The purpose of this project was to find out whether newly Registered Nurses experience improvement of their competence in their first years of practical work, in: management of administration, supervision/education, and research/development. We also aimed to find out if they experienced support from their employer in this process.
Design of the study was descriptive and explorative with a hermeneutic approach.
Our findings were that the RN’s experienced acquisition of competence at the level expected by their employers at the onset of their work, no earlier than three years after they began working and only in management of administration. But no additional competences were acquired in the fields during the entire period. The organization of supervision depended much on the local situation at the work place. Our Conclusion is that the RN’s experienced improvement only of management of administration and experienced lack of support by their employers to improve their competences in other areas.
Health politics, healthcare professionals, and a growing number of patients request greater patient participation in the interaction between patients and healthcare professionals. A review based on literature has been carried out on the basis of a literature search in the databases: Cinahl, PubMed and Swemed+. The aim was to investigate the present literature about nurse-patient interaction. It turned out that no unequivocal and clear definition exists; it is complex with several interpretations. Common for all interpretations is the emphasis on forming a relation with the patient and on decision-making processes, relating to their health and wellbeing. This article contributes to making research-based knowledge more accessible to clinical nurses and to further investigation.
The balance between paternalism and self-care in diabetes care has changed in harmony with the history of medicine. A holistic approach to illness and treatment was widespread in Denmark up to 1920s, as the Danish tradition was based on ancient medicine. New knowledge about effective diabetes treatment especially with insulin, evoked paternalism. Decades later, self-care progressed, and nurses in particular took ownership to help patients implement diabetes into their daily lifes. Self-care and empowerment became ultimate goals in diabetes care due to a number of biomedical, technological, pedagogical, and societal factors that in different ways led to this development. We discuss the pendulum swing between paternalism and self-care to favour self-care, making it mandatory, but what is worse is the unde-served blaming of the patient decisions and lifestyle for his or her. Future challenges include cross-sectoral and professional cooperation to create a worthy balance between patients and the health system.
40.000 people in Denmark live with atrial fibrillation. It is the leading cause of hospital admission in patients with cardiac dysrhythmia and accounts for frequent use of the health care services. Because its overall prevalence increases with age, it is expected that the number of patients with atrial fibrillation will double over the next 50 years. Despite the significant impact of atrial fibrillation on health care and the population, it has been generally considered a benign disorder and somehow overlooked. By describing findings from studies documenting the actual impact of atrial fibrillation on the patient, this paper exposes how some patients live with their illness and describes important areas of nursing of patients with atrial fibrillation.
My aim is to call for attention to the influence stigma may have on preventive health care to immigrant patients. The article will focus on categorization and stigma and on how these phenomena can affect the individual and his or her self esteem. As a contrast to categorisation and stigma, recognition and respect are presented as ways of reaching the patient.
The discussions and arguments of this article are based on anthropological fieldwork and theories on ethnicity, classification, stigma, recognition, health care.
This article, drawn from a larger study, reports on the factors which have influenced the choice of a group of New Zealand male nurses’ clinical career pathways. Using discourse analysis, interview data from 18 participants were analyzed and related to existing literature on male nurses. The analysis reveals that the predominance of men in selected areas of nursing can be attributed to multiple factors including: socialisation pressures that are grounded on gender stereotyping, a desire for challenge, homosocial tendencies, and the belief that multiple work experience equips them to be better nurses. The results challenge essentialist readings of masculinity within the context of nursing and identifies challenges for the nursing education and the profession to enable men to contribute more widely to nursing.
This article describes how patients who are hospitalized and discharged the same day use their experience to be competent in the postoperative period at home. The patients are tought by a nurse before their discharge how to act and react at home in relation to postoperative observations. During their instructions, the patients use their experiences to prepare themselves to be discharged and the dialogue facilitates the patients’ perception of the education as meaningful. At home the patients use both what they learned during the instruction and their experiences to react suitably in the postoperative period.