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Leder
(side 163-164)
av Bente Martinsen Woythal
Grunduddannelsen i sygepleje har for nylig fået en ny bekendtgørelse. På baggrund af denne har professionshøjskolerne haft til opgave at udarbejde indholdet af studieordningerne, og det har uden tvivl givet ...
Vitenskapelig publikasjon
(side 165-177)
av Lisbet Borge og Elisabeth Mæland
Engelsk sammendrag

Background: Spirituality has traditionally been a taboo within mental health. We need to develop our understanding of how to meet these pertinent issues among people with mental problems.

Purpose: The purpose of this survey was to learn from mental health professionals’ experiences with spirituality during their encounters with patients.

Method: The study has an explorative, descriptive, qualitative design. Data were collected from two focus group interviews, which were thematically analysed.

Main results: Comprehensive understanding: Spirituality is not a legitimate theme within mental health care. Four meaning themes were found: Various concepts were used to describe spirituality; To meet the other where he is; The balance between private or professional; Knowledge and reflection create security and courage to address spiritual themes.

Conclusion: Spirituality is not often a theme in mental health care, and this can result in concealed practices. We call for stronger focus on such topics during education and professional training.

Vitenskapelig publikasjon
(side 178-193)
av Kirsten Beedholm, Lena Michelle Andersen og Kirsten Lomborg
Engelsk sammendrag

Background: In 2013–2014, a competence development project on patient involvement was completed at Aarhus University Hospital, Denmark.

Aim: Following the completed development project we aimed to investigate implementation of methods for patient involvement and illuminate inhibiting and promoting factors.

Theoretical framework: Data generation and analysis was informed by the normalization process theory. Concepts on institutional logics were integrated in the last part of the analysis.

Method: Semi-structured interviews with project group members were conducted 12–20 months after completion of the competence development project.

Result: Despite strong commitment among project group members and positive assessment of the quality of own projects, only two projects were implemented. Both were characterized by preservation of the traditional professional logic.

Conclusion: This study provided knowledge on challenges in integrating patient logic into the organization of a hospital. The findings contribute to future efforts to implement the methods of patient involvement at Aarhus University Hospital.

(side 194-207)
av Heidi Maria Bergenholtz
Engelsk sammendrag

Nursing as a concept is difficult to grasp. The ideals of nursing were developed in a different time than today and nursing as a profession has different working conditions than before. The purpose of this study was to gain knowledge of surgical nurses’ perception of nursing care and to illuminate how this is affected by these conditions. Five focus group interviews with 19 nurses were conducted in a large surgical department in Denmark. The interviews show that the perception of nursing still involves an ideal of holism and presence. This creates frustrations, since it is not possible to achieve the perceived ideal due to the current working conditions, which focus on efficiency and measurements. Since the development in the healthcare sector seems to continue in the direction of requiring more efficiency, we need to address the potential consequences of the mismatch between nursing ideals and the focus on efficiency.

Metodeartikkel
(side 208-221)
av Henrik Reintoft Christensen, Martin Kielland Brandt, Kirstine Løvstad Brodersen, Christina Rehanna Kjær Flyvholm og Anna Sönnichsen
Engelsk sammendrag

Using a research project on the understanding of family-centered care among health care professionals, this article presents how vignettes and displays can be used as tools in qualitative research. Vignettes are hypothetical but potentially real simulations of specific scenarios used in the production of data, and displays are condensed visual and self-explanatory presentations of data used in the final reporting. It is common knowledge that vignettes and displays can be important tools in themselves. We argue that incorporating both already in the design phase will strengthen the cogency of a project, as it forces researchers to pay attention to the relationship between data input and analytical output from the beginning and throughout the research process. We conclude that vignettes and displays are important research and project management tools facilitating more cogent and resource-efficient projects, but we also conclude that they are not relevant to all qualitative projects.

(side 222-230)
av Lars Thrysøe, Charlotte Anker Junker og Vivi Skibdal Frydensberg
Engelsk sammendrag

To meet the demands in health care services, there is a growing request for developing clinical nursing practice. This article describes the experiences of a clinical project «’Growth Forum’ for Development-Oriented Nurses» where participants carry out nursing projects based on their own practice, focusing on process and content. The purpose of this article is to urge others to similar actions with a practice-based approach. «Growth Forum» aims to keep and inspire competent nurses and to enhance clinical nursing practice. «Growth Forum» is based on guidance in managing project work, information-retrieval, and research methods as well as group and individual supervision in carrying out projects. So far, 20 nurses have completed the one-year training and supervision process, resulting in 16 project reports. Several projects have been presented as poster or oral sessions at conferences, two projects have been published as articles and four nurses have subsequently commenced an academic education.

(side 231-240)
av Annelise Norlyk, Anita Haahr, Pia Dreyer og Bente Martinsen
Aktuelt har vi i sundhedsvæsnet to modsatrettede udviklingstendenser: ønsket om øget standardisering af patientforløb og ønsket om at tage individuelle hensyn og i højere grad involvere patienten. I denne artikel ...
Engelsk sammendrag

The paper discusses two conflicting courses of development. One is a course of standardization founded on evidence-based recommendations. The other is a course of democratization based on patients’ involvement in care.

Drawing on our previous empirical research, we provide an exemplary narrative to illustrate how patients have experienced hospital care organized according to evidence-based, fast-track programmes as a set of rules that the patient must follow rigorously.

We argue that, in the current standardized evidence-based practice, the proposed involvement of patients resembles empty rhetoric, and that values from evidence-based medicine are being lost in the transformation into this practice which potentially leads to a McDonaldization of nursing practice reflected as «one best way». To prevent a practice of «McNursing», we argue for reviving ethics of care perspectives in today’s evidence practice, as the fundamental values of nursing may potentially bridge conflicts between evidence-based practice and the ideals of patients’ involvement.

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