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(side 1)
av Ingrid Poulsen
Vitenskapelig publikasjon
(side 4-8)
av Turid-Irén Jacobsen
Vitenskapelig publikasjon
(side 9-22)
av Maria Dietz Toppenberg & Lisbeth Uhrenfeldt
Engelsk sammendrag

Background: malnutrition is a largely underestimated problem for elderly surgical hospitalized patients. The primary cause is loss of appetite and an increased need for nutrients. The nursing staff needs tools to attend to the problem. Studies show that optimizing the nutritional effort at hospitals prevents malnutrition and reduces mortality.

Aim: To identify nutritional risks for the elderly surgical hospitalized patient who are medicated. Method: The literature was searched through: PubMed, CINAHL, Cochrane, Clinical Nutrition, Scopus and Embase in the period 2001-2011.

Results: The findings suggest that: age, gender, type of illness, medication: > 5 different preparations, the length of hospital stay and the method used for defining malnutrition are significant risk factors in relation to malnutrition among surgical patients who are medicated.

Conclusion: Nurses have important obligations concerning the treatment of nutritional needs and the prevention of malnutrition of hospitalized patients. It is vital that nurses have the necessary skills and knowledge to provide nutritional advice or refer patients and relatives to for example a dietician.

Creating at-homeness in a care setting environment
Vitenskapelig publikasjon
(side 23-33)
av Heid Svenkerud Aasgaard, Bjørg Th. Landmark & Bengt Karlsson
Engelsk sammendrag

Background: The purpose of this article is to illuminate the meaning of a homelike care setting for people with dementia who are institutionalized in a special care unit. The study uses phenomenological hermeneutic interpretation of focus group interviews with fifteen care providers. Two main themes of homeliness are elicited: 1. Caregiver being near and offering safety. 2. The living room and kitchen – the common social arena. People with dementia seek safety and fellowship in common living rooms and do not spend much time alone in private rooms. It seems to be important to understand home as a multifaceted concept. Creating a home in a care setting requires competence in social relationships with the residents and requires one to provide various opportunities for activity and fellowship.

(side 36-44)
av Erna Ulland
Engelsk sammendrag

Background: This article discusses how childhood experiences can influence mental health in adulthood. The material is taken from Thorvald Steen’s novel Vekten av snøkrystaller (The Weight of Snowflakes) (author’s translation). The novel describes a boy’s experiences with emotionally-absent parents. The mother has emotional problems and is encapsulated in her own world. The father is constricted by the mother’s condition and tries to hide the situation they are in. This leads to many family secrets which are felt by the boy as betrayal, loneliness, humiliation, abandonment, guilt and shame. Earlier research makes a point of the importance of good emotional attachment for social, emotional and cognitive development. These results suggest that the boy’s experiences can lead to mental confusion and disturbed identity formation, with great implications for his mental health in adult life.

(side 45-52)
av Gitte Duus Andersen
Engelsk sammendrag

Background: Several studies conclude that lives can be saved by implementing systematic registration of vital signs. Studies also indicate insecurity and a lack of knowledge among nurses with regards to how assessments should be used in practice.

The aim is to clarify which aspects may have an influence on registration of vital signs. For this purpose, a study was developed, which includes both survey and audit. The data collection was carried out in two hospitals. The data consist of audits on 20 patient records and 14 returned questionnaires. Current accreditation standards are used in further analysis of data. The results show that nurses hold greater knowledge and competence than required by the standards in use at the wards. This indicates, that the standards in use, are limiting nurses in their working method.

Vitenskapelig publikasjon
(side 53-61)
av Turid-Irén Jacobsen, Ireen Ruud & Lise Gladhus
Engelsk sammendrag

Background: Research has shown that a small number of nursing students were attending work in community health services after bachelor graduation.

Purpose: The aim of this study was to identify where graduate students in nursing were planning to work, factors that motivated their choices of employment in general, and to what degree they were motivated to work in community health services in particular.

Methods: Data was collected by a questionnaire, and analyzed by a descriptive statistic. Findings: Among the respondents, 35 percent were planning to work in nursing homes or as home care nurses in a municipality after graduation. Opportunities for personal – and professional development, autonomy, and to be offered a meaningful and interesting job were the most important factors in graduate nursing students choices of work place.

Conclusion: Opportunities for personal development were important factors, in graduate nursing students choice of their first work place.

(side 62-71)
av Minna Therkildsen & Kirsten Teglgaard Lund
Engelsk sammendrag

Background: This article is based on a qualitative study, which uncovers experiences, problems and needs of cancer patients during their rehabilitation. The study depicts physical, psychological and social aspects of patients’ lives after they were diagnosed with kidney cancer and underwent a laparoscopic treatment. The study was conducted in 2005-2006 and is based on a purposive sample. Data derives from interviews and observations of six informants. Each informant was interviewed three times, i.e. twice at the hospital and once after the discharge. Observations focused on communications between the patient and health professionals at the hospital. The key finding of the study is that the patients experience a high degree of disorientation they did not expect when confronted with new physical and psychosocial problems upon their discharge. This article draws attention to the importance of informing patients and maintaining the contact between patients and health professionals during both the treatment period and after the discharge.

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