For years, health professionals have been aware of patients’ wish to be kept informed and the benefits this entails. The legislation of informed consent is however an external regulation. The present study explores the development of informed consent as seen from the perspectives of Danish cancer patients during the period 1970-1998. The theoretical framework was based on Anthony Giddens’ analysis of modernity. From this perspective, three patients’ narratives were text-analyzed in combination with historical-source-analysis. The study showed how both the desire for information demanded by the patients as well as way of supplying information by the health professionals changed in the period 1970-1998. The changes were however asymmetrical as the health professionals did not live up to the expectations of the patients despite the fact that they changed their practices in tune with the changes in legal legislation. If healthcare providers rely on legislation regulating informed consent, they may displace the problem, expecting the law – and not the health professionals – to meet the patient’s requirements.
Stress contributes to health problem, decreased efficiency, career change, and poor patient care. Aim: To identify knowledge about how the experience of stress and burnout affects nurses. Method: A qualitative literature review based on findings from twelve studies that examined the nurses’ description and perception of their daily work and their feelings of stress and burnout. Results: Nurses felt a responsibility towards their patients, colleagues and management. However, due to external impulses, they are unable to perform as required, leading to stress and burnout. This can be described in six themes: A desire to provide ideal nursing, self-imposed demands, experiencing behavioural symptoms, experiencing physical symptoms, experiencing psychiatric symptoms, having a mental breakdown. Conclusion: It is important to respond to a nurse’s stress symptoms to prevent any worsening and to strengthen the nurse’s self-esteem and threatened self-image. Furthermore, it is important for nurses to be aware of any early signs of stress.
Background: After the implementation of supportive precautions for patients, following sternotomy in cardiac surgery, a need for knowledge about the patients’ experiences arose A literature review revealed that no studies existed which focused on the patients’ experiences, living with precautions after cardiac surgery. Aim: To explore how patients experience living with precautions taken after cardiac surgery. Methods: The study consists of semi-structured interviews with patients six-eight weeks after cardiac surgery. Hermeneutical content interpretation was conducted. Results: Three themes presented themselves: Logical or bodily experienced meaning of the recommendations. Cognitive or physical comprehension of the recommendations and difficulty in managing the recommendations. Conclusion: The patients experienced difficulties with managing the recommendations in the postoperative period, but still they used the recommendations as guidelines. They were motivated by the promise of a positive achievement, or avoidance of negative results. The patients also suggested a more individual focus.
As a consequence of the municipality reform and the consequent move of services from hospital to primary healthcare, a Danish municipal wished to strengthen the professional competences, fellow-feeling, and collegiate spirit of their community nurses, taking their starting point in their newly developed ‘profile for community nurses’. This article presents a concept for reflection on practice which consists of a competence-developmental project. The project originates from Wacherhausen’s theory of reflection on practice, in ‘Appreciative Inquiry’, comprising appreciatory communication, and in the method ‘The narrative team-reflection’. The concept is about the community nurses in practicing and analyzing appreciatory communication here and now and in giving and receiving constructive mono- and inter-professional feedback. In conclusion, the developed concept for reflection on practice generates fellow-feeling, strengthens the community nurses’ professional competences and promotes collegiate spirit and engagement. The concept can easily be applied to other professionals and/or to other themes for practice development.
Background: The contact person system which was established in 2009 is intended to ensure optimal coherence during the in- or out-hospitalization, thus increasing the patient’s feeling of security during the course. Studies have shown that an evaluation of the implementation of the contact person system is needed. Aim: The objective is to study the perception of the contact person system partly by the parents of hospitalized children and partly by the hospital employees at a paediatric hospital unit. Methods: Qualitatively structured and focus group interviews were carried out. Seven parents of hospitalized children and nine hospital employees participated. All interviews were analysed. Results: The analysis showed that the parents of the infant inpatients showed no perception of coherence whereas the parents of the infant outpatients perceived partial coherence. The employees expressed having had different experiences with the contact person system, but none of them were satisfied with the quality of the system. Conclusion: The quality of the contact person system requires improvement and execution.
When patients in the palliative phase prefer to stay at home rather than being admitted to hospital, nurses have an active role in the community care team. The aim of this study was to explore the perspectives of home care nurses regarding factors of importance for their function in palliative home care. Based on a literature review, a questionnaire was developed. A total of 189 Norwegian home care nurses filled out the questionnaire. Descriptive statistics were used in the data analysis. Five comparisons are shown. The oldest nurses and the nurses with specialist education reported significantly higher confidence in their competences. The findings suggest that nurses rate cooperation, organization, information, and communication as important factors for their ability to support patients in the palliative phase and enable them to stay at home as long as possible. However, they rate support and nurses’ knowledge and professional confidence as the most important factors.
Baggrund: Internationale studier viser at depression er den hyppigst forekommende psykiske lidelse blandt personer smittet med hiv. Omkring en tredjedel har vist symptomer på depression eller tegn på klinisk diagnosticerbar depression. Sammenhængen mellem hiv og udvikling af en depression er uklar. Der er mange faktorer, der kan gøre sig gældende; fysiske (udvikling i hiv-infektionen) og psykiske (at leve med hiv, stigma, stress, misbrug, psykiske sygdomme etc.) faktorer ved patienten, samt den antiretrovirale behandling til hiv.