Insufficient communication and interaction in the surgical team can interfere with patient care and cause risk for adverse events. The purpose of this study was to gain understanding of factors that influence communication and interaction in surgical teams, from the perspective of the theatre nurse. A qualitative approach was chosen for this study. Observations and in-depth interviews were conducted in three hospitals in Norway 2016/2017. Twelve surgical teams were observed and one scrub nurse from each team were interviewed. Content analysis guided the analysis of data.
Three main themes were identified: The atmosphere in the room, Professional experience versus uncertainty, The room and the importance of sounds.
Challenges in communication in multidisciplinary teams during surgical procedures were elicited. Patient safety can be threatened when communication fails. Communication and interaction were promoted by means of awareness, humour and the theatre nurse’s diplomatic persistence. Preoperative and postoperative communication was elicited as important.
Studies show that oral health of persons with severe mental illnesses (SMI), including schizophrenia, is poor compared to the oral health of the general population. The aim of the study is to explore how adults with schizophrenia experience being met by healthcare professionals in relation to oral health challenges. 23 adults with schizophrenia were interviewed in late 2015. Transcriptions of the interviews were coded using Braun and Clarke’s approach to thematic analysis. Three themes were derived from data: 1) Oral issues being ignored 2) Oral issues addressed as side-effects 3) Oral issues addressed as part of a holistic meeting. We recommend a systematic attention to oral health issues in mental health nursing and multidisciplinary cooperation in order to improve oral health among patients with SMI.
Being young with an acquired brain injury may cause challenges in relation to normal development and future life. Through a hermeneutic-phenomenological van Manen-inspired framework it is sought to describe the lived experience of being young (age 15-25) with an acquired brain injury in the early stages of rehabilitation. Semi-structured in-depth interviews with three young patients are analyzed using a thematic analysis guided by van Manen’s five lifeworld existentials. We found that young people strive to find themselves anew in their identity development. They experience a changing identity influenced by improvements of function and realization of their condition during hospitalization. Social interaction with their network and young fellow patients – as well as an appreciative approach focusing on improvement – seems conducive conductive to young people’s re-identification process and self-image following the acquisition of brain damage during the hospitalization.
Patient participation is a key concept in political guidelines for the health care system. A lot of research and work has been made to implement it nationally and internationally. Nevertheless, we still lack implementation of effective methods of patient participation in the Danish health care system. In this article we compare two evidence-based methods of patient participation which both use decision aids and are used in Denmark: Shared Decision Making and Guided Self-Determination. Both methods are described as shared decisions between the patient and the healthcare worker, but while Shared Decision Making is limited to decisions with already defined options, Guided Self-Determination is especially used when problem-solving is difficult. Shared Decision Making is criticized for being too narrow, and Guided self-Determination is criticized for being too comprehensive and time-consuming. Literature points towards that more methods should be used for a successful patient participation and an organizational and management priority is required.
Since the start of the millennium, significant changes have been seen in Danish eldercare. Central is the political ambition of a paradigm shift from »help« to »help to self-self« in home care, which is envisioned to happen through reablement. Reablement refers to short-duration home-based training programmes through which applicants of publicly funded home care are sought re-enabled to manage practical housework and/or personal hygiene. This article is based on an empirical case and discusses the ethical dilemmas that arise in the practical encounter between health care professionals and older people, including professionals’ balancing of different care logics, the shift in responsibilities from welfare society to older people and their relatives, and the more general implications of changed conceptions of how ‘good eldercare’ is defined and practiced for the possibility of achieving a good late life in the modern welfare society.
1/2021 Årgang 35
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