Danes have few linguistic resources for dealing with existential thoughts and feelings, and medical languages are increasingly being implemented in the general language. However, studies have found that terminal patients increase their quality of life by talking about their thoughts concerning death with the healthcare staff. A recent Danish study found that the primary barrier for this dialogue is due to the individuals being rooted in a dominant medical paradigm. This study explores how terminal patients talk about death and afterlife.
The study applied a qualitative method with semi-structured interviews with 12 patients at two hospices. The method of analyses was Interpretative Phenomenological Analysis.
We found that patients mostly talk about death chronologically and primary with medical language. They apply fewer existential concepts, and it seems to affect how they experience hope at the end of life. We encourage healthcare professionals to support existential language in communication with patients.
Background: A project between a university and the municipality. Nursing documentation has been criticized for being incomplete and inadequate.
Objectives: The aim was to investigate how employees at a municipal health center in Trondheim municipality experienced implementation and use of the intervention plan as a work tool.
Method: The design is experimental research with open non-participatory observation as a tool. Field notes were analyzed with a qualitative approach.
Results: The informants described positive experiences using the intervention plan, such as “documenting more consecutively», and provided statements such as “thinking differently when we documented» and being more associated to the patients’ perspective: “we have become more aware of identifying the patients’ need for health care».
Conclusions: The findings show good indications of flexible employees in terms of trying out an intervention plan. Some of the consequences were more individually adapted health care, less overtime work, and a higher level of patient safety.
Antimicrobial resistance (AMR) has come to prominence as a priority for policy makers and healthcare professionals. There are many well-described guidelines on how healthcare professionals should handle AMR. However, professional practices are sometimes different from what the guidelines prescribe. Based on a non-scientific case, the article explores and discusses healthcare professionals’ practices in preventing multi-resistant infections. The article shows how the boundary between ‘dangerous’ and ‘harmless’ circumstances takes place, how the understanding of ‘dangerous’ is contextual, and how the transfer of responsibility shifts from healthcare professionals to relatives. In conclusion, the article reflects on possible future scenarios in relation to the management of AMR, and the article argues that healthcare professionals must take responsibility on behalf of patients and relatives.
In National Curriculum Regulations for Norwegian Health and Welfare Education (RETHOS), the need for educational Bildung is emphasized by the fact that nurses must be reflected professionals with good attitudes and skills. The aim of this essay is to discuss the Bildung perspectives of simulation as a pedagogical tool when nursing students learn about good dementia care. In this setting, dementia care is used as background to exemplify our views. We describe: 1) simulation as a didactic method; 2) Bildung as a didactical concept; and 3) the Bildung process. Simulation, as a method, encourages students’ interaction and critical thinking regarding the clinical scenario they are facing. However, support from a facilitator seems necessary to support students in their Bildung process to become reflected nurses. The method is also applicable for other educational programs.
3/2020 Årgang 34
Annelise Norlyk, lektor, Institut for Folkesundhed – Sygepleje, Aarhus Universitet
Aarhus Universitet v/ Bente Martinsen Woythal
Institut for Folkesundhed, Sektion for Sygepleje, Campus Emdrup
Tuborgvej 164, bygning B
2400 København NV