The background for this article is the centrality of the concept of self care to the management of chronic diseases. The article argues – based on a review of health professional journals and an anthropological study of patients – that the concept works as a boundary object in chronic care – i.e. the concept is simultaneously used as an unspecific, positive and shared denominator in interdisciplinary collaboration, as well as in specific and quite different ways in local settings. The open ended use is an obvious strength, since chronic care entails collaboration between different organisations, sectors and disciplines – and between the healthcare system and patients in their everyday contexts. However, when interventions have to be monitored and evaluated this becomes a major obstacle. The article concludes that seeing the concept of self care as a boundary object could open up new avenues for both analytical and practical work on self care.
It is the aim of this article to show how some cancer patients get caught in the so called welfare system of Denmark, simply because they have become too physically and/or mentally ill to meet the legal requirements of employment. Based on sociological analysis of a number of interviews, three cases are constructed. The analyses only take a user perspective. They show how, depending on a person’s position in society, he or she will have varying capacity and opportunities for meeting job center requirements. At present the Danish society seems to be moving towards workfare rather than welfare.
In diabetes, improved glycemic control during pregnancy mostly deteriorates after delivery. We aimed to clarify the deterioration from the perspectives of first time mothers. Five individual interviews and one focus group with mothers of healthy children were analysed using constant comparison. Good glycemic control for the sake of the child ended at a horizon of giving birth to a healthy child. Postpartum, Great relief was soon succeeded by Feeling left alone with the child and diabetes. Exhausted from the stressful pregnancy with strict control and weekly appointments, the women took a well-earned pause. A challenging clash of mother-child needs were managed stepwise 1) “The child first-prioritization”, 2) “the child OR me-dilemma” and finally 3) “the child AND me recognition”. Getting back on track of diabetes management became a struggle, the women realizing that the improvement during pregnancy was due to professionals and therefore difficult patterns of glucose control remained unchanged.
Background: The clinical nurses responsible for the nurse students during their clinical placement lack sufficient competences such as being able to read and assess research articles, to be used in evidence-based practice, properly. Purpose: The conduction of an intervention programme makes it possible to investigate which learning processes are required to enable the use of evidence-based knowledge in order to solve present problems in nursing. Design: Four clinical nurses from four different hospital wards carried out individually an intervention programme. Method: Qualitative interviews with the four clinical nurses were made before and after carrying out the intervention programme. Results: The analysis has three themes, the clinical nurse experience of issues in nursing, search and assessment. Discussion: The nurses have to learn to ask questions relating to normal procedures in nursing. The search process contains several elements that the nurses have to practice regularly. Learning to assess research articles can motivate the nurses.
Background: The Quality Reform of Higher Education recommends closer monitoring of students. The proportion of students who complete their studies in the recommended time is expected to increase through this initiative. Aim: Evaluate a system of individual study counseling for bachelor students in nursing. Methods: Questionnaire with closed answers and statistical analysis. Findings: An available academic supervisor is important for nursing students. Individual counseling is seen as valuable for 41.5% of nursing students participating in this survey. The most important issues for them to discuss are: learning methods, study planning, and integration of studies in everyday life and the social aspects of student life. Conclusion: Studying nursing is multifaceted and complex. The students’ needs for counseling services in study methods are increasing. They appreciate help and support in coping with everyday demands of student life. It is recommended to allocate resources to nursing student counseling and supervision as a strategy to ensure study quality, to train students to become competent nurses and to reach the goal of fulfilling the study.