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(side 241-242)
av Bente Martinsen Woythal
Vitenskapelig publikasjon
(side 243-256)
av Karin  Højbjerg, Karin Anna Petersen og Jeanne Boge
Engelsk sammendrag

The practical part of nursing education has been boosted by professional bachelor education, and clinical teachers have accordingly emerged as legitimate professionals. The aim of this paper is to show patterns in these professionals’ teaching practices and how they comply with the embedded qualities of practical knowledge. Ethnographic field studies have been conducted at two different Danish hospital wards and at a clinical teacher education program at a university college, along with formal interviews with involved agents. Data are analyzed within a Bourdieu framework and supplemented with concepts from Abbott’s work on professions. The study shows that the teaching practices combine abstract and academic knowledge, bio-medical knowledge, and a belief in strongly structured pedagogical technologies in clinical wards. This tendency is reproducing the classic knowledge hierarchy, and the embedded qualities of practical knowledge are at risk of being superseded by symbolic school activities.

Vitenskapelig publikasjon
(side 257-272)
av Annette Fløe Møller og Annelise Norlyk
Engelsk sammendrag

Autonomy is a key aspect for elderly patients, associated with experiences of personal integrity and dignity. However, studies indicate that their self-determination can be threatened when they receive home care nursing. The purpose of the present study was to describe elderly patients’ lived experiences of autonomy in relation to home care nursing. Based on a phenomenological-hermeneutic approach, six interviews were conducted with patients aged between 77–88 years. All patients were living at home and dependent on home care nursing. The findings revealed four themes: (1) The handing over of tasks to the nurse, (2) The influence of everyday routines, (3) Resisting or giving up, 4) Having to adapt to a regulating organization. The study concludes that autonomy is embedded in complex power relations at both individual and organizational levels, especially as patients experience both normal everyday routines and the organizational framework itself as overpowering and undermining their autonomy.

Vitenskapelig publikasjon
(side 273-286)
av Kaja Mari Medås, Astrid Blystad og Tove Giske
Engelsk sammendrag

Background: Patients with mental health problems often have spiritual quests, and addressing their spiritual needs may be of significance for their recovery. There is limited empirical data on spirituality from mental health care in Norway.

Aim: To gain insight on nurses’ views on spirituality and their experiences concerning spiritual care for patients with mental health problems.

Method: In-depth interviews with seven nurses in mental health care. Data were analyzed hermeneutically.

Results: The nurses experience spirituality as a difficult topic in mental health care as;

(1) Spirituality is a complex and subjective phenomenon; it is difficult to relate to in clinical practice and cannot be singled out as a separate domain. (2) Spirituality is a non-topic in clinical practice, and there is little acknowledgement of patients’ spiritual needs. Diversity in personal spiritual beliefs makes the topic challenging.

Conclusion: There is need for more professional focus on spirituality in clinical nursing practice in mental health care.

«Sykepleier er hva jeg vil bli – dere hjelper meg på veien!»
Hvordan kan læreren påvirke sykepleierstudentens tro på seg selv i studiet?
(side 287-298)
av Turid-Irén Jacobsen og Kirstin Onshuus
Engelsk sammendrag

This article focuses on nursing students’ needs for teachers to listen to them, give them feedback and have faith in them while on campus. With good self-confidence, students’ motivation and academic performance may improve.

Purpose: The aim of this study was to explore educational factors promoting nursing students’ motivation.

Methods: Data was collected by questionnaire with closed answer alternatives, and analyzed by descriptive statistics.

Findings: Nursing students emphasize the importance of teachers listening to them. The fact that teachers believe in them and give them feedback is important for motivation and self-confidence.

Conclusion: We consider the teacher's relational competence as influencing students' intrinsic motivation, strengthening their belief in themselves and guiding them toward meaningful action, which essentially relates to successful meetings between student and teacher.

(side 299-313)
av Janne Orbæk, Lena Veyhe og Tine Tjørnhøj-Thomsen
Engelsk sammendrag

Background: Undergoing acute high-risk abdominal surgery (AHA) is often associated with reduced chances of survival and great risk of adverse outcomes.

Aim: The aims of this study were to explore and describe elderly patients' experiences undergoing AHA surgery, and to investigate self-reported quality of life (QOL) and relatives’ views of the patients QOL.

Materials and Methods: 22 AHA surgery patients aged ≥ 75 years were included for qualitative interviews during the first postoperative week and follow-up after six months with a health-related QOL questionnaire.

Results: Patients had difficulty remembering details of their acute hospitalization. They recalled being in a painful and life-threatening situation and worrying about their future everyday life. Six months after surgery the overall QOL was good in the majority of patients.

Conclusions: Elderly AHA surgery patients’ lack of memory before surgery and their worries afterwards should be major focus points for nurses to improve information regarding hospital stay and discharge.

(side 314-318)
av Hanne Konradsen
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