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The need for health literacy (HL) increases with the growing complexity of health information, and the emphasis on citizen and patient involvement in health services. The aim of this article is to introduce the concept of HL, the current research and to point out implications in a clinical context.
Health literacy as a concept has developed over recent decades from covering mainly the basic reading and numeracy skills needed to function well in healthcare, to now covering broader competences, e.g. interactive and critical. Surveys have shown associations between low health literacy and low self-reported health; inadequate health behavior; risk of developing disease, and insufficient disease management. In the clinical setting, HL is relevant in the direct communication between patients and health professionals in prevention, patient education and rehabilitation. On a system level, HL is the core when planning understandable and meaningful communication and services. Knowledge is lacking concerning effective HL interventions.
Purpose: To study the surgery patient’s sensory experiences in the meeting with the operating theatre and the nurse. Background: The surgical patient’s presurgery anxiety may increase the surgical stress response. It is important to understand patients’ needs in order to support them presurgically. Method: Qualitative research and interviews based on a hermeneutic phenomenological conceptual framework. Analysis: Hermeneutical content interpretation based on Kvale and Brinkmann's recommendations. Results: The following main themes emerged from the analysis: «upcoming euthanasia», «authoritarian authorities» and «the assembly line». Conclusion: The study contributes knowledge about: How overwhelming the surgical patient may experience a high-tech operating theatre; how these experiences can be transgressive and harmful to the patient and how interactions can be seen as both caring and authoritarian. A productive and deliberate view of the surgical patient can show that the individual patient may feel overlooked.
The article is based on discussions that have taken place in the praxeological research group at the University of Bergen, about the differences between studies on nursing in philosophical and sociological perspectives. The purpose of this text is to discuss possibilities and limitations in doing studies on nursing practices in the perspective of the philosopher Michel Foucault. Three studies in nursing are used as examples. One of the studies was about body washing, the second about nursing documentation and the third about exclusion and inclusion of parents when children are in the hospital. The methodological basis for the studies was a discussion with Foucault on how he studied punishment. The article’s conclusion is that researchers who go out into the world, to examine how practices are actually being made, move out of the philosophical methodology.
International studies show that veterans with PTSD experience severe physical, psychological and social challenges in their everyday life, but only a few Danish studies have been carried out. The aim of this study was to gain insight and understanding of the challenges veterans with PTSD experience in their everyday life.
Three veterans participated in the study. Data were collected through semi-structured interviews and analysed using the guidelines for meaning interpretation as described by Kvale and Brinkmann. The findings show that the veterans struggled to realize and accept their PTSD, and that they struggled to become reintegrated in their everyday life. Although this is a main condition for their recovery, they were in need of support during this process. The study concludes that veterans can be supported during this process by psychiatric nursing based on the Tidal Model.
Background: Acute radio dermatitis (ARD) occurs in the majority of cases of patients undergoing radiotherapy for breast cancer. The literature focuses on prevention and treatment of ARD, but does not deal with the duration of skin healing after radiotherapy. Aim: Investigation of skin healing four weeks after completion of breast irradiation. Methods: Descriptive study with a quantitative design. ARD was documented by clinical photos, VAS score and RTOG scale once a week for a period of 28 days. Results: 20 patients participated. 95 % of patients had the most severe ARD earlier than 14 days after treatment completion, and 40 % of patients had the most severe ARD on the last day of treatment. 80 % of the ARD waned within 14 days after treatment, and 20 % of patients had no signs of ARD 28 days after treatment. Conclusions: With recommended skincare, ARD heals faster than the literature describes.