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(side 3)
av Ingrid Poulsen og Mette Rosendal Darmer
(side 4-11)
av Torill Sæterstrand
Relations in mental health nursing
Engelsk sammendrag
The importance of interaction and participation in nursing practice and of ensuring positive relation experiences for patients and nurses has been widely acknowledged in literature. There is a considerable body of literature related to nursing practice within practical aspects like the effectiveness of practice and discussions of the adapted models. However, only a small part of the existing literature describes how nurses practice interaction and participation in the mental health field. The aim of this article is to describe interaction and user participation as experienced by the health personnel and users. Method: qualitative interviews with eleven persons: five nurses, one activity-therapist and five users in Norway in 2005. Kvale’s (1997) three phases inspired the analysis of the material, namely: self-understanding, critical understanding based on common sense, and theoretical understanding.

Result: A) the building of relationships based on trust B) empowering the strong points of the users C) learning to make one’s own decisions in life.

Conclusion: The experiences of health personnel and users of their roles will have impact on how they understand and act in practice. The relationship between nurses and users, and the learning possibilities at a User Centre, influence the mental health of the users.
Vitenskapelig publikasjon
(side 12-18)
av Linda N. Bakken, Anners Lerdal og Thomas Harding
Engelsk sammendrag
Background: Life Story Work (LSW) argues that listening to patients’ life stories provides individualized knowledge based upon the patients’ values and understanding of their lives. This facilitates the provision of care that respects the personhood of the recipient.

Aim: To describe the experiences of a group of healthcare workers (HCW) in applying Life Story Work in nursing practice.

Method: LSW was implemented at a Norwegian nursing home to examine whether a partnership between patient and HCW could emerge which would facilitate the provision of individualized and specific patient care.

Data were collected from interviews conducted with eight HCWs and analyzed for thematic content.

Results: Integrating LSW into care was not time-consuming. The participants described new insights and increased engagement with their patients and a strengthened relationship leading to new caring interventions. The main difficulty encountered by the HCWs was listening to sad memories, even though the patients themselves welcomed the opportunity to talk about such experiences.

Conclusion: LSW was incorporated into the work at the unit, allowing the individuality of each resident to be seen; strengthening the relationship between them and the HCW.

For the HCW such an intervention can provide new meaning and satisfaction in their work.
(side 19-31)
av Jacob Liljehult
Screening for dysphagia using the water swallowing test
Engelsk sammendrag
Background: Swallowing difficulties are common after stroke and can lead to respiratory problems, pneumonia and malnutrition. It is essential in the management of swallowing difficulties, that the patient is assessed as early as possible. For this purpose there is a need for a proper screening method. Purpose: To find evidence to support the clinical use of the water swallowing test as a screening tool. Method: A search was performed in Medline, EMBASE, CINAHL, among others. Results: The water swallowing test should consist of a preliminary assessment of the patient’s ability to participate, and a direct test of the swallowing, using small quantities of water. The best indicators for swallowing difficulties, when using the water swallowing test, are poor conscious level, latent swallow and coughing during or after the swallow. Conclusion: The water swallowing test is a simple and relatively valid screening tool and can easily be implemented in clinical settings.
(side 32-40)
av Anne-Marie Enderlein
Aestetics as an insight possibility
Engelsk sammendrag
The scientific approach has been and is still of great importance in the health services. But there are still areas unfathomable to science, for instance when human beings, befallen by suffering, grief, or anxiety, reflect on the existential conditions of life. Questions like: „What is the meaning of life?” or „Why is this happening to me?” No matter how much faith we have in science, we are not able to answer these questions definitely, but, nevertheless, the questions still remain. However, throughout time, philosophers and artists have made suggestions as to how an aesthetic recognition, characterized by sensation, can help human beings open up to an insight aimed at a whole.

The objective in this article is to examine how sensuous perception can open up to another experience than that of science. The pivot is, among others, the ideas of K.E. Løgstrup.
Vitenskapelig publikasjon
(side 41-60)
av Vibeke Zoffmann og Marit Kirkevold
A Person-Centred Communication and Reflection model: Sharing Decision-making in Chronic Care
Engelsk sammendrag
Shared decision-making (SDM) is regarded as an ideal in chronic illness care but is difficult to implement in practice. Communication and reflection play an important role and need further investigation. Using grounded theory, the authors studied patient-provider interaction in a difficult and advanced area; managing poorly controlled diabetes. A person-centred communication and reflection model was developed identifying SDM in chronic care to be a question of professionals gaining insight into patients’ decisions rather than the opposite. The model reveals important choices in communication and reflection, which were decisive for whether SDM was achieved or not. SDM involved co-creating person-centred knowledge – concrete evidence which empowered patients and professionals in problem solving. Though further testing is required, the general tenets of the model are expected to be applicable across chronic conditions. Findings indicate that SDM in chronic illness care requires innovation in current approaches to decision-making and problem solving.
(side 61-68)
av Hanne Konradsen og Susanne Aagaard
Which importance has selected factors related to the ward for the patient’s experiences during admittance – and for the result?
Engelsk sammendrag
The main impact on patient outcome after hospitalisation is treatment, provision of care and patient-professional relation. However little attention has been directed to the impact the physical environment has on patient’s outcome. In a joint collaboration between Swedish and Danish environmental workers and nurses, a literature study was conducted. The study showed lacking evidence of what the ideal room should look like or contain. On the other hand knowledge on single elements were found; light, smells, sounds, art, social life, safety and infection control. Common themes were patients’ opportunities for self-determination (like room temperature or brightness of light), the room’s flexibility, the possibility of remaining in contact with relatives and the outside world, having a private space, not being alarmed by strange sounds or smells and consideration about patient safety. This is knowledge that be used when planning renovation or building new hospitals, or when engaging in discussion about how to improve care.
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