrespective of diagnosis, the objective was to find aspects and issues relating to the patient’s experience of suffering and disease, and show how these influence the way he/she copes with daily life.
The article shows that there are many sides to suffering. It can be experienced as a shadow in the shape of angst or fear of dying. The question of suffering as a shadow and hope as a consolation and a way of finding a new purpose in life are closely bound up with having to live with a chronic disease, no matter what the diagnosis.