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Leder
(side 1-2)
av Bente Martinsen Woythal
Sygeplejersken i et krydspres mellem modsatrettede diskurser
En Foucault-inspireret undersøgelse af italesættelsen af sygeplejen og de forandringer, der er sket i perioden 1990–2014
Vitenskapelig publikasjon
(side 3-22)
av Susanne Nordal Kijne og Kirsten Frederiksen
Sammendrag

Studies indicate that the values of society have changed since the 1990s into values stressing economic and competitive aspects. We have therefore investigated how nursing is constructed, in material from 1990 and 2014 from Danish newspapers, professional journals, government files and educational reports. Drawing on Foucault’s power analytics the material was analyzed in order to identify mechanisms of power through which the truth about nursing is constructed.

We found that the construction of nursing has changed from a discipline based on care and relationships to a more business-oriented discipline anchored in neoliberalism and echoing the changing values of society. Efficiency permeates all aspects of nursing and nurses face pressure from multiple sides because the understanding of nursing differs depending on which position is voiced. Despite a common thought that caring is fundamental in nursing, economic and competitive values based on a neoliberalist view of humanity dominate when nursing is described in 2014.

Vitenskapelig publikasjon
(side 23-39)
av Kari Westad Hauge, Ole David Brask, Liv Bachmann, Hege Bakken, Inger Elisabeth Bergum, Cecilie Katrine Utheim Grønvik, Anne Gutteberg, Wenche Mongstad Heggdal, Signe Gunn Julnes, Bente Dale Malones og Ingeborg Ulvund
Sammendrag

Background: International research indicates that supervisors are reluctant to fail student nurses in assessments. No studies from Scandinavia investigate the phenomenon of failing to fail. Internationally there is a lack of instruments to measure this phenomenon. Purpose: The purpose of this pilot study was to test the reliability and validity of a newly developed questionnaire about the phenomenon of failing to fail. Method: This pilot study was an explorative cross-sectional study, answered by 336 nurses with experience as mentors. Results: The reliability analysis indicated that the questionnaire has good internal consistency. The content validity indicated that the questionnaire measured whether mentors are failing to fail and reasons for their decision. Conclusion: There is a need for some improvements in the questionnaire. There is also a need for further investigation of the reliability and validity in a larger sample.

(side 40-54)
av Lisbet Borge og Jan Kåre Hummelvoll
Sammendrag

Milieu therapy, inspired by the therapeutic community, has had a central position in interdisciplinary treatment programmes in psychiatric institutions. Following a significant reduction of hospital beds and shorter stays in recent years, a number of professionals have questioned the relevance of the traditional milieu therapy. Therefore, a renewal of this mode of treatment is called for. A review of the research shows that there is little systematized knowledge on milieu therapy as a concept and practice, and there is little systematic research on different models of milieu therapy. Historically, the psychodynamic model has had the greatest impact on theory and practice. In recent years, however, cognitive milieu therapy has gained increased attention. An important source for revitalizing the milieu therapy of today is the focus of patients’ experiences of the important factors in recovery processes. Recent research shows that patients’ personal learning processes depend on contextual conditions. In this article, a socio-cultural learning model for understanding patients’ learning processes through therapy and participation in an institutional milieu is presented. The authors suggest that this has potential to renew milieu therapy. This proposed model, however, needs to be empirically tested in practical settings.

(side 55-70)
av Dorte Dall-Hansen og Eva Odgaard
Sammendrag

Background: Evidence-based practice strengthens patient safety, reduces health costs and improves patient outcome. Despite many initiatives, many nurses do not work evidence-based. Learning by Developing (LbD) is a concept for nursing students to undertake their bachelor thesis as a development project in collaboration with clinical nurses. Aim: To explore whether the LbD concept for collaborative development can contribute to evidence-based practice. Method: Two qualitative focus group interviews were conducted with nurse managers. Data was analyzed with systematic text condensation. Results: Three main themes were developed: “Substantiated changes”; “Preconceptions and culture are challenged» and “Collaborative development creates synergy”. Conclusion: By translating research knowledge to local practice, LbD projects contribute to evidence-based practice by substantiating changes. When students present scientific literature and descriptions of the existing practice, nurses attribute credibility to research and become motivated for change. Synergy emerges when nurses’ clinical expertise joins with students’ time, knowledge and skills.

Patienters vurdering af webbaseret sundhedsinformation
En survey-undersøgelse af hoftepatienters anvendelse
(side 71-85)
av Anne-Louise Degn Wivelsted, Merete Nørgaard Madsen og Lene Bastrup Jørgensen
Sammendrag

Informational technology is increasingly used in the healthcare sector without evaluating potential barriers for gaining and using web-based information. Evidence is needed to get an understanding of what factors are associated with use of online health information.

The aim of the survey was to describe both the use and the degree of difficulty for using the internet platform ‘Mit Forløb’ (WIP) among patients undergoing fast-track hip surgery, and furthermore to investigate the influence of gender, age and education level on the use of WIP.

Sixty-one percent of the patients (106/175) used the WIP and the adjusted analysis showed that significantly fewer older people (65+ years old) than younger used it (OR 0.41). Furthermore, results indicate that men and the elderly may find the WIP more difficult to use. However, differences were not significant. Due to the size of the study, the findings are tentative. More research on the subject is needed.

Boganmeldelse
(side 86-87)
av Birgit Bidstrup Jørgensen
Phd-præsentation
Udforskning af behov hos patienter med malign hjernetumor
Et casestudie af at deltage i et integreret pakkeforløb for kræft i hjernen
(side 88-90)
av Tina Wang Vedelø

1/2019 Årgang 33

www.idunn.no/klinisk_sygepleje

Redaktør

Bente Martinsen Woythal, Aarhus Universitet

Vitenskapelig redaktør

Annelise Norlyk, lektor, ph.d., cand.cur., Aarhus Universitet, Institut for Folkesundhed, Sektion for Sygepleje

Redaksjonssekretær

Aud Aasen

Redaksjonens adresse

Aarhus Universitet v/ Bente Martinsen Woythal

Institut for Folkesundhed, Sektion for Sygepleje, Campus Emdrup

Tuborgvej 164, bygning B

2400 København NV

Redaksjonens e-post

E-post: klinisksygepleje@gmail.com

Redaksjonsråd

Ingrid Poulsen, Dr.med.sci., leder af Forskningsenheden, Afd. for Højt specialiseret Neuro­rehabilitering/ Traumatisk Hjerneskade, Glostrup HospitalFrederik Alkier Gildberg, cand.cur., ph.d., Center for Psykiatrisk Sygepleje- og Sundhedsforskning (CPS), Syddansk Universitet

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