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(side 3-4)
av Ingrid Poulsen & Mette Rosendal Darmer
(side 5-14)
av Herdis Alvsvåg
Engelsk sammendrag

The article presents results of an empirical project: „Palliative care with focus on the nurse’s role“. The method used in the project was focus group interviews with nurses at nursing homes and hospitals. In a subproject, the interviews were analysed with focus on learning and learning possibilities, and this article presents the results. The article shows how nurses learn through the telling of narratives and from exercising professional discernment. They also learn from exercising professional reflection and professional caring. Finally they learn from personal experiences and the feedback of relatives.

(side 15-23)
av Nina Kallestrup Petersen, Majken Mikkelmann Nielsen, Zenia Krejsing, Lonnie Berg Jakobsen, Kirsten Søvad, Theresa Junker & Bente Malig Larsen
Engelsk sammendrag

Research results show that increasingly bad health and death caused by unhealthy life style is a frequent characteristic of young seamen. During a period of ten months a group of six young student nurses have investigated whether discussions of health-enhancement may contribute to fifteen young seamen’s ability to adopt a change of lifestyle in order to prevent lifestyle-related illnesses.

Youth to youth relations may increase candidness and the possibility of discussing private topics, touching the individual in a very personal way, thus resulting in awareness and reflection about health promotion and a possible change of lifestyle.

The health promoting discussions are, based on Miller and Rollnick’s Motivational Interviewing theory as described by Carl Erik Mabeck.

The health promoting discussions have not yet been definitely evaluated, but the article includes a collection of provisional experiences which indicate that a youth to youth relation creates motivation for health enhancing changes.

(side 24-34)
av Karen Marie Dalgaard
Engelsk sammendrag

This article is about nursing staff facing the challenge of meeting death and the dying as a family matter in specific caring practices. The focus of the article is the interaction between the terminally ill, their spouses and the nursing staff.

The study is a qualitative, empirical study inspired by Grounded Theory Methodology. The empirical basis is provided by field studies in private homes, a hospital ward and a hospice institution and by interviews with terminally ill, their spouses and the nursing staff.

There are three typical triads: the flexible co-operative triad, the unstable adaptive triad, the excluding divided triad. Seven conditions influence the interaction and have different consequences for the terminally ill and their spouses: type of co-operation, the attitude of spouses, who has the means to define reality, typical interaction, type of relationship, the personality of the patient, the perspective of experience. The flexible co-operative triad is the only triad with a genuine family perspective on death and dying.

(side 35-44)
av Stinne Glasdam
Engelsk sammendrag

The concept „profession based teaching“ is relatively new in relation to The Degree Course in Nursing. The topic of this article is based on a discourse analysis which tries to answer the following questions: what does „profession based teaching“ mean, and how is the concept handled by various positions, such as the political, trade unions and educational institutions. The analysis shows that everyone knows what the concept „profession based teaching“ means. It never means the same because the meaning depends on the position from where there is speaking. Therefore a synonymous definition of the concept is impossible.

(side 45-52)
av Birgitte Larsen & Marianne Wettendorff Nørgård
Engelsk sammendrag

The purpose of this literature study was to obtain knowledge of how nurses’ information to patients treated with ablation for atrial fibrillation may contribute to minimizing pain experienced by the patients. The subject was elucidated in three selected articles/theories: Katie Eriksson’s theory on suffering. An article by Bobby Zachariae in which he describes pain in a wider psychological perspective, and a study in which Elvira Lang examined the relation between the health care providers choice of words and the pain and anxiety experienced by the patients.

Summing up, it was found that patients should be informed to expect pain – information relieves the experience of pain. Information should be given in neutral terms and should match the patient’s own choice of words. It is of major importance that the patient in pain is not left alone. Diverting attention from pain can elevate the patient’s threshold for pain. Prior to a painful procedure, the patient must be made aware of how to cope with the pain.

(side 53-63)
av Annelise Norlyk
Engelsk sammendrag

The purpose of this study was to obtain knowledge about patients’ experience of fast track colonic surgery. Applying Van Manen’s phenomenological- hermeneutical approach, the present study is based on 6 in-depth interviews. The analysis led to one dominating theme: Introduction to a programme and living up to this programme, and four subthemes: mobilizing willpower, balancing on the brink of one’s capacity, lack of influence, and the need for attention. Although patients wanted to contribute actively to their restitution by living up to the demands of the regimen, they felt pushed to – or beyond – the limits of their willpower and stamina. Patients experienced both an asymmetry between their degrees of responsibility and their degrees of influence, and a power related asymmetry in relation to the professional staff. Therefore, the study recommends an increased degree of ethical reflections within the practise of fast track surgery.

(side 64-77)
av Kristina Holmegaard Thygesen & Bente Appel Esbensen
Engelsk sammendrag

In Denmark very few possibilities of lung cancer rehabilitation exists. In addition, the documentation of the effects of the existing rehabilitation possibilities is limited.

The purpose of this study was to reveal which circumstances might affect the participation of lung cancer patients in possible rehabilitation efforts in relation to gender differences. In addition, to investigate which subjects the patients wish to be covered by a rehabilitation course, to reveal how rehabilitation courses should be arranged and based on this information to develop a tangible plan for a rehabilitation course for patients with lungcancer.

The investigation was based on a survey using a questionnaire with a total of 35 lung cancer patients including 15 women and 20 men. In total, 74% of the lung cancer patients expressed preference for an extended course. A significant relation was found between the perception of breathing difficulty/coughing and preference for subjects related to these problems during a rehabilitation course. Based on this study, it is recommended to begin the rehabilitation of lung cancer patients already at the time of the diagnosis, to follow-up on the patient during the treatment at the hospital (in-patient and out-patient clinic), and to use rehabilitation interviews and discussions including all aspects of cancer related problems.

(side 78-86)
av Karen Thyrsting & Elisabeth O.C. Hall
Engelsk sammendrag

The article describes a secondary analysis of an intervention study, a practitioner research project, concerning the prevention of coercion among psychiatric staff members. The aim of the study was to explore how focus on patients’ experiences of coercion influences the staff members’ attempts to prevent such situations of coercion. The data in the secondary analysis were seven reports about the intervention study. The data were analyzed using comparative qualitative content analysis. Three types of staff characteristics, disclosing the philosophy, actions and perspectives of the staff on patients and critical situations which might arouse actions of coercion, were found: „the disease-oriented expert“, „the unnoticed ruler“ and „the dialogue-oriented expert“. The two first characteristics dominated among the staff before the intervention, and the last characteristic dominated after the intervention, revealing a change in attitudes and actions. The three characteristics are discussed in social constructionist and power perspectives, and suggestions for future implication in psychiatric practice put forward.

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